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Prevalence, Risk Factors, and Short-term Outcomes of Postparacentesis Acute Kidney Injury Using Revised Criteria of the International Club of Ascites by Ye Ji Shin; Chan Mi Heo; Kwang Min Kim; Sang Goon Shim; Dong Hyun Sinn is a Medicine article available to read on EtoBox.

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## Abstract Acute kidney injury (AKI) can become complicated after paracentesis due to extrarenal fluid loss and inadequate blood flow to the kidneys. The objective of this study was to explore the incidence and clinical implications of postparacentesis AKI. A retrospective cohort of 137 liver cirrhosis patients (mean age: 61.3 ± 11.8 years, male: 100 [73.0%], viral hepatitis: 93 [67.9%]) who underwent paracentesis was analyzed. The incidence of AKI as defined by the international club of ascites (ICA) criteria, the risk factors, and its impact on early mortality were all assessed. Thirty two patients (23.4%) developed AKI after paracentesis. In multivariate analysis, the Model for end-stage liver disease (MELD)-Na score was an independent factor associated with AKI development (odds ratio [OR], 1.14; 95% confidence interval [CI], 1.07–1.23) after paracentesis. The incidence of early mortality was significantly higher for those with AKI than without AKI (71.9% [23/32 patients] vs 11.4% [12/105 patients], __P__ 26 (87.5% vs 22.2%, __P__ < .001) and those with a MELD-Na score ≤26 (56.3% vs 9.2%, __P__ < .001). Postparacentesis AKI occurred frequently in cirrhotic patients. Furthermo

Who reads Prevalence, Risk Factors, and Short-term Outcomes of Postparacentesis Acute Kidney Injury Using Revised Criteria of the International Club of Ascites?

Author

Ye Ji Shin; Chan Mi Heo; Kwang Min Kim; Sang Goon Shim; Dong Hyun Sinn

Publisher

Ovid Technologies (Wolters Kluwer Health)

Published

2021

Language

EN

Field

Medicine (Health Sciences)