Preoperative Nutritional Status and Postoperative Acute Kidney Injury
Prognostic Significance of Preoperative Nutritional Status for Postoperative Acute Kidney Injury in Elderly Patients Undergoing Major Abdominal Surgery
1 other identifier
observational
2,977
1 country
1
Brief Summary
There is a high prevalence of postoperative acute kidney injury (AKI) in patients who undergo intra-abdominal surgery, and it is particularly common in the elderly. Identifying high-risk patients for postoperative AKI early can facilitate the development of preventive and therapeutic management strategies. The goal of this retrospective study is to investigate the predictive value of preoperative nutritional status, as measured by three scoring systems - the geriatric nutritional risk index (GNRI), prognostic nutritional index (PNI), and controlling nutritional status (CONUT) score - on postoperative AKI in elderly patients undergoing major abdominal surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 2023
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 7, 2023
CompletedFirst Posted
Study publicly available on registry
July 14, 2023
CompletedStudy Start
First participant enrolled
July 20, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
July 30, 2023
CompletedOctober 6, 2023
October 1, 2023
10 days
July 7, 2023
October 5, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Postoperative acute kidney injury
In accordance with the KDIGO creatinine criteria: a serum creatinine increases of 26.5 mmol/L within 48 hours or 1.5 times baseline within 7 days after surgery.
Within 7 days after surgery
Interventions
no intervention
Eligibility Criteria
Elderly patients (aged ≥ 65 years) who underwent a major abdominal surgery under general anesthesia at Tongji Hospital between July 2018 and December 2021 were included in our study.
You may qualify if:
- aged ≥ 65 years
- intra-abdominal procedures including gastric, colorectal, pancreatic, prostate, and urinary bladder surgeries, as well as abdominal exploration.
- surgery duration lasting longer than 2 hours.
You may not qualify if:
- patients with an American Society of Anesthesiologists (ASA) physical status V.
- those with concurrent cardiac or renal surgeries.
- those with end-stage renal disease (i.e. a glomerular filtration rate of 15 mL/min/1.73 m2 or receiving haemodialysis).
- those did not have sufficient data required for nutritional evaluation or AKI evaluation.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Rao Sunlead
Study Sites (1)
Rao Sun
Wuhan, China
Study Officials
- PRINCIPAL INVESTIGATOR
Rao Sun, Dr.
Department of Anesthesiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Associate chief physician
Study Record Dates
First Submitted
July 7, 2023
First Posted
July 14, 2023
Study Start
July 20, 2023
Primary Completion
July 30, 2023
Study Completion
July 30, 2023
Last Updated
October 6, 2023
Record last verified: 2023-10
Data Sharing
- IPD Sharing
- Will not share