†These authors contributed equally.
Background: Postarrest acute kidney injury (AKI) is a major health
burden because it is associated with prolonged hospitalization, increased
dialysis requirement, high mortality, and unfavorable neurological outcomes.
Managing hemodynamic instability during the early postarrest period is critical;
however, the role of quantified vasopressor dependence in AKI development in
relation to illness severity remains unclear. Methods: A retrospective,
observational cohort study that enrolled 411 non-traumatic adult cardiac arrest
survivors without pre-arrest end-stage kidney disease between January 2017 and
December 2019, grouped according to their baseline kidney function. The criteria
for kidney injury were based on the Kidney Disease: Improving Global Outcomes
definition and AKI staging system. The degree of vasopressor dependence within
the first 24 h following return of spontaneous circulation (ROSC) was presented
using the maximum vasoactive-inotropic score (VIS