Utility of Preoperative Risk Scoring to Predict Acute Kidney Injury (AKI) Following Cardiac Surgery
2016; Linguagem: Inglês
10.18535/jmscr/v4i6.16
ISSN2455-0450
Autores Tópico(s)Hemodynamic Monitoring and Therapy
ResumoAcute kidney injury (AKI) is known to affect up to 30% of patients who undergo cardiacsurgeries (CS). This study was done to estimate the incidence of AKI and AKI-D (AKI requiring dialysis) after CS and analyzethe effectiveness of pre-operative scoring.All consecutive patients (1146, Males: 952; Females:194), aged 18-82 years (Mean 55.90; SD:11.15)who underwent CS at AIMS, Kochi, Kerala, from May 2008 to April 2010 were included in the study.Postoperative AKI was defined as >25% change in serum creatinine corresponding to a 20% reduction in Cockroft-Gault GFR from baseline within one week after surgery.The overall incidence of AKI, AKI-D and mortality rate were 25.7, 2.1 and 2.18% respectively.The AKI risk categorization was done by using Cleveland Clinic Foundation score for CS.The frequency of AKI and AKI-D ranged between 13.05 to 92% and 0.24 to 28 %; in low to high risk categories of patients.The need for prolonged hospital stays (> 10 days) and mortality rates ranged between 38.18 to 64% and 0.49 to www.jmscr.igmpublication.org
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