Risk Factors of Dewi et al for Acute Kidney Injury (AKI) After Emergency Laparotomy

Patient selection: emergency laparotomy

Outcome: acute kidney injury (AKI)

Preoperative risk factors for AKI:

(1) older age (mean 69.7 years)

(2) elevated serum lactate (>= 2 mmol/L)

(3) chronic kidney disease

(4) higher white blood cell count (use >= 14,000 per µL for implementation)

(5) lower preoperative systolic blood pressure (median 120.5 mm Hg)

(6) tachycardia (use > 100 beats per minute for the implementation)

(7) ASA 3 or 4

(8) higher P-POSSUM

Aggressive management may be able to avoid the acute kidney injury, thereby improving survival.