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Perioperative Myocardial and Renal Injury in Patients Undergoing Hepatic Resection

I

Istanbul Saglik Bilimleri University

Status

Completed

Conditions

Kidney Injury, Acute
Myocardial Injury After Non-Cardiac Surgery
Liver Neoplasm

Study type

Observational

Funder types

Other

Identifiers

NCT06775158
27..2024.297

Details and patient eligibility

About

Liver surgeries are high risk surgeries that might result in injuries in kidneys and heart. This study was planned to investigate the frequency of these injuries as well as the risk factors for their devolopment and its effect on patient outcomes.

Full description

Hepatic resections are highly invasive major surgical procedures and are associated with higher incidence of end-organ injuries, specifically acute kidney injury (AKI) and perioperative myocardial injury (PMI). This study was designed to determine the incidences of AKI and PMI, and reveal the risk factors for their development and investigate intraoperative labaratory predictors in patients undergoing hepatic resection. We also planned to evaluate the relationship between the occurrence of end-organ injury and length of hospital and intensive care unit (ICU) stay, and 90-day mortality.

Patients were identified from a prospectively maintained data file that involves the perioperative data of patients undergoing surgery at Hepatobiliary-Pancreas clinic of Başakşehir Çam&Sakura City Hospital. All consequtive patients within the study period were evaluated for inclusion. 128 patients were eligible for statistical analysis. This sample size was sufficient to determine the incidence of perioperative organ injury with a margin error of 8.4%. Green formula revealed that the sample size was sufficient for evaluating 9 variables in a regression model.

Enrollment

128 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients who underwent hepatic resection

Exclusion criteria

  • presence of end stage kidney disease
  • emergency surgery
  • application of total vascular exclusion
  • concomitant gastrointestinal resection
  • duration of surgery less than 100 minutes
  • non-oncologic procedures

Trial design

128 participants in 2 patient groups

Patients with organ injury
Description:
Patitents who suffered from AKI or PMI
Patients without organ injury
Description:
Patitents who did not suffer from AKI or PMI

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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