Elevated Pulse Pressure in Anesthetized Subjects Before Cardiopulmonary Bypass Is Associated Strongly With Postoperative Acute Kidney Injury Stage.
Identifieur interne : 000504 ( Main/Exploration ); précédent : 000503; suivant : 000505Elevated Pulse Pressure in Anesthetized Subjects Before Cardiopulmonary Bypass Is Associated Strongly With Postoperative Acute Kidney Injury Stage.
Auteurs : Ludmil Mitrev [États-Unis] ; Kelly G. Speich [États-Unis] ; Spencer Ng [États-Unis] ; Albina Shapiro [États-Unis] ; Talia Ben-Jacob [États-Unis] ; Majid Khan [États-Unis] ; Vineeth Nagubandi [États-Unis] ; John Gaughan [États-Unis]Source :
- Journal of cardiothoracic and vascular anesthesia [ 1532-8422 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Anesthésie générale (méthodes), Atteinte rénale aigüe (diagnostic), Atteinte rénale aigüe (physiopathologie), Atteinte rénale aigüe (étiologie), Complications postopératoires (épidémiologie), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Morbidité (tendances), Mâle (MeSH), Pontage cardiopulmonaire (effets indésirables), Pression sanguine (physiologie), Pronostic (MeSH), Période préopératoire (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Taux de survie (tendances), États-Unis (épidémiologie), Études de suivi (MeSH), Études rétrospectives (MeSH).
- MESH :
- diagnostic : Atteinte rénale aigüe.
- effets indésirables : Pontage cardiopulmonaire.
- méthodes : Anesthésie générale.
- physiologie : Pression sanguine.
- physiopathologie : Atteinte rénale aigüe.
- tendances : Morbidité, Taux de survie.
- épidémiologie : Complications postopératoires, États-Unis.
- étiologie : Atteinte rénale aigüe.
- Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Mâle, Pronostic, Période préopératoire, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de suivi, Études rétrospectives.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Acute Kidney Injury (diagnosis), Acute Kidney Injury (etiology), Acute Kidney Injury (physiopathology), Aged (MeSH), Aged, 80 and over (MeSH), Anesthesia, General (methods), Blood Pressure (physiology), Cardiopulmonary Bypass (adverse effects), Female (MeSH), Follow-Up Studies (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Morbidity (trends), Postoperative Complications (epidemiology), Preoperative Period (MeSH), Prognosis (MeSH), Retrospective Studies (MeSH), Risk Factors (MeSH), Survival Rate (trends), United States (epidemiology).
- MESH :
- geographic , epidemiology : United States.
- adverse effects : Cardiopulmonary Bypass.
- diagnosis : Acute Kidney Injury.
- epidemiology : Postoperative Complications.
- etiology : Acute Kidney Injury.
- methods : Anesthesia, General.
- physiology : Blood Pressure.
- physiopathology : Acute Kidney Injury.
- trends : Morbidity, Survival Rate.
- Aged, Aged, 80 and over, Female, Follow-Up Studies, Humans, Male, Middle Aged, Preoperative Period, Prognosis, Retrospective Studies, Risk Factors.
Abstract
OBJECTIVE
To investigate whether pulse pressure (PP) in anesthetized patients undergoing cardiac surgery before and after cardiopulmonary bypass (CPB) is associated with higher postoperative acute kidney injury (AKI) stage.
DESIGN
Retrospective cohort of 597 patients undergoing cardiac surgery.
SETTING
Single academic health care center.
PARTICIPANTS
Adult patients undergoing cardiac surgery requiring CPB (coronary artery bypass grafting, valve, aortic, or combined surgery).
INTERVENTIONS
Pulse pressure was assessed during 3 time periods: pre- and post-CPB, and in the first postoperative hour in the intensive care unit. Pulse pressure, patient characteristics, and intraoperative variables were evaluated using univariable generalized estimating equation analysis for a relationship with AKI stage. Significant risk factors from the univariable analysis then were evaluated in a multivariable generalized estimating equation analysis. Acute kidney injury stage was defined using the Acute Kidney Injury Network criteria.
PRIMARY OUTCOME
Stage of postoperative AKI.
MEASUREMENTS AND MAIN RESULTS
Intraoperative prebypass PP was associated independently and significantly with postoperative AKI stage (odds ratio 1.0107; 95% Confidence Interval, 1.0046-1.0168; p = 0.0005). For every 1-mmHg increase in PP, the odds of a higher AKI stage increased 1.07%. The 2 other periods were not found to be significant predictors of AKI stage.
CONCLUSION
During general anesthesia prior to initiation of CPB, elevated PP is significantly predictive of postoperative AKI stage. This finding merits further research.
DOI: 10.1053/j.jvca.2019.01.019
PubMed: 30713052
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Electronic address: Mitrev-Ludmil@cooperhealth.edu.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Department of Anesthesiology, Division of Cardiothoracic Anesthesiology, Cooper University Hospital, Camden</wicri:cityArea></affiliation></author><author><name sortKey="Speich, Kelly G" sort="Speich, Kelly G" uniqKey="Speich K" first="Kelly G" last="Speich">Kelly G. Speich</name><affiliation wicri:level="2"><nlm:affiliation>Cooper Medical School of Rowan University, Camden, NJ.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Cooper Medical School of Rowan University, Camden</wicri:cityArea></affiliation></author><author><name sortKey="Ng, Spencer" sort="Ng, Spencer" uniqKey="Ng S" first="Spencer" last="Ng">Spencer Ng</name><affiliation wicri:level="2"><nlm:affiliation>Cooper Medical School of Rowan University, Camden, NJ.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Cooper Medical School of Rowan University, Camden</wicri:cityArea></affiliation></author><author><name sortKey="Shapiro, Albina" sort="Shapiro, Albina" uniqKey="Shapiro A" first="Albina" last="Shapiro">Albina Shapiro</name><affiliation wicri:level="2"><nlm:affiliation>Cooper Medical School of Rowan University, Camden, NJ.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Cooper Medical School of Rowan University, Camden</wicri:cityArea></affiliation></author><author><name sortKey="Ben Jacob, Talia" sort="Ben Jacob, Talia" uniqKey="Ben Jacob T" first="Talia" last="Ben-Jacob">Talia Ben-Jacob</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology, Division of Critical Care, Cooper University Hospital, Camden, NJ.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Department of Anesthesiology, Division of Critical Care, Cooper University Hospital, Camden</wicri:cityArea></affiliation></author><author><name sortKey="Khan, Majid" sort="Khan, Majid" uniqKey="Khan M" first="Majid" last="Khan">Majid Khan</name><affiliation wicri:level="2"><nlm:affiliation>Department of Nephrology, Cooper University Hospital, Camden, NJ; Hypertension Nephrology Associates, Willow Grove, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Nephrology, Cooper University Hospital, Camden, NJ; Hypertension Nephrology Associates, Willow Grove</wicri:cityArea></affiliation></author><author><name sortKey="Nagubandi, Vineeth" sort="Nagubandi, Vineeth" uniqKey="Nagubandi V" first="Vineeth" last="Nagubandi">Vineeth Nagubandi</name><affiliation wicri:level="2"><nlm:affiliation>Department of Anesthesiology, Division of Cardiothoracic Anesthesiology, Cooper University Hospital, Camden, NJ.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Department of Anesthesiology, Division of Cardiothoracic Anesthesiology, Cooper University Hospital, Camden</wicri:cityArea></affiliation></author><author><name sortKey="Gaughan, John" sort="Gaughan, John" uniqKey="Gaughan J" first="John" last="Gaughan">John Gaughan</name><affiliation wicri:level="2"><nlm:affiliation>Biostatistics, Cooper University Healthcare, Camden, NJ.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">New Jersey</region></placeName><wicri:cityArea>Biostatistics, Cooper University Healthcare, Camden</wicri:cityArea></affiliation></author></analytic><series><title level="j">Journal of cardiothoracic and vascular anesthesia</title><idno type="eISSN">1532-8422</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Kidney Injury (diagnosis)</term><term>Acute Kidney Injury (etiology)</term><term>Acute Kidney Injury (physiopathology)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Anesthesia, General (methods)</term><term>Blood Pressure (physiology)</term><term>Cardiopulmonary Bypass (adverse effects)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Morbidity (trends)</term><term>Postoperative Complications (epidemiology)</term><term>Preoperative Period (MeSH)</term><term>Prognosis (MeSH)</term><term>Retrospective Studies (MeSH)</term><term>Risk Factors (MeSH)</term><term>Survival Rate (trends)</term><term>United States (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Anesthésie générale (méthodes)</term><term>Atteinte rénale aigüe (diagnostic)</term><term>Atteinte rénale aigüe (physiopathologie)</term><term>Atteinte rénale aigüe (étiologie)</term><term>Complications postopératoires (épidémiologie)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Morbidité (tendances)</term><term>Mâle (MeSH)</term><term>Pontage cardiopulmonaire (effets indésirables)</term><term>Pression sanguine (physiologie)</term><term>Pronostic (MeSH)</term><term>Période préopératoire (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Taux de survie (tendances)</term><term>États-Unis (épidémiologie)</term><term>Études de suivi (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Cardiopulmonary Bypass</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Acute Kidney Injury</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Atteinte rénale aigüe</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Pontage cardiopulmonaire</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Acute Kidney Injury</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anesthesia, General</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Anesthésie générale</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Pression sanguine</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Blood Pressure</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Atteinte rénale aigüe</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Acute Kidney Injury</term></keywords><keywords scheme="MESH" qualifier="tendances" xml:lang="fr"><term>Morbidité</term><term>Taux de survie</term></keywords><keywords scheme="MESH" qualifier="trends" xml:lang="en"><term>Morbidity</term><term>Survival Rate</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term><term>États-Unis</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Atteinte rénale aigüe</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Preoperative Period</term><term>Prognosis</term><term>Retrospective Studies</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Pronostic</term><term>Période préopératoire</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To investigate whether pulse pressure (PP) in anesthetized patients undergoing cardiac surgery before and after cardiopulmonary bypass (CPB) is associated with higher postoperative acute kidney injury (AKI) stage.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Retrospective cohort of 597 patients undergoing cardiac surgery.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Single academic health care center.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Adult patients undergoing cardiac surgery requiring CPB (coronary artery bypass grafting, valve, aortic, or combined surgery).</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>Pulse pressure was assessed during 3 time periods: pre- and post-CPB, and in the first postoperative hour in the intensive care unit. Pulse pressure, patient characteristics, and intraoperative variables were evaluated using univariable generalized estimating equation analysis for a relationship with AKI stage. Significant risk factors from the univariable analysis then were evaluated in a multivariable generalized estimating equation analysis. Acute kidney injury stage was defined using the Acute Kidney Injury Network criteria.</p></div><div type="abstract" xml:lang="en"><p><b>PRIMARY OUTCOME</b></p><p>Stage of postoperative AKI.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS AND MAIN RESULTS</b></p><p>Intraoperative prebypass PP was associated independently and significantly with postoperative AKI stage (odds ratio 1.0107; 95% Confidence Interval, 1.0046-1.0168; p = 0.0005). For every 1-mmHg increase in PP, the odds of a higher AKI stage increased 1.07%. The 2 other periods were not found to be significant predictors of AKI stage.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>During general anesthesia prior to initiation of CPB, elevated PP is significantly predictive of postoperative AKI stage. This finding merits further research.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30713052</PMID><DateCompleted><Year>2020</Year><Month>03</Month><Day>09</Day></DateCompleted><DateRevised><Year>2020</Year><Month>03</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-8422</ISSN><JournalIssue CitedMedium="Internet"><Volume>33</Volume><Issue>6</Issue><PubDate><Year>2019</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Journal of cardiothoracic and vascular anesthesia</Title><ISOAbbreviation>J Cardiothorac Vasc Anesth</ISOAbbreviation></Journal><ArticleTitle>Elevated Pulse Pressure in Anesthetized Subjects Before Cardiopulmonary Bypass Is Associated Strongly With Postoperative Acute Kidney Injury Stage.</ArticleTitle><Pagination><MedlinePgn>1620-1626</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1053-0770(19)30019-9</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1053/j.jvca.2019.01.019</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To investigate whether pulse pressure (PP) in anesthetized patients undergoing cardiac surgery before and after cardiopulmonary bypass (CPB) is associated with higher postoperative acute kidney injury (AKI) stage.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Retrospective cohort of 597 patients undergoing cardiac surgery.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Single academic health care center.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Adult patients undergoing cardiac surgery requiring CPB (coronary artery bypass grafting, valve, aortic, or combined surgery).</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Pulse pressure was assessed during 3 time periods: pre- and post-CPB, and in the first postoperative hour in the intensive care unit. Pulse pressure, patient characteristics, and intraoperative variables were evaluated using univariable generalized estimating equation analysis for a relationship with AKI stage. Significant risk factors from the univariable analysis then were evaluated in a multivariable generalized estimating equation analysis. Acute kidney injury stage was defined using the Acute Kidney Injury Network criteria.</AbstractText><AbstractText Label="PRIMARY OUTCOME" NlmCategory="METHODS">Stage of postoperative AKI.</AbstractText><AbstractText Label="MEASUREMENTS AND MAIN RESULTS" NlmCategory="RESULTS">Intraoperative prebypass PP was associated independently and significantly with postoperative AKI stage (odds ratio 1.0107; 95% Confidence Interval, 1.0046-1.0168; p = 0.0005). For every 1-mmHg increase in PP, the odds of a higher AKI stage increased 1.07%. The 2 other periods were not found to be significant predictors of AKI stage.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">During general anesthesia prior to initiation of CPB, elevated PP is significantly predictive of postoperative AKI stage. This finding merits further research.</AbstractText><CopyrightInformation>Copyright © 2019 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mitrev</LastName><ForeName>Ludmil</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Division of Cardiothoracic Anesthesiology, Cooper University Hospital, Camden, NJ. Electronic address: Mitrev-Ludmil@cooperhealth.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Speich</LastName><ForeName>Kelly G</ForeName><Initials>KG</Initials><AffiliationInfo><Affiliation>Cooper Medical School of Rowan University, Camden, NJ.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ng</LastName><ForeName>Spencer</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Cooper Medical School of Rowan University, Camden, NJ.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shapiro</LastName><ForeName>Albina</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Cooper Medical School of Rowan University, Camden, NJ.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ben-Jacob</LastName><ForeName>Talia</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Division of Critical Care, Cooper University Hospital, Camden, NJ.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khan</LastName><ForeName>Majid</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Nephrology, Cooper University Hospital, Camden, NJ; Hypertension Nephrology Associates, Willow Grove, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nagubandi</LastName><ForeName>Vineeth</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology, Division of Cardiothoracic Anesthesiology, Cooper University Hospital, Camden, NJ.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gaughan</LastName><ForeName>John</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Biostatistics, Cooper University Healthcare, Camden, NJ.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>01</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Cardiothorac Vasc Anesth</MedlineTA><NlmUniqueID>9110208</NlmUniqueID><ISSNLinking>1053-0770</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Cardiothorac Vasc Anesth. 2019 Jun;33(6):1627-1628</RefSource><PMID Version="1">30928283</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D058186" MajorTopicYN="N">Acute Kidney Injury</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000768" MajorTopicYN="N">Anesthesia, General</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001794" MajorTopicYN="N">Blood Pressure</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002315" MajorTopicYN="N">Cardiopulmonary Bypass</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="Y">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009017" MajorTopicYN="N">Morbidity</DescriptorName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D057234" MajorTopicYN="N">Preoperative Period</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015996" MajorTopicYN="N">Survival Rate</DescriptorName><QualifierName UI="Q000639" MajorTopicYN="N">trends</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">acute kidney injury</Keyword><Keyword MajorTopicYN="N">cardiac surgery</Keyword><Keyword MajorTopicYN="N">cardiopulmonary bypass</Keyword><Keyword MajorTopicYN="N">pulse pressure</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>07</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>2</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>3</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>2</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30713052</ArticleId><ArticleId IdType="pii">S1053-0770(19)30019-9</ArticleId><ArticleId IdType="doi">10.1053/j.jvca.2019.01.019</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>New Jersey</li><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="New Jersey"><name sortKey="Mitrev, Ludmil" sort="Mitrev, Ludmil" uniqKey="Mitrev L" first="Ludmil" last="Mitrev">Ludmil Mitrev</name></region><name sortKey="Ben Jacob, Talia" sort="Ben Jacob, Talia" uniqKey="Ben Jacob T" first="Talia" last="Ben-Jacob">Talia Ben-Jacob</name><name sortKey="Gaughan, John" sort="Gaughan, John" uniqKey="Gaughan J" first="John" last="Gaughan">John Gaughan</name><name sortKey="Khan, Majid" sort="Khan, Majid" uniqKey="Khan M" first="Majid" last="Khan">Majid Khan</name><name sortKey="Nagubandi, Vineeth" sort="Nagubandi, Vineeth" uniqKey="Nagubandi V" first="Vineeth" last="Nagubandi">Vineeth Nagubandi</name><name sortKey="Ng, Spencer" sort="Ng, Spencer" uniqKey="Ng S" first="Spencer" last="Ng">Spencer Ng</name><name sortKey="Shapiro, Albina" sort="Shapiro, Albina" uniqKey="Shapiro A" first="Albina" last="Shapiro">Albina Shapiro</name><name sortKey="Speich, Kelly G" sort="Speich, Kelly G" uniqKey="Speich K" first="Kelly G" last="Speich">Kelly G. Speich</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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|texte= Elevated Pulse Pressure in Anesthetized Subjects Before Cardiopulmonary Bypass Is Associated Strongly With Postoperative Acute Kidney Injury Stage.
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