Early major adverse kidney events after lung transplantation: risk of chronic kidney disease and prognostic impact Article Swipe
Yoshihisa Shimada
,
Chihiro Konoeda
,
Yue Cong
,
Masaaki Nagano
,
Keita Nakao
,
M Kawashima
,
Akinori Maeda
,
Kent Doi
,
Norihiko Ikeda
,
Masaaki Sato
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1007/s11748-025-02193-4
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1007/s11748-025-02193-4
Objective Renal dysfunction, including acute kidney injury (AKI) and chronic kidney disease (CKD), is a major complication following lung transplantation (LT) and is associated with increased morbidity and mortality. This study aims to evaluate the clinical significance of AKI in relation to the development of post-LT CKD and poor prognosis. Methods Among 133 patients who underwent LT, 116 were included in the analysis. AKI was defined according to the Kidney Disease Improving Global Outcomes criteria. AKI was classified into early AKI (E-AKI), occurring within a few hours to one week postoperatively, and late AKI (L-AKI), occurring between one week and one month after LT. The Major Adverse Kidney Event within 30 days following LT (MAKE30)—a composite outcome that includes all-cause mortality, new renal replacement therapy, or persistent renal dysfunction—was also used in this study. Univariate and multivariate analyses were conducted to identify factors associated with the development of CKD. Overall survival (OS) was analyzed using the Kaplan–Meier method. Results The proportions of patients who developed E-AKI, L-AKI, MAKE30, and CKD were 73%, 31%, 15%, and 46%, respectively. Multivariate analysis identified older age and the occurrence of MAKE30 as independent predictors of post-LT CKD. Notably, all recipients aged 50 years or older who experienced either L-AKI or MAKE30 subsequently developed CKD. In addition, the incidence of MAKE30 was marginally correlated with reduced OS. Conclusion The occurrence of L-AKI and MAKE30 following LT is associated with the development of CKD and MAKE30 also has a negative impact on OS.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s11748-025-02193-4
- https://link.springer.com/content/pdf/10.1007/s11748-025-02193-4.pdf
- OA Status
- hybrid
- References
- 21
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4413771899
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4413771899Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1007/s11748-025-02193-4Digital Object Identifier
- Title
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Early major adverse kidney events after lung transplantation: risk of chronic kidney disease and prognostic impactWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-08-28Full publication date if available
- Authors
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Yoshihisa Shimada, Chihiro Konoeda, Yue Cong, Masaaki Nagano, Keita Nakao, M Kawashima, Akinori Maeda, Kent Doi, Norihiko Ikeda, Masaaki SatoList of authors in order
- Landing page
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https://doi.org/10.1007/s11748-025-02193-4Publisher landing page
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https://link.springer.com/content/pdf/10.1007/s11748-025-02193-4.pdfDirect link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
- OA URL
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https://link.springer.com/content/pdf/10.1007/s11748-025-02193-4.pdfDirect OA link when available
- Concepts
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Medicine, Kidney disease, Lung transplantation, Kidney transplantation, Lung, Kidney, Adverse effect, Internal medicine, Intensive care medicineTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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10Other works algorithmically related by OpenAlex
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