Volume : 3, Issue : 3, March - 2014

Estimated Preoperative Renal Function as A Reliable Risk Factor That Predicts for Acute Kidney Dysfunction After Cardiac Surgery

Dr. Nikolin Filipi

Abstract :

 Acute kidney dysfunction (AKD) is a common and serious postoperative complication after cardiac surgery. Different risk factors are identified for post cardiac surgery AKD. It is associated with a dramatic rise in mortality rate. We stratified patients into two levels of estimated preoperative creatinine clearance in order to analyze the effect of a number of pre-, intra-, and postoperative variables on post-operative renal function. In patients with eGFR ≥ 60 mL/min (n = 15), advanced age, obesity, diabetes were independently associated with the onset of AKD (see Table 3). In patients eGFR < 60 mL/min (n = 54), baseline SCr and obesity were predictors of AKD. The reduction well-known risk factors for AKD, the graft number, total operational time and hemodilution during CBP, appear as very important risk factors though they are potentially modifiable.