Acute Kidney Injury After Craniotomy

Completed

• Conditions: Epidemiology; Risk Factor; Acute Kidney Injury

• Registration Number: NCT03789747
• Lead Sponsor: Beijing Tiantan Hospital

Brief Summary

The aim of this study was to investigate the incidence, risk factors and prognosis of acute kidney injury (AKI) in critically ill patients after craniotomy.

Detailed Description

This was a prospective, single-center, cohort study that included adult patients who were admitted to the ICU of Beijing Tiantan Hospital from January 2017 to December 2018 after craniotomy and had a stay in the ICU for ≥ 24 hours (patients with preoperative AKI were excluded). Data collected included patient demographics (age, gender, underlying diseases, baseline serum creatinine, etc.), primary diagnosis, perioperative information, disease severity scores, as well as the occurrence of hypernatremia and hyperchloremia within 48 hours after ICU admission. For patients with AKI, pre-AKI sepsis and shock, and the recovery of renal function were recorded. All patients were followed until discharge, and information about prognosis was recorded. Multivariate regression analysis was used to identify the risk factors of AKI.

Study Timeline

• Study Start: 2017-01-01
• Study First Submitted: 2017-05-11
• Study First Submitted QC: 2018-12-26
• Primary Completion: 2018-12-31
• Study First Posted: 2018-12-31
• Study Completion: 2020-04-30
• Status Verified: 2024-02
• Last Update Submitted: 2025-02-08
• Last Update Posted: 2025-02-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 143

Inclusion Criteria

• patients underwent craniotomy
• admitted into ICU ward and the ICU length of stay ≥24h

Exclusion Criteria

• Age< 18 years;
• Patients with pre-existing acute kidney injury (AKI) and chronic kidney disease undergoing long-term renal replacement therapy (RRT) .

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Incidence and outcome of AKI after Craniotomy	during hospitalization	All adult patients who underwent craniotomy and admitted into intensive care unit (ICU) between January 2017 and December 2018 were screened for acute kidney injury.

Secondary Outcome Measures

Name	Time	Method
Risk factors for AKI after Craniotomy	during hospitalization	Logistic regression analysis was employed to assess the risk factors for AKI. Variables with a significance level of P\<0.2 in univariate analysis and clinical relevance were included as adjustment factors in the regression analysis model. The calibration of the model was evaluated using the Hosmer-Lemeshow goodness-of-fit test.

Trial Locations

Locations (1)

Beijing Tian Tan hospital; 🇨🇳 Beijing, Beijing, China