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1% (p = 0.002) and 11.1% (p = 0.01 with and without propensity adjustment in the aPRP group, respectively. The aPRP group required fewer intraoperative transfusions (p 0.05) and shortened the duration of mechanical ventilation (p 0.05) than those in the non-aPRP group. Multiple regression analyses showed that aPRP (odds ratio 1.729, 95% confidence interval 1.225-2.440; p 0.001) was one of the independent risk factors for post-AKI. The use of aPRP significantly reduced intraoperative blood transfusions and decreased post