The impact of relative hypotension on acute kidney injury progression after cardiac surgery: a multicenter retrospective cohort study

この二次解析論文の元になった基礎論文がこちら👇 心臓手術を受ける患者において、術前血圧と術後24時間の血圧を比較した相対的低血圧と術後AKI悪化の関連を調査しました。 【結果】 ・相対的低血圧はAKI悪化と関連せず ・術後CVPはAKI悪化と関連 🔓https://t.co/5mW2VzQe7x https://t.co/Z27FyTJ1NY

RT @YukiKotani5: 2/4 MPPとAKIの文献例 重症患者全般 🔓https://t.co/Mob0OTd1EW 心臓外科術後(下図) 🔓https://t.co/p316cxOj43 面白いのはMPPを構成する要素のうち、MAPよりCVPの方が影響が大きい…

2/4 MPPとAKIの文献例 重症患者全般 🔓https://t.co/Mob0OTd1EW 心臓外科術後(下図) 🔓https://t.co/p316cxOj43 面白いのはMPPを構成する要素のうち、MAPよりCVPの方が影響が大きい点です。つまり、CVPが高い時にMPPを維持するためにMAPを高くしてもあまり効果が少なさそう、ということです。 https://t.co/QISoLAYmgg

@EricHoste @uzgent @criticcaredoc @HannahSchaubro1 We also found that MPP and time spent with MPP<60 mmHg were associated with AKI progression among cardiac surgery patients (OR: 0.97, 95% CI 0.94–0.99; OR: 1.03, 95% CI 1.00–1.06, respectively). https:/

RT @YukiKotani5: @Mollstar13 We tested the same hypothesis in patients undergoing #cardiacsurgery. In this case, there was no significant a…

@Mollstar13 We tested the same hypothesis in patients undergoing #cardiacsurgery. In this case, there was no significant association between relative #hypotension and #AKI progression. Instead, absolute low MPP (high CVP) was associated with AKI progressio

We also found the association between #hypotension and #AKI after the surgery. We used MPP (=MAP-CVP) as an exposure. Not only decrease in MAP and increase in CVP was associated with AKI. It's better to avoid low MAP and high CVP. https://t.co/G3GtWLE5Ad @