急性肾损伤后CKD进展:start - aki试验的二次分析。

IF 3.6 Q1 UROLOGY & NEPHROLOGY Kidney360 Pub Date : 2025-04-01 Epub Date: 2024-12-03 DOI:10.34067/KID.0000000663
Sara Wing, Ary Serpa Neto, Rinaldo Bellomo, Edward G Clark, Martin Gallagher, Orfeas Liangos, Bhanu Prasad, Samuel A Silver, Ashita Tolwani, Sean Bagshaw, Ron Wald
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摘要

背景:慢性肾脏疾病(CKD)是急性肾损伤(AKI)后常见的并发症。我们的目的是评估RRT启动策略是否对CKD进展有影响。其次,我们的目的是确定影响严重AKI后CKD发生或进展的因素。方法:这项对STARRT-AKI试验的二次分析纳入了住院前一年门诊血清肌酐值可用且随机分组后90天存活的参与者。我们的主要分析集中在随机分组后90天有明确肾功能评估的患者。预测指标包括患者人口统计学、合并症、急性疾病标志物、实验室值、接受肾替代治疗(RRT)和RRT治疗策略(加速vs标准)。主要终点是CKD进展,这是一种复合的新生CKD,定义为如果基线eGFR≥60 ml/min,则新的eGFR < 60 ml/min/1.73 m2;如果基线eGFR < 60 ml/min,则eGFR下降≥25%,或在第90天出现RRT依赖性。在未调整的混合效应logistic回归模型中评估RRT治疗策略与CKD进展的关系。结果:401例存活的基线血清肌酐患者中,39%经历了CKD进展。RRT起始策略对CKD进展没有影响(加速组(41%)vs.标准组(38%),优势比1.13,(95%可信区间0.75 - 1.72))。接受RRT和主动脉手术是CKD进展的最大风险。结论:这些发现提示严重AKI后CKD进展是常见的。CKD进展的危险因素包括接受RRT和主动脉手术,建议这些个体在出院后应优先接受专门的肾脏随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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CKD Progression after Acute Kidney Injury: A Secondary Analysis of the Standard versus Accelerated Initiation of Renal Replacement Therapy in Acute Kidney Injury Trial.
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来源期刊
Kidney360
Kidney360 UROLOGY & NEPHROLOGY-
CiteScore
3.90
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