[Incidence and risk factors of postoperative emergency treatment in dialysis patients after elective noncardiac surgery: a five-year retrospective study].
Masui
; 63(3): 309-14, 2014 Mar.
Article
em Ja
| MEDLINE
| ID: mdl-24724441
ABSTRACT
BACKGROUND:
Chronic hemodialysis patients undergoing surgery require intensive care. The purpose of this study was to determine the incidence and risk factors of emergency treatment before the planned elective postoperative dialysis.METHODS:
One hundred and ten dialysis patients undergoing elective noncardiac surgery were retrospectively analyzed.RESULTS:
Emergency treatment was performed in 31 (28.1%) of the 110 patients, including one patient with emergency dialysis, because of hyperkalemia (n = 27) or metabolic acidosis (n = 4). Receiving operating characteristic curve analysis showed a cutoff value for serum potassium concentration < 4.0 mEq x l(-1) estimated by maximizing the Youden index. We could not find other perioperative data as significant risk factors for emergency treatment.CONCLUSIONS:
About 30 percent of dialysis patients aftet elective noncardiac surgery required emergency treatment. The highest risk was high serum potassium concentrations after induction of anesthesia Preoperative serum potassium concentrations should be kept below 4.0 mEq x l(-1) to avoid postoperative emergency treatment.
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Base de dados:
MEDLINE
Assunto principal:
Cuidados Pós-Operatórios
/
Complicações Pós-Operatórias
/
Procedimentos Cirúrgicos Operatórios
/
Procedimentos Cirúrgicos Eletivos
/
Diálise
/
Serviços Médicos de Emergência
/
Hiperpotassemia
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Ja
Revista:
Masui
Ano de publicação:
2014
Tipo de documento:
Article