A comparison of different diagnostic criteria of acute kidney injury in cardiac surgery patients

  • Ngo Dinh Trung 108 Military Central Hospital
  • Nguyen Hong Tot 108 Military Central Hospital
  • Nguyen Tai Thu 108 Military Central Hospital
  • Nguyen Van Nam 108 Military Central Hospital
  • Nguyen Thanh Binh 108 Military Central Hospital
  • Nguyen Thi Huyen Trang 108 Military Central Hospital
  • Nguyen Thi Nga 108 Military Central Hospital
  • Ha Manh Hung 108 Military Central Hospital

Main Article Content

Abstract

Objective: To compare of three diagnostic criteria of acute kidney injury (AKI), included KDIGO, RIFLE and AKIN, for patients with cardiac surgery. 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. Serum creatinine (sCr) was measured at the following times: Arrival in ICU (T0), 12 hours (T1), 24 hours (T2), and 48 hours (T3) after to evaluate the incidence and severity of AKI according to three criteria (KDIGO, RIFLE and AKIN). Result: The incidence of AKI was 48.5% based on KDIGO, higher than that of RIFLE (39.6%) and AKIN (46.9%). The severity of AKI according to KDIGO I, II, III was 67.3%, 24.4% and 8.1% respectively; RIFLE R, I, F was 67.3%, 24.5%, and 8.1%; and AKIN I, II, III was 76.7%, 16.3% and 6.9% respectively. AKI patients had higher mortality (7.5% vs. 1.57%) and longer ICU and post-operative stays than non-AKI ones. Conclusion: KDIGO had better sensitivity for detect AKI than RIFLE and AKIN. AKI led to higher mortality, longer ICU and hospital stays after surgery.


Keywords: Acute kidney injury, cardiac surgery, diagnostic criteria.

Article Details

References

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Published
Dec 12, 2019
Issue
Volume 14 - November 2019
Section
Articles
How to Cite
Dinh TrungN., Hong TotN., Tai ThuN., Van NamN., Thanh BinhN., Thi Huyen TrangN., Thi NgaN., & Manh HungH. (2019). A comparison of different diagnostic criteria of acute kidney injury in cardiac surgery patients. Tạp Chí Y Dược lâm sàng 108. Retrieved from https://tcydls108.benhvien108.vn/index.php/YDLS/article/view/1124