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Estimated glomerular filtration rate and postoperative mortality in patients undergoing non-cardiac and non-neuron surgery: a single-center retrospective study.


ABSTRACT:

Background

There is limited evidence to clarify the specific relationship between preoperative estimated glomerular filtration rate (preop-eGFR) and postoperative 30-day mortality in Asian patients undergoing non-cardiac and non-neuron surgery. We aimed to investigate details of this relationship.

Methods

We reanalyzed a retrospective analysis of the clinical records of 90,785 surgical patients at the Singapore General Hospital from January 1, 2012 to October 31, 2016. The main outcome was postoperative 30-day mortality.

Results

The average age of these recruited patients was 53.96?±?16.88 years, of which approximately 51.64% were female. The mean of preop-eGFR distribution was 84.45?±?38.56 mL/min/1.73 m2. Multivariate logistic regression analysis indicated that preop-eGFR was independently associated with 30-day mortality (adjusted odds ratio: 0.992; 95% confidence interval [CI] 0.990-0.995; P?DiscussionThe relationship between preop-eGFR and 30-day mortality is U-shaped. The recommended preop-eGFR at which the rate of the 30-day mortality was lowest was 98.688 mL/min/1.73 m2.

SUBMITTER: Luo X 

PROVIDER: S-EPMC7936476 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Publications

Estimated glomerular filtration rate and postoperative mortality in patients undergoing non-cardiac and non-neuron surgery: a single-center retrospective study.

Luo Xueying X   Zheng Sujing S   Liu Baoer B   Yang Liping L   Li Ya Y   Li Feng F   Gao Rui R   Hu Haofei H   He Jinsong J  

BMC surgery 20210306 1


<h4>Background</h4>There is limited evidence to clarify the specific relationship between preoperative estimated glomerular filtration rate (preop-eGFR) and postoperative 30-day mortality in Asian patients undergoing non-cardiac and non-neuron surgery. We aimed to investigate details of this relationship.<h4>Methods</h4>We reanalyzed a retrospective analysis of the clinical records of 90,785 surgical patients at the Singapore General Hospital from January 1, 2012 to October 31, 2016. The main ou  ...[more]

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