Incidence and Associations of Acute Kidney Injury After Lung Resection Surgery: A Systematic Review and Meta-analysis.
J Cardiothorac Vasc AnesthApr 25, 2026 (epub)
Xi-Sheng Shan, Jing Yan, Yi-Qing Wang et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the incidence and risk factors of acute kidney injury (AKI) after lung resection surgery in 19,918 patients. The pooled incidence of AKI was found to be 5.31%. AKI was significantly linked to prolonged hospital stays and increased short-term mortality.
Key findings
- The pooled incidence of AKI after lung resection was 5.31% (95% CI, 3.61%-6.70%).
- Mild AKI occurred in 5.51% of patients, while moderate to severe AKI occurred in 0.96%.
- AKI was associated with a mean increase in hospital stay of 0.92 days (95% CI, 0.52-1.30 days).
- The risk ratio for short-term mortality associated with AKI was 5.60 (95% CI, 1.66-18.83).
Why it matters
Understanding the incidence and implications of AKI following lung resection surgery is crucial for improving patient outcomes. Recognizing AKI as a significant prognostic indicator can guide clinicians in risk stratification and the implementation of preventive strategies.