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Table 2 Univariate analysis of risk factors associated with postoperative AKI in patients with ADTIAD

From: Body mass index is an independent predictor of acute kidney injury after urgent aortic arch surgery for acute DeBakey Type I aortic dissection

Variable

Statistics

OR (95%CI)

P-value

Age

47.81 + 10.70

1.02 (0.98, 1.05)

0.339

Sex

 Male

86 (74.78%)

1.0

 

 Female

29 (25.22%)

1.35 (0.58, 3.17)

0.487

BMI (kg/m2)

26.2 + 3.9

1.18 (1.06, 1.33)

0.003

Diabetes mellitus

7 (6.09%)

5.78 (0.67, 49.62)

0.110

Hypertension

92 (80.00%)

1.30 (0.52, 3.24)

0.576

Previous cerebrovascular disease

6 (5.22%)

0.42 (0.07, 2.41)

0.333

Coronary artery disease

6 (5.22%)

0.88 (0.17, 4.55)

0.878

Smoking history

56 (48.70%)

1.83 (0.87, 3.85)

0.110

Drinking history

23 (20.00%)

0.96 (0.38, 2.39)

0.926

Renal artery dissection

17 (14.78%)

0.57 (0.20, 1.62)

0.292

Hemopericardium

19 (16.52%)

0.98 (0.37, 2.63)

0.969

Penn class

 Class Aa

70 (60.87%)

1.0

 

 Non class Aa

45 (39.13%)

1.18 (0.56, 2.50)

0.665

Kidney malperfusion

7 (6.09%)

1.19 (0.25, 5.59)

0.823

AMI

9 (7.83%)

3.37 (0.67, 16.98)

0.141

Preoperative shock

19 (16.52%)

0.98 (0.37, 2.63)

0.969

Preoperative sCr (umol/L)

86.22 + 29.07

1.01 (1.00, 1.02)

0.147

BUN (mmol/L)

7.21 + 2.51

1.03 (0.89, 1.19)

0.722

Hemoglobin (g/L)

136.53 + 17.32

1.00 (0.97, 1.02)

0.686

Hematocrit (%)

39.38 + 4.61

0.97 (0.89, 1.05)

0.440

eGFR mL/(min·1.73m2)

88.55 + 22.64

0.98 (0.96, 1.00)

0.013

CPB time (min)

211.25 + 55.90

1.01 (1.00, 1.02)

0.032

Aortic cross clamp time (min)

123.81 + 42.57

1.00 (0.99, 1.01)

0.401

Circulatory arrest time (min)

27.44 + 8.54

1.00 (0.96, 1.05)

0.913

Operation time (h)

8.36 + 1.89

1.33 (1.07, 1.65)

0.009

Nasopharyngeal temperature at circulatory arrest (°C)

22.86 + 1.55

0.83 (0.65, 1.06)

0.143

Rectal temperature at circulatory arrest (°C)

25.29 + 2.13

0.92 (0.77, 1.10)

0.356

Combined with CABG

8 (6.96%)

1.52 (0.35, 6.67)

0.581

Combined with aortic bypass surgery

1 (0.87%)

§

0.992

Bentall+TAR+FET

47 (40.87%)

1.01 (0.48, 2.13)

0.979

Respiratory failure

18 (29.51%)

10.88 (2.39, 49.55)

0.0020

Intraoperative amount of PRBCs (mL)

393.91 + 413.17

1.00 (1.00, 1.00)

0.048

Intraoperative blood loss (mL)

1487.8 ± 710.5

1.00 (1.00, 1.00)

0.032

Intraoperative amount of plasma (mL)

400 (0–600)

1.00 (1.00, 1.00)

0.104

Reoperation for bleeding

9 (7.83%)

8.00 (0.97, 66.21)

0.054

  1. Bold value indicates significance at p < 0.05. § = The result failed because of the small sample size
  2. Results are expressed as n (%) or mean ± SD or median [IQR]
  3. AKI Acute Kidney Injury, AMI Acute Myocardial Infarction, BMI Body Mass Index, BUN Blood Urea Nitrogen, CPB Cardiopulmonary Bypass, CABG Coronary Artery Bypass Grafting, eGFR estimated Glomerular Filtration Rate, FET Frozen Elephant Trunk, ICU Intensive Care Unit, PRBCs Packed Red Blood Cells, sCr serum Creatinine, SD Standard Deviation, TAR Total Arch Replacement, IQR Interquartile Range