Risk of Acute Kidney Injury Complications After Aortic Dissection and the Value of Perioperative Cluster Nursing.

BACKGROUND

Emergency aortic dissection affects 5 to 10 per 100 000 individuals with a fatality rate exceeding 30%.

OBJECTIVE

The study investigates acute kidney injury (AKI) as a complication following acute aortic dissection and the effect of cluster nursing measures.

METHODS

Single-factor and multi-factor model analysis screened risk factors for postoperative renal injury complications after acute aortic dissection. Cluster nursing measures were implemented during the perioperative period. Changes in renal function and AKI incidence before and after surgery between the 2 groups were compared.

RESULTS

Logistic regression model analysis identified increased preoperative SCr levels, prolonged cardiopulmonary bypass time, and protracted aortic occlusion time as independent risk factors for AKI following acute aortic dissection surgery (P < .05). A high postoperative oxygenation index appeared to be a protective factor (P < .05). On day 1 and 3 after surgery, serum SCr and Cys-C levels in cluster nursing group were lower than those in routine nursing group. The incidence of postoperative AKI in the cluster nursing group was 2.86%, significantly lower than that in routine care group (17.14%, P < .05).

CONCLUSION

Perioperative cluster nursing measures for acute aortic dissection patients can reduce renal injury caused by surgery and reduce the incidence of AKI.