Preoperative Hemoglobin and Acute Kidney Injury in Emergency Surgery

NCT ID: NCT06857630

Last Updated: 2025-03-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

420 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-01-01

Study Completion Date

2027-03-01

Brief Summary

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Optimization of hemoglobin levels for organ perfusion is essential, especially in critically ill patients. Although anemia is associated with severe organ failure, especially in coronary artery disease, the effects of blood transfusion or various interventions to increase hemoglobin levels on outcomes continue to be debated. The effects of hemoglobin levels in emergency surgery patients on the development of postoperative AKI have been investigated in a small number of studies in the literature, and clear results have not yet been reported. This study was designed to evaluate the effect of hemoglobin levels on the development of AKI after adjustment for known predictive factors.

Detailed Description

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Acute kidney injury (AKI) is a common complication in patients undergoing major surgery and is associated with both short-term morbidity and mortality and long-term adverse outcomes including the development of Chronic Kidney Failure. Optimization of hemoglobin levels for organ perfusion is essential, especially in critically ill patients. Although anemia is associated with severe organ failure, especially in coronary artery disease, the effects of various interventions such as blood transfusion or increasing hemoglobin levels on outcomes continue to be debated. This prospective observational study was planned to evaluate the effect of hemoglobin levels before emergency surgery on the development of postoperative AKI.

Emergency operated patients will be divided into two groups as Group AKI and Group non-AKI according to the development of postoperative renal failure. Postoperative AKI diagnosis and severity will be evaluated according to serum creatinine and/or urine output according to KDIGO (Kidney Disease: Improving Global Outcomes criteria).

Demographic characteristics of the patients, preoperative complete blood count, blood biochemistry characteristics, hemodynamic variables, fluid replacement, blood and blood product replacements, surgical characteristics, development and severity of AKI in the postoperative period will be recorded and the effect of hemoglobin level on the development of AKI will be evaluated.

Conditions

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Emergency Surgery Acute Kidney Injury Hemoglobin

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group AKI

Postoperative renal failure

Observational

Intervention Type OTHER

Postoperative acute kidney injury and hemoglobin level relationship observation

Group non-AKI

Postoperative non renal failure

Observational

Intervention Type OTHER

Postoperative acute kidney injury and hemoglobin level relationship observation

Interventions

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Observational

Postoperative acute kidney injury and hemoglobin level relationship observation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing emergency non-cardiac surgery

Exclusion Criteria

* Known renal failure
* Need for reoperation within 48 hours postoperatively
* Exit status within 48 hours postoperatively
* Known hematological disease
* Known kidney transplantation
* Urgent surgery planned due to urinary system related diseases
* Patients who did not accept to participate in the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Samsun University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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özgür kömürcü, 1

Role: STUDY_DIRECTOR

Samsun University

Locations

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Özgür Kömürcü

Samsun, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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özgür kömürcü, 1

Role: CONTACT

90 5055273180

özgür kömürcü, 2

Role: CONTACT

90 505 5273180

Facility Contacts

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özgür kömürcü, 1

Role: primary

90 505 5273180

References

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Meersch M, Schmidt C, Zarbock A. Perioperative Acute Kidney Injury: An Under-Recognized Problem. Anesth Analg. 2017 Oct;125(4):1223-1232. doi: 10.1213/ANE.0000000000002369.

Reference Type BACKGROUND
PMID: 28787339 (View on PubMed)

Grams ME, Sang Y, Coresh J, Ballew S, Matsushita K, Molnar MZ, Szabo Z, Kalantar-Zadeh K, Kovesdy CP. Acute Kidney Injury After Major Surgery: A Retrospective Analysis of Veterans Health Administration Data. Am J Kidney Dis. 2016 Jun;67(6):872-80. doi: 10.1053/j.ajkd.2015.07.022. Epub 2015 Sep 1.

Reference Type BACKGROUND
PMID: 26337133 (View on PubMed)

Cabezuelo JB, Ramirez P, Rios A, Acosta F, Torres D, Sansano T, Pons JA, Bru M, Montoya M, Bueno FS, Robles R, Parrilla P. Risk factors of acute renal failure after liver transplantation. Kidney Int. 2006 Mar;69(6):1073-80. doi: 10.1038/sj.ki.5000216.

Reference Type BACKGROUND
PMID: 16528257 (View on PubMed)

Other Identifiers

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GOKAEK 2024/19/4

Identifier Type: -

Identifier Source: org_study_id

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