Key result
Preoperative stage 4 chronic kidney disease was associated with increased 30-day mortality compared to no CKD in general and vascular surgery patients (HR 3.37; 95% CI 3.01-3.76; P<0.0001).
Why the study?
Does preoperative chronic kidney disease increase 30-day mortality and major complications in general and vascular surgery patients?
Cross-Sectional (n=260,352)
Yes
Does preoperative chronic kidney disease increase 30-day mortality and major complications in general and vascular surgery patients?
Hazard Ratio: 3.37 (95% CI 3.01–3.76)
p-value: p=<0.0001
Preoperative renal insufficiency is a strong independent predictor of 30-day mortality and major complications in general and vascular surgery patients.
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Preoperative kidney dysfunction may refine risk stratification in general surgery; leaves open whether staging-guided interventions improve outcomes.
Gaber et al. (2013) conducted a cross-sectional in General and vascular surgery (n=260,352). Stage 4 chronic kidney disease vs. No chronic kidney disease was evaluated on 30-day mortality (HR 3.37, 95% CI 3.01-3.76, p=<0.0001). Preoperative stage 4 chronic kidney disease was associated with increased 30-day mortality compared to no CKD in general and vascular surgery patients (HR 3.37; 95% CI 3.01-3.76; P<0.0001).
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