Acute kidney injury predicts mortality in emergency general surgery patients

Patients undergoing Emergency General Surgery (EGS) have increased risk of complications and death. The risk of AKI in patients undergoing EGS, along with associated outcomes, is unknown. This two-institution observational study included adults admitted to intensive care units between 1997 and 2012....

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Bibliographic Details
Published in:The American journal of surgery 2018-09, Vol.216 (3), p.420-426
Main Authors: Briggs, Alexandra, Havens, Joaquim M., Salim, Ali, Christopher, Kenneth B.
Format: Article
Language:English
Subjects:
Acute kidney injury
Adults
Codes
Complications
Critical care
Emergency general surgery
Failure
Heart surgery
Hospitals
Intensive care units
Kidney diseases
Metastasis
Morbidity
Mortality
Patients
Renal replacement therapy
Risk analysis
Risk factors
Sepsis
Surgery
Surgical complications
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Summary:Patients undergoing Emergency General Surgery (EGS) have increased risk of complications and death. The risk of AKI in patients undergoing EGS, along with associated outcomes, is unknown. This two-institution observational study included adults admitted to intensive care units between 1997 and 2012. EGS was defined by 7 procedures occurring within 48 hours of ICU admission. The main outcome studied was AKI within 5 days, along with 90-day mortality. In our cohort of 59,604 patients, 1758 (2.9%) underwent EGS. Risk of AKI in EGD patients was significantly increased relative to non-EGS patients, with adjusted odds of 1.7 (95%CI 1.40–1.94; P 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2018.03.015