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Table 3 Multivariable association with absolute and relative MAP thresholds after tumor resection and postoperative AKI

From: Association of intraoperative hypotension and postoperative acute kidney injury after adrenalectomy for pheochromocytoma: a retrospective cohort analysis

Threshold

AKI (n = 48)

No AKI (n = 512)

Adjusted OR (95% CI)*

P values*

Baseline MAP, mmHg

94 ± 11

90 ± 11

1.02 (0.99, 1.05)

0.19

Time under absolute MAP

 MAP < 85 mmHg

  0 min, n (%)

1 (2.1)

53 (10.4)

Ref

0.050

  1–19 min, n (%)

3 (6.3)

95 (18.6)

2.07 (0.20, 21.51)

 

   ≥ 20 min, n (%)

44 (91.7)

364 (71.1)

5.21 (0.68, 40.05)

 

 MAP < 80 mmHg

  0 min, n (%)

1 (2.1)

107 (20.9)

Ref

0.004

  1–19 min, n (%)

11 (22.9)

157 (30.7)

8.88 (1.09, 72.42)

 

   ≥ 20 min, n (%)

36 (75.0)

248 (48.4)

11.16 (1.46, 85.10)

 

 MAP < 75 mmHg

  0 min, n (%)

4 (8.3)

201 (39.3)

Ref

 < 0.001

  1–19 min, n (%)

15 (31.3)

192 (37.5)

3.24 (1.02, 10.29)

 

   ≥ 20 min, n (%)

29 (60.4)

119 (23.2)

7.94 (2.61, 24.18)

 

 MAP < 70 mmHg

  0 min, n (%)

11 (22.9)

340 (66.4)

Ref

 < 0.001

  1–19 min, n (%)

22 (45.8)

140 (27.3)

4.87 (2.20, 10.80)

 

   ≥ 20 min, n (%)

15 (31.3)

32 (6.3)

9.21 (3.37, 25.14)

 

 MAP < 65 mmHg

  0 min, n (%)

20 (41.7)

432 (84.4)

Ref

 < 0.001

  1–19 min, n (%)

19 (39.6)

73 (14.3)

4.43 (2.09, 9.35)

 

   ≥ 20 min, n (%)

9 (18.8)

7 (1.4)

6.04 (1.75, 20.89)

 

Time under relative MAP Thresholds

 MAP decrease from baseline > 10%

  0 min, n (%)

3 (6.3)

140 (27.3)

Ref

0.005

  1–19 min, n (%)

4 (8.3)

106 (20.7)

2.09 (0.44, 9.92)

 

   ≥ 20 min, n (%)

41 (85.4)

266 (52.0)

5.01 (1.47, 17.08)

 

 MAP decrease from baseline > 15%

  0 min, n (%)

3 (6.3)

201 (39.3)

Ref

 < 0.001

  1–19 min, n (%)

11 (22.9)

125 (24.4)

5.97 (1.57, 22.71)

 

   ≥ 20 min, n (%)

34 (70.8)

186 (36.3)

7.86 (2.29, 26.94)

 

 MAP decrease from baseline > 20%

  0 min, n (%)

6 (12.5)

262 (51.2)

Ref

 < 0.001

  1–19 min, n (%)

12 (25.0)

120 (23.4)

3.22 (1.12, 9.25)

 

   ≥ 20 min, n (%)

30 (62.5)

130 (25.4)

6.63 (2.56, 17.14)

 

 MAP decrease from baseline > 25%

  0 min, n (%)

7 (14.6)

339 (66.2)

Ref

 < 0.001

  1–19 min, n (%)

23 (47.9)

106 (20.7)

8.77 (3.50, 21.98)

 

   ≥ 20 min, n (%)

18 (37.5)

67 (13.1)

6.53 (2.42, 17.66)

 

 MAP decrease from baseline > 30%

   

 < 0.001

  0 min, n (%)

18 (37.5)

406 (79.3)

Ref

 

  1–19 min, n (%)

16 (33.3)

80 (15.6)

3.63 (1.67, 7.88)

 

   ≥ 20 min, n (%)

14 (29.2)

25 (4.9)

5.36 (2.09, 13.75)

 
  1. AKI, acute kidney injury, MAP, mean arterial pressure
  2. *P values from multivariable logistic regression. Multivariable logistic regression models were adjusted for sex, surgical procedure type, and log-transformed estimated blood loss