The incidence and clinincal outcomes of patiens with acute kidney injury after cardiac surgery

  • Trung Ngo Dinh Bệnh viện Trung ương Quân đội 108
  • Tot Nguyen Hong Bệnh viện Trung ương Quân đội 108
  • Giang Nguyen Huong Bệnh viện Trung ương Quân đội 108
  • Anh Tran Duy Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

Acute kidney injury, cardiac surgery

Abstract

Objective: To evaluate the incidence 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. Serum creatinine was measured at the following times: Arrival in ICU (T0), 12 hours after (T1), postoperative day 2 (T2), and postoperative day 3 (T3) to evaluate the incidence and severity of AKI according to KDIGO criteria. Result: The incidence of AKI was 48.58%. The severity of AKI according to KDIGO I, II, III were 67.35%, 24.49% and 8.16% respectively. AKI patients had higher mortality (7.5% vs. 1.57%) and longer ICU and post-operarative stays than non-AKI. Conclusion: AKI had high rate in the patients after cardiac surgery. AKI caused higher mortality and prolonged the duration in ICU and hospital post-operatively.

Article Details

References

1. Nguyễn Quốc Kính (2002) Nghiên cứu rối loạn chức năng thận ở bệnh nhân mở tim mở dưới tuần hoàn ngoài cơ thể. Luận án Tiến sỹ y học, Trường Đại học y Hà Nội.
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. Englberger L, Suri RM, Connolly HM et al (2013) Increased risk of acute kidney injury in patients undergoing tricuspid valve surgery. Eur J Cardiothorac Surg 43(5): 993-999.
5. Karkouti K, Wijeysundera DN, Yau TM et al (2009) Acute kidney injury after cardiac surgery: Focus on modifiable risk factors. Circulation 119(4): 495-502.
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. Loef BG, Epema AH, Smilde TD et al (2005) Immediate postoperative renal function deterioration in cardiac surgical patients predicts in-hospital mortality and long-term survival. J Am Soc Nephrol 16: 195-200.
8. Lok CE, Austin PC, Wang H et al (2004) Impact of renal insufficiency on short- and long-term outcomes after cardiac surgery. Am Heart J 148(3): 430-438.
9. Mariscalco G, Lorusso R, Dominici C et al (2011) Acute kidney injury: Aa relevant complication after cardiac surgery. Ann Thorac Surg 92(4): 1539-1547.