Original articleCardiovascularDifferent Profiles of Patients Who Require Dialysis After Cardiac Surgery
Section snippets
Patient Population
Patient population consisted of the 6,542 consecutive cases submitted to cardiac surgery procedures at our Institution from January 1992 to December 2002. Preoperative, intraoperative, and postoperative data of all patients were prospectively collected following the definitions in use at our Institution and reported in the Appendix; all data were then entered in a computerized database.
Acute renal failure was defined as a postoperative increase of the creatinine concentration greater than or
Predictors of DRARF
The characteristics of patients who developed DRARF compared to patients without this complication are listed in Table 1. Results of the univariate and multivariate analysis for the identification of predictors of DRARF are shown in Table 2, Table 3. Age, female sex, valvular and aortic surgery, hypertension, diabetes, extracardiac vasculopathy, timing of surgery, cardiopulmonary bypass and cross-clamp time, and preoperative creatinine level greater than 2.0 mg/dL were all predictors of DRARF
Comment
The occurrence of postoperative DRARF after a cardiac surgery procedure remains a dreaded event. In fact, it has been shown that this complication significantly increases in-hospital mortality and that even moderate degrees of renal dysfunction are associated with worse postoperative outcome 2, 4, 5, 6, 7. Moreover, survivors of postoperative renal injury have a twofold to threefold increase in the likelihood of discharge to an extended care facility compared to patients who do not experience
References (7)
- et al.
Predictors of ARF after cardiac surgical procedures
Am J Kidney Dis
(2003) - et al.
Using tracking data to find complications that physicians miss: the case of renal failure in cardiac surgery
Jt Comm J Qual Improv
(1997) - et al.
Independent association between acute renal failure and mortality following cardiac surgery
Am J Med
(1998)
Cited by (50)
Repeat Coronary Artery Bypass Grafting: A Meta-Analysis of Off-Pump versus On-Pump Techniques in a Large Cohort of Patients
2021, Heart Lung and CirculationModerate to Severe Acute Kidney Injury Leads to Worse Outcomes in Complex Thoracic Aortic Surgery
2021, Annals of Thoracic SurgeryCitation Excerpt :Despite having more patients with aortic arch interventions in the unadjusted AKI cohort, the use of HCA, as well as the complexity of arch reconstruction, was not found to be an independent risk factor for AKI. Although some previous studies found an association between AKI and the use of HCL, other more contemporary studies have found HCA to be safe from a renal perspective, even with the use of mild to moderate hypothermia if the HCA time is limited to less than 60 minutes.9-12 Our study further supports the safety of HCA in thoracic aortic surgery.
Correlation of cardiopulmonary bypass duration with acute renal failure after cardiac surgery
2020, Journal of Thoracic and Cardiovascular SurgeryAdverse events and mitigation strategies
2019, Mechanical Circulatory Support: A Companion to Braunwald’s Heart DiseaseRisk Index for Postoperative Acute Kidney Injury After Valvular Surgery Using Cardiopulmonary Bypass
2017, Annals of Thoracic SurgeryRedo coronary artery bypass grafting: On-pump and off-pump coronary artery bypass grafting revascularization techniques
2015, Chinese Medical Sciences Journal