Perioperative Acute Kidney Injury: Risk Factors and Predictive Strategies

Crit Care Clin. 2017 Apr;33(2):379-396. doi: 10.1016/j.ccc.2016.12.008.

Abstract

Acute kidney injury (AKI) is a common complication in surgical patients and is associated with increases in mortality, an increased risk for chronic kidney disease and hemodialysis after discharge, and increased cost. Better understanding of the risk factors that contribute to perioperative AKI has led to improved AKI prediction and will eventually lead to improved prevention of AKI, mitigation of injury when AKI occurs, and enhanced recovery in patients who sustain AKI. The development of advanced clinical prediction scores for AKI, new imaging techniques, and novel biomarkers for early detection of AKI provides new tools toward these ends.

Keywords: AKI; Acute kidney injury; BOLD MRI; Biomarkers; CEUS; DWI MRI; Prediction scores.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / diagnosis
  • Acute Kidney Injury / etiology*
  • Acute Kidney Injury / prevention & control
  • Biomarkers
  • Humans
  • Perioperative Period
  • Risk Factors
  • Surgical Procedures, Operative / adverse effects*

Substances

  • Biomarkers