Acute kidney injury after cardiac surgery using cardiopulmonary bypass
Main Article Content
Abstract
The objective of the study was to describe the status of acute kidney injury after cardiac surgery using cardiopulmonary bypass. A descriptive study was applied in all patients who were underwent cardiac surgery using extracorporeal circulation from 01/09/2019 to 31/06/2021. The study results showed that of 105 surgical patients, the rate of acute kidney injury after surgery was 24.8% (26/105). The group with acute kidney injury had a higher mean age, higher blood urea and creatinine before surgery, a longer time of cardiopulmonary bypass, and low urine volume during surgery. The number of blood products and the use of vasopressors were higher and the length of stay in the Intensive Care Unit was longer in the acute kidney injury group.
Article Details
Keywords
Acute kidney injury, cardiac surgery, cardiopulmonary bypass.
References
2. Jiang W, Xu J, Shen B, Wang C, Teng J, Ding X. Validation of four prediction scores for cardiac surgery-associated acute kidney injury in Chinese patients. Brazilian journal of cardiovascular surgery. 2017;32:481-486.
3. De Santo LS, Romano G, Mango E, et al. Age and blood transfusion: relationship and prognostic implications in cardiac surgery. Journal of thoracic disease. 2017;9(10):3719.
4. Jyrala A, Weiss RE, Jeffries RA, Kay GL. Effect of mild renal dysfunction (s-crea 1.2–2.2 mg/dl) on presentation characteristics and short-and long-term outcomes of on-pump cardiac surgery patients. Interactive cardiovascular and thoracic surgery. 2010;10(5):777-782.
5. Santana-Santos E, Marcusso MEF, Rodrigues AO, et al. Strategies for prevention of acute kidney injury in cardiac surgery: an integrative review. Revista Brasileira de terapia intensiva. 2014;26(2):183.
6. Group KDIGOAKIW. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl. 2012;2(1):1-138.
7. Brown JR, Kramer RS, Coca SG, Parikh CR. Duration of Acute Kidney Injury Impacts Long-Term Survival After Cardiac Surgery. The Annals of Thoracic Surgery. 2010/10/01/ 2010;90(4):1142-1148.
8. Karkouti K, Wijeysundera DN, Yau TM, et al. Acute Kidney Injury After Cardiac Surgery. Circulation. 2009;119(4):495-502.
9. Bastin AJ, Ostermann M, Slack AJ, Diller G-P, Finney SJ, Evans TW. Acute kidney injury after cardiac surgery according to risk/injury/failure/loss/end-stage, acute kidney injury network, and kidney disease: improving global outcomes classifications. Journal of critical care. 2013;28(4):389-396.
10. Bolignano D, Mattace-Raso F, Sijbrands EJ, Zoccali C. The aging kidney revisited: a systematic review. Ageing Res Rev. Mar 2014;14:65-80.
11. Ng RRG, Chew STH, Liu W, Shen L, Ti LK. Identification of modifiable risk factors for acute kidney injury after coronary artery bypass graft surgery in an Asian population. The Journal of thoracic and cardiovascular surgery. 2014;147(4):1356-1361.
12. Karim HMR, Yunus M, Saikia MK, Kalita JP, Mandal M. Incidence and progression of cardiac surgery-associated acute kidney injury and its relationship with bypass and cross clamp time. Annals of cardiac anaesthesia. 2017;20(1):22.
13. Kumar A, Suneja M, Bayman E, Weide G, Tarasi M. Association Between Postoperative Acute Kidney Injury and Duration of Cardiopulmonary Bypass: A Meta-Analysis. Journal of cardiothoracic and vascular anesthesia. 09/14 2011;26:64-69.
14. Mancini E, Caramelli F, Ranucci M, et al. Is time on cardiopulmonary bypass during cardiac surgery associated with acute kidney injury requiring dialysis? Hemodialysis International. 2012;16(2):252-258.
15. Mao H, Katz N, Ariyanon W, et al. Cardiac surgery-associated acute kidney injury. Cardiorenal medicine. 2013;3(3):178-199.
16. Koch CG, Li L, Sessler DI, et al. Duration of red-cell storage and complications after cardiac surgery. New England Journal of Medicine. 2008;358(12):1229-1239.
17. Ramos KA, Dias CB. Acute kidney injury after cardiac surgery in patients without chronic kidney disease. Brazilian journal of cardiovascular surgery. 2018;33:454-461.