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Vol. 68. Issue 10.
Pages 564-575 (December 2021)
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Vol. 68. Issue 10.
Pages 564-575 (December 2021)
Original article
Association between preoperative baseline pulse pressure and estimated pulse wave velocity and acute renal failure and mortality following colorectal surgery. A single-centre observational study
Asociación entre la presión de pulso y la velocidad onda pulso estimada basal preoperatoria con las complicaciones postoperatorias, insuficiencia renal aguda y mortalidad tras cirugía colorrectal. Estudio unicéntrico observacional
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J. Ripollés-Melchora,b,c,
Corresponding author
ripo542@gmail.com

Corresponding author.
, F. Fernández Doradob, A.I. Rubio Aguilerab, A. Criado Camargob, M. Chico Garcíab, A. Abad-Motosa,b,c, A. Abad-Gurumetaa,b,c
a Servicio de Anestesiología y Reanimación, Hospital Universitario Infanta Leonor, Madrid, Spain
b Universidad Complutense de Madrid, Madrid, Spain
c Spanish Perioperative Audit and Research Network (REDGERM), Grupo Español de Rehabilitación Multimodal (GERM), Madrid, Spain
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Figures (2)
Tables (4)
Table 1. Patient demographics.
Table 2. Multivariate analysis for predefined postoperative complications.
Table 3. Multivariate analysis for postoperative acute kidney injury.
Table 4. Multivariate analysis for mortality.
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Additional material (1)
Abstract
Background

Elevated pulse wave velocity is a haemodynamic parameter considered to be a risk factor for the development of cardiovascular alterations, while pulse pressure is a predictor of cardiovascular complications and development of acute renal failure after both cardiac and non-cardiac surgery. Our objective was to determine whether baseline pulse pressure and estimated pulse wave velocity are associated with renal failure and 30-day mortality following colorectal surgery.

Methods

Retrospective observational study. A total of 816 adult patients undergoing elective colorectal surgery were evaluated by performing multivariable logistic regression analysis to determine whether baseline pulse pressure and estimated pulse wave velocity were independently associated with complications, specifically renal failure and 30-day postoperative mortality, and whether pulse pressure and estimated pulse wave velocity thresholds correlated with outcomes.

Results

Baseline pulse pressure was 56.00 mmHg (45.00;68.00) and estimated pulse wave velocity was 13.16 m/s (10.76;14.85). Baseline pulse pressure was not associated with acute renal failure or mortality in the univariate model. Baseline estimated pulse wave velocity was not associated with complications, acute renal failure, or mortality. An estimated pulse wave velocity of 13.78 m/s significantly predicted acute renal failure (AUC 0.654 [0.588–0.720]) and mortality (AUC 0.698 [0.600–0.796]).

Conclusions

Neither pulse pressure nor preoperative baseline estimated pulse wave velocity were associated with acute renal failure or postoperative mortality. The preoperative estimated pulse wave velocity threshold of 13.78 m/s predicted an increased risk of acute renal failure and postoperative mortality.

Keywords:
Blood pressure
Preoperative care
Colorectal surgery
Resumen
Antecedentes

La elevada velocidad de onda de pulso es un parámetro hemodinámico considerado como un factor de riesgo para el desarrollo de alteraciones cardiovasculares, mientras que la presión de pulso es una variable predictora de complicaciones cardiovasculares y desarrollo de insuficiencia renal aguda tras cirugía, tanto cardíaca como no cardíaca. Nuestro objetivo fue determinar si la presión de pulso y la velocidad onda pulso estimada basales se asocian con complicaciones, insuficiencia renal y mortalidad durante los 30 días siguientes a cirugía colorectal.

Métodos

Estudio observacional retrospectivo. Fueron evaluados 816 pacientes adultos sometidos a cirugía colorrectal electiva, realizando un análisis de regresión logística multivariable para determinar si la presión de pulso y la velocidad onda pulso estimada basal se asociaban independientemente con las complicaciones, específicamente la insuficiencia renal y la mortalidad postoperatoria a 30 días, y si existían umbrales de presión de pulso y velocidad onda pulso estimada asociados a los resultados.

Resultados

La presión de pulso basal fue de 56,00 mmHg (45,00;68,00) y la velocidad onda pulso estimada de 13,16 m/s (10,76;14,85). La presión de pulso basal no se asoció con complicaciones, insuficiencia renal aguda, ni mortalidad en el modelo univariante. Mientras que la velocidad onda pulso estimada basal tampoco se asoció con complicaciones, insuficiencia renal aguda, ni mortalidad. Una velocidad onda pulso estimada de 13,78 m/s predijo significativamente insuficiencia renal aguda (AUC 0,654 [0,588–0,720]) y mortalidad (AUC 0,698 [0,600–0,796]).

Conclusiones

Ni la presión de pulso, ni la velocidad onda pulso estimada basal preoperatoria se asociaron con complicaciones, insuficiencia renal aguda, ni mortalidad postoperatoria. El umbral de velocidad onda pulso estimada preoperatoria de 13,78 m/s sirvió para discriminar aceptablemente un mayor riesgo de insuficiencia renal aguda y mortalidad postoperatoria.

Palabras clave:
Presión arterial
Cuidado perioperatorio
Cirugía colorectal

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