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RESUME Introduction : L'insuffisance Rénale Aiguë (IRA) est une complication postopératoire fréquente associée à une forte morbidité et mortalité. Peu d'études se sont intéressées à la survenue d'IRA en postopératoire d'une chimiothérapie hyperthermique intra-péritonéale (CHIP). Le but de cette étude était d'évaluer l'incidence et les facteurs de risque d, Int Surg, vol.100, issue.6, pp.1033-1042, 2015. ,
Cette étude rétrospective effectuée au CHU d'Amiens visait à collecter les données péri-opératoires des patients ayant bénéficié d'une CHIP. L'IRA était définie à l'aide des critères KDIGO. La créatinine sanguine et la diurèse postopératoire étaient recueillies quotidiennement entre J0 et J7 ,
Une analyse de régression logistique binaire a permis d'identifier les facteurs associés à la survenue d'une IRA ,
, 50 patients ont été inclus. L'incidence de l'IRA était de 44%, 2014.
, Conclusion : L'incidence de l'IRA en postopératoire de CHIP était de 44%. La durée d'hospitalisation des patients atteints d'IRA était allongée, impliquant probablement un surcoût de soins de santé. Le sepsis était un facteur de risque indépendamment associé à la survenue d, p = 0,023. L'IMC < 25 était un facteur protecteur : OR 0,257 95% IC (0,069-0,957), p = 0,043, vol.661, pp.269-294
, Mots clés : Atteinte rénale aigüe ; Chimiohyperthermie intrapéritonéale
Chirurgie générale ; Oncologie RESUME Introduction : L'insuffisance Rénale Aiguë (IRA) est une complication postopératoire ,