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首页> 外文期刊>Vascular and endovascular surgery >Preoperative glomerular filtration rate and outcome following open abdominal aortic aneurysm repair.
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Preoperative glomerular filtration rate and outcome following open abdominal aortic aneurysm repair.

机译:开腹腹主动脉瘤修复后的术前肾小球滤过率和结局。

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摘要

Estimated glomerular filtration rate (eGFR) can be readily calculated from serum creatinine values. It is a more sensitive prognostic indicator than serum creatinine alone in patients undergoing thoracoabdominal or endovascular abdominal aortic aneurysm repair. The value of eGFR in patients undergoing open abdominal aortic aneurysm repair remains unclear. The preoperative eGFR was calculated for patients undergoing elective open infrarenal aortic aneurysm repair. Postoperative complications, perioperative mortality, and long-term survival were compared across eGFR and serum creatinine quartiles. The eGFR identified preoperative renal dysfunction in 33% of patients, whereas serum creatinine identified renal impairment in only 11%. The eGFR correlated with perioperative morbidity and long-term survival. Serum creatinine did not correlate with perioperative mortality or long-term survival. However, it did correlate with postoperative morbidity. The eGFR is a more sensitive index of preoperative renal function than serum creatinine and correlates with survival. It should replace serum creatinine as the standard index of renal function before open abdominal aortic aneurysm repair.
机译:估计的肾小球滤过率(eGFR)可以很容易地从血清肌酐值计算得出。在进行胸腹或腔内腹主动脉瘤修复的患者中,它是比单独血清肌酐更敏感的预后指标。 eGFR在开腹腹主动脉瘤修复患者中的价值尚不清楚。计算接受择期开放式肾下主动脉瘤修补术的患者的术前eGFR。比较了eGFR和血清肌酐四分位数之间的术后并发症,围手术期死亡率和长期存活率。 eGFR在33%的患者中识别出术前肾功能不全,而血清肌酐仅在11%的患者中识别出肾功能不全。 eGFR与围手术期发病率和长期生存相关。血清肌酐与围手术期死亡率或长期生存率无关。但是,它确实与术后发病率相关。 eGFR是比血清肌酐更敏感的术前肾功能指标,并且与生存率相关。开腹腹主动脉瘤修复前,应代替血清肌酐作为肾功能的标准指标。

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