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- Title
Relationship between intraoperative dopamine infusion and postoperative acute kidney injury in patients undergoing open abdominal aorta aneurysm repair.
- Authors
Lee, Seohee; Park, Dongnyeok; Ju, Jae-Woo; Bae, Jinyoung; Cho, Youn Joung; Nam, Karam; Jeon, Yunseok
- Abstract
Background: Acute kidney injury (AKI) is one of the most common complications in patients undergoing open abdominal aortic aneurysm (AAA) repair. Dopamine has been frequently used in these patients to prevent AKI. We aimed to clarify the relationship between intraoperative dopamine infusion and postoperative AKI in patients undergoing open AAA repair. Methods: We analyzed 294 patients who underwent open AAA repair at a single tertiary center from 2009 to 2018, retrospectively. The primary outcome was the incidence of postoperative AKI, determined by the Kidney Disease Improving Global Outcomes definition, after open AAA repair. Secondary outcomes included survival outcome, hospital and intensive care unit length of stay, and postoperative renal replacement therapy (RRT). Results: Postoperative AKI occurred in 21.8% (64 out of 294 patients) The risk of postoperative AKI by intraoperative dopamine infusion was greater after adjusting for risk factors (odds ratio [OR] 2.56; 95% confidence interval [CI], 1.09–5.89; P = 0.028) and after propensity score matching (OR 3.22; 95% CI 1.12–9.24; P = 0.030). On the contrary, intraoperative norepinephrine use was not associated with postoperative AKI (use vs. no use; 19.3 vs. 22.4%; P = 0.615). Patients who used dopamine showed higher requirement for postoperative RRT (6.8 vs. 1.2%; P = 0.045) and longer hospital length of stay (18 vs. 16 days, P = 0.024). Conclusions: Intraoperative dopamine infusion was associated with more frequent postoperative AKI, postoperative RRT, and longer hospital length of stay in patients undergoing AAA repair, when compared to norepinephrine. Further prospective randomized clinical trial may be necessary for this topic.
- Subjects
SURGICAL complication risk factors; SURGICAL therapeutics; INTENSIVE care units; LENGTH of stay in hospitals; THERAPEUTICS; INTRAVENOUS therapy; ABDOMINAL aortic aneurysms; CONFIDENCE intervals; OPERATIVE surgery; TERTIARY care; RETROSPECTIVE studies; DISEASE incidence; RENAL replacement therapy; POSTOPERATIVE care; DOPAMINE; RISK assessment; SURVIVAL analysis (Biometry); DESCRIPTIVE statistics; ODDS ratio; ACUTE kidney failure; DISEASE risk factors
- Publication
BMC Anesthesiology, 2022, Vol 22, Issue 1, p1
- ISSN
1471-2253
- Publication type
Article
- DOI
10.1186/s12871-022-01624-6