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dc.contributor.authorMeersch, Melanieen_US
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dc.contributor.authorStrauß, Christianen_US
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dc.contributor.authorde Freitas Regufe, Ritaen_US
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dc.contributor.authorBecerra Bolaños, Ángelen_US
dc.contributor.authorRodríguez Pérez, Aurelio Eduardoen_US
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dc.contributor.authorMatas, Juan Muleten_US
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dc.contributor.authorBlanco, Ignacio Hinojalen_US
dc.contributor.authorFernandez, Diego Toralen_US
dc.contributor.authorPerez, Gracia Herranzen_US
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dc.contributor.authorde la Rosa Ruiz, Noeliaen_US
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dc.contributor.authorSevilla, Marta Aguadoen_US
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dc.contributor.authorPaulis, Berta Castellanoen_US
dc.contributor.authorde la Calle Gil, Isabelen_US
dc.contributor.authorAdamove, Peteren_US
dc.contributor.authorBlasco Blasco, Francho Miguelen_US
dc.contributor.authorGarcía-Sánchez, Jose Ignacioen_US
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dc.contributor.authorCallejas, Raquelen_US
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dc.contributor.authorCandela-Toha, Angel M.en_US
dc.contributor.authorClaros-Llamas, Elisabethen_US
dc.contributor.authorCobeta-Orduña, Pilaren_US
dc.contributor.authorCrespo-Aliseda, Pascualen_US
dc.contributor.authorDorado-Díaz, Trinidaden_US
dc.contributor.authorGómez-Rojo, Maríaen_US
dc.contributor.authorMané-Ruiz, M. Nuriaen_US
dc.contributor.authorMartín-González, M. Carmenen_US
dc.contributor.authorMartínez-Pérez, Adolfoen_US
dc.contributor.authorTiscar, Carlosen_US
dc.contributor.authorMenéndez, Patricia Galánen_US
dc.contributor.authorCalvo, Verónica Estepaen_US
dc.contributor.authorEspí, Laura Llinaresen_US
dc.contributor.authorAldeán, Yuri Santiago Loaizaen_US
dc.contributor.authorAriza, Víctor Moralesen_US
dc.contributor.authorVila, Laura Villarinoen_US
dc.contributor.authorGarcía-Miguel, Francisco Javieren_US
dc.contributor.authorSuliman, Elfayadh S. M.en_US
dc.contributor.authorIbrahim, Ahmed Mohameden_US
dc.contributor.authorFadlalmola, Hammad Ali.en_US
dc.contributor.authorSwed, Saryaen_US
dc.contributor.authorWu, Vin-Centen_US
dc.contributor.authorOrhan-Sungur, Mukadderen_US
dc.contributor.authorAltun, Demeten_US
dc.contributor.authorCanbolat, Nuren_US
dc.contributor.authorDinçer, Müşerref Berilen_US
dc.contributor.authorYildirim, Serap Aktasen_US
dc.contributor.authorIyigun, Muzeyyenen_US
dc.contributor.authorYapıcı, Davuden_US
dc.contributor.authorÖzdemir, Leventen_US
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dc.contributor.authorGündüz, Emelen_US
dc.contributor.authorLafli-Tunay, Demeten_US
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dc.contributor.authorDost, Burhanen_US
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dc.contributor.authorDilmen, Ozlem Korkmazen_US
dc.contributor.authorAkcil, Eren Fatmaen_US
dc.contributor.authorTunali, Yusufen_US
dc.contributor.authorOk, Gulayen_US
dc.contributor.authorTok-Alsina, Edaen_US
dc.contributor.authorPolat, Cengizen_US
dc.contributor.authorKızılcık, Nurcanen_US
dc.contributor.authorŞen, Öznuren_US
dc.contributor.authorDarçın, Kamilen_US
dc.contributor.authorUğur, Semraen_US
dc.contributor.authorGürkan, Yavuzen_US
dc.contributor.authorSaracoglu, Kemal Tolgaen_US
dc.contributor.authorYıldız-Koyuncu, Özgeen_US
dc.contributor.authorDemir, Z. Aslıen_US
dc.contributor.authorPostacı, N. Aysunen_US
dc.contributor.authorÖzgök, Ayşegülen_US
dc.contributor.authorKaradeniz, Ümiten_US
dc.contributor.authorÖzay, Hülya Yiğiten_US
dc.contributor.authorBalcı, Edaen_US
dc.contributor.authorSalman, Nevriyeen_US
dc.contributor.authorGirgin, Behiçen_US
dc.contributor.authorSagir, Ozlemen_US
dc.contributor.authorDemir, Hafize Fisunen_US
dc.contributor.authorUgun, Fatihen_US
dc.contributor.authorToprak, Hüseyin İlksenen_US
dc.contributor.authorÖzcan, Mustafa Soneren_US
dc.contributor.authorAlkaya-Solmaz, Filizen_US
dc.contributor.authorYilmaz, Mehmeten_US
dc.contributor.authorKaraca, Umranen_US
dc.contributor.authorŞahin, Sevtap Hekimogluen_US
dc.contributor.authorErkoç, Süheyla Karadağen_US
dc.contributor.authorAlkış, Neslihanen_US
dc.contributor.authorBaytaş, Volkanen_US
dc.contributor.authorErturk, Enginen_US
dc.contributor.authorSaylan, Sedaten_US
dc.contributor.authorAkdogan, Alien_US
dc.contributor.authorYeşil, Beyza Büyükgebizen_US
dc.contributor.authorBoran, Omer Faruken_US
dc.contributor.authorOrak, Yavuzen_US
dc.contributor.authorÇalişir, Feyzaen_US
dc.contributor.authorBüyükçoban, Sibelen_US
dc.contributor.authorKuvaki, Baharen_US
dc.contributor.authorCansabuncu, Sedaen_US
dc.contributor.authorAkesen, Selcanen_US
dc.contributor.authorGören, Sunaen_US
dc.contributor.authorYeniocak, Tugceen_US
dc.contributor.authorOrman, Osmanen_US
dc.contributor.authorKarka, Özlem Ersoyen_US
dc.contributor.authorSahin, Tulayen_US
dc.contributor.authorMomot, Nataliaen_US
dc.contributor.authorPanchenko, Annaen_US
dc.contributor.authorPittet, Jean-Francoisen_US
dc.contributor.authorRutledge, Kristenen_US
dc.date.accessioned2024-01-29T20:03:40Z-
dc.date.available2024-01-29T20:03:40Z-
dc.date.issued2024en_US
dc.identifier.issn0342-4642en_US
dc.identifier.urihttp://hdl.handle.net/10553/128720-
dc.description.abstractPurpose Acute kidney disease (AKD) is a significant health care burden worldwide. However, little is known about this complication after major surgery. Methods We conducted an international prospective, observational, multi-center study among patients undergoing major surgery. The primary study endpoint was the incidence of AKD (defined as new onset of estimated glomerular filtration rate (eCFR) < 60 ml/min/1.73 m2 present on day 7 or later) among survivors. Secondary endpoints included the relationship between early postoperative acute kidney injury (AKI) (within 72 h after major surgery) and subsequent AKD, the identification of risk factors for AKD, and the rate of chronic kidney disease (CKD) progression in patients with pre-existing CKD. Results We studied 9510 patients without pre-existing CKD. Of these, 940 (9.9%) developed AKD after 7 days of whom 34.1% experiencing an episode of early postoperative-AKI. Rates of AKD after 7 days significantly increased with the severity (19.1% Kidney Disease Improving Global Outcomes [KDIGO] 1, 24.5% KDIGO2, 34.3% KDIGO3; P < 0.001) and duration (15.5% transient vs 38.3% persistent AKI; P < 0.001) of early postoperative-AKI. Independent risk factors for AKD included early postoperative-AKI, exposure to perioperative nephrotoxic agents, and postoperative pneumonia. Early postoperative-AKI carried an independent odds ratio for AKD of 2.64 (95% confidence interval [CI] 2.21–3.15). Of 663 patients with pre-existing CKD, 42 (6.3%) had worsening CKD at day 90. In patients with CKD and an episode of early AKI, CKD progression occurred in 11.6%. Conclusion One in ten major surgery patients developed AKD beyond 7 days after surgery, in most cases without an episode of early postoperative-AKI. However, early postoperative-AKI severity and duration were associated with an increased rate of AKD and early postoperative-AKI was strongly associated with AKD independent of all other potential risk factors.en_US
dc.languageengen_US
dc.relation.ispartofIntensive Care Medicineen_US
dc.sourceIntensive Care Medicine [0342-4642] (Enero 2024)en_US
dc.subject32 Ciencias médicasen_US
dc.subject320506 Nefrologíaen_US
dc.subject3213 Cirugíaen_US
dc.subject.otherAcute kidney diseaseen_US
dc.subject.otherAcute kidney injuryen_US
dc.subject.otherChronic kidney diseaseen_US
dc.subject.otherSurgeryen_US
dc.subject.otherPostoperativeen_US
dc.titleAcute kidney disease beyond day 7 after major surgery: a secondary analysis of the EPIS-AKI trialen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1007/s00134-023-07314-2en_US
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.description.numberofpages11en_US
dc.utils.revisionen_US
dc.date.coverdateEnero 2024en_US
dc.identifier.ulpgcen_US
dc.contributor.buulpgcBU-MEDen_US
dc.description.sjr6,232
dc.description.jcr38,9
dc.description.sjrqQ1
dc.description.jcrqQ1
dc.description.scieSCIE
dc.description.miaricds11,0
item.fulltextSin texto completo-
item.grantfulltextnone-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.deptGIR IUSA-ONEHEALTH 5: Reproducción Animal, Oncología y Anestesiología Comparadas-
crisitem.author.deptIU de Sanidad Animal y Seguridad Alimentaria-
crisitem.author.deptDepartamento de Ciencias Médicas y Quirúrgicas-
crisitem.author.orcid0000-0002-2817-3144-
crisitem.author.orcid0000-0003-0947-263X-
crisitem.author.parentorgIU de Sanidad Animal y Seguridad Alimentaria-
crisitem.author.fullNameBecerra Bolaños, Ángel-
crisitem.author.fullNameRodríguez Pérez, Aurelio Eduardo-
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