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Dupont V, Bonnet-Lebrun AS, Boileve A, Debrumetz A, Wynckel A, Braconnier A, Colosio C, Mokri L, Schvartz B, Vuiblet V, Barbe C, Jozwiak M, Rieu P. In Reply to "Abdominal Pressure and Fluid Status After Kidney Transplantation". Kidney Int Rep 2022; 7:1727-1728. [PMID: 35812285 PMCID: PMC9263233 DOI: 10.1016/j.ekir.2022.04.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 04/25/2022] [Indexed: 11/27/2022] Open
Affiliation(s)
- Vincent Dupont
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
- Department of Nephrology, Centre Hospitalier Universitaire de Reims, Reims, France
- French Clinical Research Infrastructure Network, Investigation Network Initiative-Cardiovascular and Renal Clinical Trialists (F-CRIN INI-CRCT), Reims, France
| | | | - Alice Boileve
- Département de médecine oncologique, Gustave Roussy, Villejuif, France
| | - Alexandre Debrumetz
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Alain Wynckel
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Antoine Braconnier
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Charlotte Colosio
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Laetitia Mokri
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Betoul Schvartz
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Vincent Vuiblet
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Coralie Barbe
- Research on Health University Department, Université de Reims Champagne-Ardenne, Reims, France
| | - Mathieu Jozwiak
- Service de Médecine Intensive Réanimation, CHU de Nice, Nice, France
- Equipe 2 CARRES, UR2CA - Unité de Recherche Clinique Côte d'Azur, Université Côte d’Azur UCA, Nice, France
| | - Philippe Rieu
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
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Yehuda R, Ramona NR. Abdominal Pressure and Fluid Status After Kidney Transplantation. Kidney Int Rep 2022; 7:1727. [PMID: 35812287 PMCID: PMC9263241 DOI: 10.1016/j.ekir.2022.03.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Accepted: 03/21/2022] [Indexed: 12/05/2022] Open
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Coca A, Arias-Cabrales C, Pérez-Sáez MJ, Fidalgo V, González P, Acosta-Ochoa I, Lorenzo A, Rollán MJ, Mendiluce A, Crespo M, Pascual J, Bustamante-Munguira J. Impact of intra-abdominal pressure on early kidney transplant outcomes. Sci Rep 2022; 12:2257. [PMID: 35145181 PMCID: PMC8831606 DOI: 10.1038/s41598-022-06268-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2021] [Accepted: 01/06/2022] [Indexed: 12/13/2022] Open
Abstract
Increased intra-abdominal pressure (IAP) is common among post-surgical patients and may cause organ dysfunction. However, its impact after kidney transplantation on early postoperative complications and graft recovery remains unclear. We designed a prospective, observational cohort study to describe the prevalence and determinants of IAP, as well as its effect on delayed graft function, postoperative complications, and graft recovery. IAP was measured in 205 kidney transplant recipients every 8 h during the first 72 h after surgery using the urinary bladder technique. Intra-abdominal hypertension was defined as IAP ≥ 12 mmHg. Patients were followed for 6 months or until graft failure/death. Mean IAP was 12 ± 3.3 mmHg within the first 24 h. 78% of subjects presented with intra-abdominal hypertension during the first 72 h. Increased IAP was associated with higher renal resistive index [r = 0.213; P = 0.003] and lower urine output [r = - 0.237; P < 0.001]. 72 h mean IAP was an independent risk factor for delayed graft function [OR: 1.31; 95% CI: 1.13-1.51], postoperative complications [OR: 1.17; 95% CI: 1.03-1.33], and absence of graft function recovery [HR for graft function recovery: 0.94; 95% CI: 0.88-0.99]. Increased IAP was highly prevalent after transplantation and was independently associated with delayed graft function, postoperative complications, and absence of graft function recovery. Routine IAP monitoring should be considered post-transplantation to facilitate early recognition of relevant complications.
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Affiliation(s)
- Armando Coca
- Department of Nephrology, Hospital Clínico Universitario, Avda. Ramón y Cajal 3, 47003, Valladolid, Spain.
| | - Carlos Arias-Cabrales
- Department of Nephrology, Hospital del Mar, Paseo Marítimo de la Barceloneta 25-29, 08003, Barcelona, Spain
| | - María José Pérez-Sáez
- Department of Nephrology, Hospital del Mar, Paseo Marítimo de la Barceloneta 25-29, 08003, Barcelona, Spain
| | - Verónica Fidalgo
- Department of Nephrology, Hospital General, C/ Luis Erik Clavería Neurólogo s/n, 40002, Segovia, Spain
| | - Pablo González
- Department of Nephrology, Hospital Clínico Universitario, Avda. Ramón y Cajal 3, 47003, Valladolid, Spain
| | - Isabel Acosta-Ochoa
- Department of Nephrology, Hospital Clínico Universitario, Avda. Ramón y Cajal 3, 47003, Valladolid, Spain
| | - Arturo Lorenzo
- Department of Nephrology, Hospital Clínico Universitario, Avda. Ramón y Cajal 3, 47003, Valladolid, Spain
| | - María Jesús Rollán
- Department of Nephrology, Hospital Clínico Universitario, Avda. Ramón y Cajal 3, 47003, Valladolid, Spain
| | - Alicia Mendiluce
- Department of Nephrology, Hospital Clínico Universitario, Avda. Ramón y Cajal 3, 47003, Valladolid, Spain
| | - Marta Crespo
- Department of Nephrology, Hospital del Mar, Paseo Marítimo de la Barceloneta 25-29, 08003, Barcelona, Spain
| | - Julio Pascual
- Department of Nephrology, Hospital del Mar, Paseo Marítimo de la Barceloneta 25-29, 08003, Barcelona, Spain
| | - Juan Bustamante-Munguira
- Department of Cardiac Surgery, Hospital Clínico Universitario, Avda. Ramón y Cajal 3, 47003, Valladolid, Spain
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Dupont V, Bonnet-Lebrun AS, Boileve A, Debrumetz A, Wynckel A, Braconnier A, Colosio C, Mokri L, Schvartz B, Vuiblet V, Barbe C, Jozwiak M, Rieu P. A pilot study on the association between early fluid status indicators after kidney transplantation and graft function recovery. Kidney Int Rep 2022; 7:1416-1419. [PMID: 35685327 PMCID: PMC9171620 DOI: 10.1016/j.ekir.2022.02.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 01/13/2022] [Accepted: 02/08/2022] [Indexed: 12/12/2022] Open
Affiliation(s)
- Vincent Dupont
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
- Department of Nephrology, Centre Hospitalier Universitaire de Reims, Reims, France
- French Clinical Research Infrastructure Network, Investigation Network Initiative—Cardiovascular and Renal Clinical Trialists (F-CRIN INI-CRCT), Reims, France
- Correspondence: Vincent Dupont, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.
| | | | - Alice Boileve
- Département de Médecine Oncologique, Gustave Roussy, Villejuif, France
| | - Alexandre Debrumetz
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Alain Wynckel
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Antoine Braconnier
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Charlotte Colosio
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Laetitia Mokri
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Betoul Schvartz
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Vincent Vuiblet
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
| | - Coralie Barbe
- Research on Health University Department, Université de Reims Champagne-Ardenne, Reims, France
| | - Mathieu Jozwiak
- Service de Médecine Intensive Réanimation, CHU Archet 1, Nice, France
- Equipe 2 CARRES, UR2CA—Unité de Recherche Clinique Côte d’Azur, Université Côte d’Azur UCA, Nice, France
| | - Philippe Rieu
- Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, California, USA
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Dupont V, Gamblin C, Bard M, Julien G, Bonnivard M, Champenois V, Goury A, Mourvillier B. Severe Intraabdominal Hypertension in Critically Ill COVID-19 Patients With Acute Kidney Injury. Chest 2021; 160:558-561. [PMID: 33745987 PMCID: PMC7970792 DOI: 10.1016/j.chest.2021.03.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 03/03/2021] [Accepted: 03/06/2021] [Indexed: 01/27/2023] Open
Affiliation(s)
- Vincent Dupont
- Medical Intensive Care Unit, University Hospital of Reims, Reims, France.
| | - Claire Gamblin
- Medical Intensive Care Unit, University Hospital of Reims, Reims, France
| | - Mathieu Bard
- Medical Intensive Care Unit, University Hospital of Reims, Reims, France
| | - Gautier Julien
- Medical Intensive Care Unit, University Hospital of Reims, Reims, France
| | - Michel Bonnivard
- Medical Intensive Care Unit, University Hospital of Reims, Reims, France
| | - Vanessa Champenois
- Medical Intensive Care Unit, University Hospital of Reims, Reims, France
| | - Antoine Goury
- Medical Intensive Care Unit, University Hospital of Reims, Reims, France
| | - Bruno Mourvillier
- Medical Intensive Care Unit, University Hospital of Reims, Reims, France
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