Development of Acute Kidney Injury According to KDIGO Criteria In Geriatric Patients Undergoing Major Gyneco-oncologic Surgery: A Case Series

Öz

Acute kidney injury is a common postoperative complication in elderly patients. Due to decreasing age-related renal reserve and various co-morbidities in the perioperative period, it is seen more commonly in the elderly population, especially following major abdominal surgery. Although acute kidney injury that develops early after surgery is reversible and has a low overall postoperative mortality rate, it is associated with longer stays in the critical care unit, higher drug expenses, and higher in-hospital mortality. In this case series, we aimed to present six patients over 65 years old who developed acute kidney injury in the early postoperative period after major abdominal gynecological-oncological surgery.

Anahtar Kelimeler

• Major abdominal surgery
• acut kidney injury
• KDIGO criteria
• geriatric anaesthesia

Majör Jinekolojik-Onkoloji Cerrahi Geçiren Geriatrik Hastalarda KDİGO Kriterlerine Göre Akut Böbrek Hasarı Gelişimi: Olgu Serisi

Öz

Akut böbrek hasarı, yaşlı hastalarda yaygın bir postoperatif komplikasyon olup preoperatif dönemde yaşa bağlı var olan böbrek rezervindeki azalma ve çoklu komorbiditeler nedeniyle özellikle major abdominal cerrahi sonrası artan yaşlı nüfus ile birlikte daha sık görülmektedir. Postoperatif erken dönemde gelişen akut böbrek hasarı geri dönüşümlü ve genel postoperatif mortalite oranı düşük olsa da artan yoğun bakımda kalış, ilaç maliyetleri ve hastane içi mortalite ile ilişkilidir. Bu olgu serisinde major abdominal jinekolojik-onkolojik cerrahi geçiren 65 yaş ve üstü, 6 hastada erken postoperatif dönemde gelişen geçici akut böbrek hasarı olgularını sunmayı amaçladık.

Anahtar Kelimeler

• Major abdominal cerrahi
• akut böbrek hasarı
• KDİGO kriterleri
• geriatrik anestezi

Kaynakça

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