کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6162266 | 1249387 | 2015 | 10 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
A systematic review and meta-analysis indicates underreporting of renal dysfunction following endovascular aneurysm repair
ترجمه فارسی عنوان
بررسی منظم و متاآنالیز نشان می دهد که کمبود اختلالات کلیوی بعد از ترمیم آنوریسمی آندواسکوسی
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کلمات کلیدی
کراتینین ترخیص کراتینین، اختلال در کلیه، اختلال عملکرد کلیوی، عروقی بیماری عروق
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای کلیوی
چکیده انگلیسی
Deterioration in renal function has been described after endovascular repair of abdominal aortic aneurysms (EVRs). The etiology is multifactorial and represents an important therapeutic target. A need exists to quantitatively summarize incidence and severity of renal dysfunction after EVR to allow better-informed attempts to preserve renal function and improve life expectancy. Here a systematic search was performed using Medline and Embase for renal function after EVR applying PRISMA statements. Univariate and multivariate random-effects meta-analyses were performed to estimate pooled postoperative changes in serum creatinine and creatinine clearance at four time points after EVR. Clinically relevant deterioration in renal function was also estimated at 1 year or more after EVR. Pooled probability of clinically relevant deterioration in renal function at 1 year or more was 18% (95% confidence interval of 14-23%, I2 of 82.5%). Serum creatinine increased after EVR by 0.05Â mg/dl at 30 days/1 month, 0.09Â mg/dl at 1 month to 1 year, and 0.11Â mg/dl at 1 year or more (all significant). Creatinine clearance decreased after EVR by 5.65 ml/min at 1 month-1 year and by 6.58Â ml/min at 1 year or more (both significant). Thus, renal dysfunction after EVR is common and merits attention.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Kidney International - Volume 87, Issue 2, February 2015, Pages 442-451
Journal: Kidney International - Volume 87, Issue 2, February 2015, Pages 442-451
نویسندگان
Alan Karthikesalingam, Sandeep S. Bahia, Shaneel R. Patel, Bilal Azhar, Dan Jackson, Lynne Cresswell, Robert J. Hinchliffe, Peter J.E. Holt, Matt M. Thompson,