ISSN: 1859 - 2872
Risk factors of acute kidney injury after cardiac surgery
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Abstract
Objective: To define the risk factors of cardiac surgery - associated acute kidney injury. Subject and method: A descriptive study on 247 patients underwent cardiac surgery with cardiopulmonary bypass in the 108 Military Central Hospital from January 2015 to September 2017. AKI was diagnosed by KDIGO criteria. Based on the variables of pre- intra- and post- operation, the univariate analysis and binary logistic regression were used to identify risk factor of AKI. Result: Among 247 patients, AKI was detected in 48.58%. The risk factors of AKI included: Diabetes, hypertention, thoracic aorta surgery, ≥ 2 valve surgery, aortic cross-clamp time > 60 minutes, cardiopulmonary bypass time > 120 minutes, cardiogenic shock and post-operative ventilation > 24 hours. Conclusion: Many risk factors from pre- intra- and post- operative periods can contribute to AKI after cardiac surgery. These factors need to be early identified to give appropriate prevention and treament of AKI.
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References
2. Billings FT, Pretorius M, Schildcrout JS et al (2012) Obesity and oxidative stress predict AKI after cardiac surgery. J Am Soc Nephrol 23(7): 1221-1228.
3. Chertow GM, Lazarus JM, Christiansen CL et al (1997) Preoperative renal risk stratification. Circulation 95: 878-884.
4. Duran-Salgado Montserrat B, Rubio-Guerra Alberto F (2014) Diabetic nephropathy and inflammation. World journal of diabetes 5(3): 393-398.
5. Fontes ML, Aronson S, Mathew JP et al (2008) Pulse pressure and risk of adverse outcome in coronary bypass surgery. Anesth Analg 107(4): 1122-1129.
6. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group (2012) KDIGO clinical practice guideline for acute kidney injury. Kidney International Supplements 2(1): 1-126.
7. Palomba H, de Castro I, Neto AL et al (2007) Acute kidney injury prediction following elective cardiac surgery: AKICS score. Kidney Int 72(5): 624-631.
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