Factors | AKI (n = 48) | No AKI (n = 512) | Unadjusted OR (95% CI) | P values* |
---|---|---|---|---|
Age, yr | 45 ± 13 | 44 ± 13 | 1.00 (0.98, 1.02) | 0.89 |
Male, n (%) | 33 (68.8) | 242 (47.3) | 2.45 (1.30, 4.63) | 0.006 |
ASA physical status, n (%) | 1.13 (0.69, 1.85) | 0.62 | ||
1 | 1 (2.1) | 45 (8.8) | ||
2 | 30 (62.5) | 275 (53.7) | ||
3 | 17 (35.4) | 192 (37.5) | ||
Use of arterial catheter, n (%) | 48 (100) | 512 (100) | NA | NA |
Previous medical history, n (%) | ||||
Coronary artery disease | 4 (8.3) | 19 (3.7) | 2.36 (0.77, 7.24) | 0.13 |
Congestive heart failure | 0 (0.0) | 14 (2.7) | NA | 0.62** |
Cerebral vascular disease | 4 (8.3) | 13 (2.5) | 3.49 (1.09, 11.16) | 0.035 |
Diabetes requiring medication | 15 (31.2) | 116 (22.7) | 1.55 (0.81, 2.96) | 0.18 |
Cardiac medication history, n (%) | ||||
α-blocker | 48 (100.0) | 503 (98.2) | NA | > 0.99** |
ß-blocker | 9 (18.8) | 108 (21.1) | 0.86 (0.41, 1.84) | 0.70 |
CA blocker | 11 (22.9) | 58 (11.3) | 2.33 (1.13, 4.81) | 0.023 |
ACE inhibitor/Angiotensin receptor blocker | 4 (8.3) | 15 (2.9) | 3.01 (0.96, 9.47) | 0.059 |
Preoperative | ||||
Preoperative medication time, day | 40 [25, 48] | 38 [26, 53] | 1.00 (0.99, 1.01) | 0.41 |
Preoperative hemoglobin, g/L | 139 ± 15 | 136 ± 16 | 1.01 (0.99, 1.03) | 0.18 |
Preoperative creatinine, μmol/L | 74.4 ± 16.3 | 71.4 ± 15.4 | 1.01 (0.99, 1.03) | 0.20 |
Baseline eGFR, ml·min·1.73 m−2 | 100.6 ± 17.2 | 100.0 ± 16.2 | 1.00 (0.98, 1.02) | 0.80 |
Baseline MAP | 94 ± 11 | 90 ± 11 | 1.03 (0.99, 1.06) | 0.035 |
Intraoperative | ||||
Surgical time, min | 178 [133, 216] | 110 [87, 144] | 1.02 (1.01, 1.02) | < 0.001 |
Open surgery, n (%) | 24 (50.0) | 82 (16.0) | 5.24 (2.84, 9.68) | < 0.001 |
Estimated blood loss, mla | 1000 [375, 2500] | 100 [50, 400] | 2.53 (1.97, 3.25) | < 0.001 |
Red blood cells transfusion | ||||
Not received, n (%) | 31 (64.6) | 448 (87.5) | Ref = 1 | < 0.001 |
Received, n (%) | 17 (35.4) | 64 (12.5) | 3.84 (2.01, 7.33) | |
Total red blood cells transfusion, ml | 1600 [800, 2750] | 800 [400, 1018] | ||
Total crystalloids, mla | 2550 [2000, 3500] | 2500 [2000, 3000] | 4.67 (2.03, 10.73) | < 0.001 |
Total colloids, mla | 1000 [500, 2125] | 1000 [500, 1500] | 4.67 (2.03, 10.74) | < 0.001 |
Vasoactive drugs after tumor resection, n (%) | 0.15 | |||
None | 15 (31.2) | 199 (38.9) | Ref = 1 | |
Vasopressors only | 25 (52.1) | 272 (53.1) | 1.22 (0.63, 2.37) | |
Other | 8 (16.7) | 41 (8.0) | 2.59 (1.03, 6.51) | |
Vasodilators only | 7 (14.6) | 38 (7.4) | ||
Vasopressors + vasodilators | 1 (2.1) | 3 (0.6) | ||
Postoperative Hemoglobin (g/L) | 110 ± 18 | 114 ± 15 | 0.98 (0.96, 1.00) | 0.060 |
Diagnosis, n (%) | 0.57 | |||
Unilateral pheochromocytoma | 43 (89.6) | 444 (86.7) | Ref = 1 | |
Other | 5 (10.4) | 68 (13.3) | 0.76 (0.29, 1.98) | |
Bilateral pheochromocytoma | 2 (4.2) | 28 (5.5) | ||
MEN syndrome | 3 (6.2) | 32 (6.2) | ||
VHL syndrome | 0 (0.0) | 8 (1.6) | ||
Tumor size, cm | 6 ± 3 | 5 ± 2 | 1.32 (1.16, 1.49) | < 0.001 |
Year of surgery, n (%) | 0.063 | |||
1991–2000 | 8 (16.7) | 37 (7.2) | Ref = 1 | |
2001–2010 | 14 (29.2) | 126 (24.6) | 0.51 (0.20, 1.32) | |
2011–2020 | 26 (54.2) | 349 (68.2) | 0.34 (0.15, 0.82) |