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Predictive Nomogram for Postoperative Acute Kidney Injury in Older Patients Undergoing Noncardiac Surgery

C

Chinese PLA General Hospital (301 Hospital)

Status

Enrolling

Conditions

Postoperative Acute Kidney Injury

Treatments

Other: no intervention

Study type

Observational

Funder types

Other

Identifiers

NCT05507268
PLAGH-AOC-004

Details and patient eligibility

About

Postoperative acute kidney injury is associated increased risk of morbidity and mortality. Older patients are at high risk of developing postoperative acute kidney injury. However, the incidence and associations of postoperative acute kidney injury in older patients are not well understood. This study aims to develop and validate a predictive nomogram for postoperative acute kidney injury in older patients undergoing noncardiac surgery.

Full description

Postoperative acute kidney injury (AKI) affects approximately 2% to 40% of patients undergoing cardiac and major noncardiac surgeries.

Older patients are more susceptible to renal impairment than younger patients. However, the incidence and associations of AKI in older patients are rarely understood.

Generally, in-depth knowledge of risk factors and thus able to identify patients at high risk to develop postoperative AKI is essential to optimize perioperative prevention and protection strategies.

In this retrospective study, the investigators intend to develop and validate a predictive model for postoperative using the identified risk factors.

The primary outcome is postoperative AKI, which according to the Kidney Disease: Improving Global Outcomes (KDIGO) criterion, is defined as an absolute increase in serum creatinine of 0.3 mg/dL within 48 hours or a 1.5-fold increase from preoperative baseline within 7 days after surgery.

Enrollment

50,000 estimated patients

Sex

All

Ages

65 to 120 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients aged 65 years and older

Exclusion criteria

  • Emergency operation
  • Cardiac surgery
  • Incomplete data
  • Incomplete data
  • Local anesthesia
  • Preoperative renal failure or requirement for dialysis

Trial design

50,000 participants in 1 patient group

older patients undergoing noncardiac surgery
Description:
older patients (aged ≥65 years) scheduled for noncardiac surgery
Treatment:
Other: no intervention

Trial contacts and locations

1

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Central trial contact

Weidong Mi, PhD; Yao Yu, PhD

Data sourced from clinicaltrials.gov

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