|本期目录/Table of Contents|

[1]席志龙,仇冰梅,刘强,等.Cox迷宫Ⅲ联合心脏瓣膜手术后急性肾损伤风险预测模型的构建与评价[J].国际心血管病杂志,2024,04:256-261.
　XI Zhilong,QIU Bingmei,LIU Qiang,et al.Construction and evaluation of a nomogram to predict acute kidney injury in patients undergoing Cox Maze Ⅲ procedure combined with cardiac valve surgery[J].International Journal of Cardiovascular Disease,2024,04:256-261.
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Cox迷宫Ⅲ联合心脏瓣膜手术后急性肾损伤风险预测模型的构建与评价(PDF)

《国际心血管病杂志》[ISSN:1006-6977/CN:61-1281/TN]

期数:
2024年04期
页码:
256-261
栏目:
临床研究
出版日期:
2024-07-31

文章信息/Info

Title:
Construction and evaluation of a nomogram to predict acute kidney injury in patients undergoing Cox Maze Ⅲ procedure combined with cardiac valve surgery?
作者:
席志龙; 仇冰梅; 刘强; 张雷; 孙磊; 吴海卫; 王常田
作者单位：210002 南京，东部战区总医院（原南京军区南京总医院）心胸外科
Author(s):
XI Zhilong; QIU Bingmei;  LIU Qiang;  ZHANG Lei;  SUN Lei;  WU Haiwei;  WANG Changtian
Department of Cardiothoracic Surgery, Genaral Hospital of Eastern Theater Command, Nanjing? 210002, China
关键词:
Cox迷宫手术; 心脏瓣膜手术; 心房颤动; 急性肾损伤
Keywords:
Cox Maze procedure;  Cardiac valve surgery;  Atrial fibrillation;  Acute kidney injury
分类号:
-
DOI:
10.3969/j.issn.1673-6583.2024.04.016
文献标识码:
-
摘要:
目的：探讨Cox迷宫Ⅲ联合心脏瓣膜手术后发生急性肾损伤（AKI）的危险因素，建立AKI风险发生的列线图预测模型，并验证其效能。方法：回顾性分析2015年10月至2023年6月在东部战区总医院行Cox迷宫Ⅲ联合心脏瓣膜手术的160例合并心房颤动的心脏瓣膜病患者的临床资料。经单因素及多因素logistic回归分析明确术后发生AKI的独立危险因素，建立列线图预测模型，并通过受试者工作特征（ROC）曲线、校准曲线及决策曲线分析（DCA）验证其效能。结果：160例患者中，82例（51.3%）出现AKI，其中10例（
Abstract:
Objective: This study aimed to establish a nomogram to predict the risk of acute kidney injury (AKI) in patients undergoing Cox Maze Ⅲ procedure combined with cardiac valve surgery.? Methods: Clinical data of 160 patients who underwent Cox Maze Ⅲ procedur

参考文献/References

[1] Anghel D, Anghel R, Corciova F, et al. Preoperative arrhythmias such as atrial fibrillation: cardiovascular surgery risk factor[J]. Biomed Res Int, 2014, 2014:584918.
[2] Badhwar V, Rankin JS, Damiano RJJr, et al. The society of thoracic surgeons 2017 clinical practice guidelines for the surgical treatment of atrial fibrillation[J]. Ann Thorac Surg, 2017, 103(1):329-341.
[3] Alb?ge A, Johansson B, Kenneb?ck G, et al. Long-term follow-up of cardiac rhythm in 320 patients after the Cox-maze Ⅲprocedure for atrial fibrillation[J]. Ann Thorac Surg, 2016, 101(4):1443-1449.
[4] Garcia-Villarreal OA, Fernández-Cese?a E, Vega-Hernández R. Cox maze Ⅲ procedure: the best alternative in surgery for atrial fibrillation[J]. J Thorac Cardiovasc Surg, 2014, 148(1):368-369.
[5] Stulak JM, Suri RM, Burkhart HM, et al. Surgical ablation for atrial fibrillation for two decades: are the results of new techniques equivalent to the Cox maze Ⅲ procedure?[J]. J Thorac Cardiovasc Surg, 2014, 147(5):1478-1486.
[6] Khwaja A. KDIGO clinical practice guidelines for acute kidney injury[J]. Nephron Clin Pract, 2012, 120(4):c179-c184.
[7] 王常田, 张雷, 秦涛, 等. 改良Cox迷宫Ⅲ治疗瓣膜病合并房颤的安全性及疗效分析[J]. 医学研究生学报, 2021, 34(4):394-398.
[8] Massoth C, Zarbock A, Meersch M. Acute kidney injury in cardiac surgery[J]. Crit Care Clin, 2021, 37(2):267-278.
[9] 后青, 陆凤霞, 姚昊, 等. 心脏及血管手术后急性肾损伤的危险因素分析[J]. 临床肾脏病杂志, 2022, 22(1):5-9.
[10] O'Neal JB, Shaw AD, Billings FT 4th. Acute kidney injury following cardiac surgery: current understanding and future directions[J]. Crit Care, 2016, 20(1):187.
[11] Hong HJ, Lee Y, Kim SH, et al. Incidence and risk factors of acute kidney injury after maze operation in patients with rheumatic mitral valve disease[J]. J Thorac Dis, 2022, 14(9):3408-3414.
[12] Bakir NH, Khiabani AJ, MacGregor RM, et al. Concomitant surgical ablation for atrial fibrillation is associated with increased risk of acute kidney injury but improved late survival[J]. J Thorac Cardiovasc Surg, 2022, 164(6):1847-1857.e3.
[13] 陈莉明, 陈伟, 陈燕燕, 等. 成人围手术期血糖监测专家共识[J]. 中国糖尿病杂志, 2021, 29(2):81-85.
[14] Moghissi ES, Korytkowski MT, DiNardo M, et al. American Association of Clinical Endocrinologists and American Diabetes Association consensus statement on inpatient glycemic control[J]. Endocr Pract, 2009, 15(4):353-369.
[15] 桑文涛, 杨可慧, 李笑, 等. 造影剂肾病早期预防的研究进展[J].中华危重病急救医学,2019,31(9):1174-1178.
[16] Stacul F, van der Molen AJ, Reimer P, et al. Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines[J]. Eur Radiol, 2011, 21(12):2527-2541.
[17] McCallum W, Testani JM. Updates in cardiorenal syndrome[J]. Med Clin North Am, 2023, 107(4):763-780.
[18] 曾晓东, 雷黎明, 熊卫萍, 等. 输血与心脏移植术后急性肾损伤相关性研究[J]. 中国胸心血管外科临床杂志, 2020, 27(4):426-430.
[19] Rasmussen SR, Kandler K, Nielsen RV, et al. Association between transfusion of blood products and acute kidney injury following cardiac surgery[J]. Acta Anaesthesiol Scand, 2020, 64(10):1397-1404.
[20] Parreiras VC, Rocha Ide S, Martins AS, et al. Influence of fresh frozen plasma as a trigger factor for kidney dysfunction in cardiovascular surgery[J]. Rev Bras Cir Cardiovasc, 2012, 27(3):405-410.
[21] Kindzelski BA, Corcoran P, Siegenthaler MP, et al. Postoperative acute kidney injury following intraoperative blood product transfusions during cardiac surgery[J]. Perfusion, 2018, 33(1):62-70.
[22] Okorie ON, Dellinger P. Lactate: biomarker and potential therapeutic target[J]. Crit Care Clin, 2011, 27(2):299-326.
[23] Kogan A, Preisman S, Bar A, et al. The impact of hyperlactatemia on postoperative outcome after adult cardiac surgery[J]. J Anesth, 2012, 26(2):174-178.
[24] Radovic M, Bojic S, Kotur-Stevuljevic J, et al. Serum lactate as reliable biomarker of acute kidney injury in low-risk cardiac surgery patients[J]. J Med Biochem, 2019, 38(2):118-125.

备注/Memo

备注/Memo:
基金项目：东部战区总医院军事医学研究专项（2023JSYXQN68）
通信作者：王常田， E-mail：wangct35037@163.com
更新日期/Last Update: 2024-07-31