Azra Bihorac, MD, of the University of Florida, Gainesville, and colleagues examined the association between acute kidney injury, chronic kidney disease and long-term cardiovascular-specific mortality among patients who underwent inpatient vascular surgery between January 2000 and November 2010. Final follow-up was completed July 2014 to assess survival through January 2014.
Here are three key points:
1. Among the 3,646 patients undergoing vascular surgery, perioperative AKI occurred in 1,801 patients (49 percent) and CKD was present in 496 patients (14 percent).
2. The top two causes among the 1,577 deaths in this group were cardiovascular disease (54 percent) and cancer (11 percent).
3. Adjusted cardiovascular mortality estimates at 10 years were 17 percent for patients with no kidney disease, 31 percent for patients with AKI without CKD, 30 percent for patients with CKD without AKI and 41 percent for patients with AKI and CKD.
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