| Acute renal failure after isolated CABG surgery: six years of experience. | |
| | |
MedLine Citation:
|
PMID: 17952028 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: A prospective observational study was carried out in a Cardiosurgical Intensive Care Unit (ICU) in order to evaluate the incidence of Acute Renal Failure (ARF) after coronary artery bypass graft surgery and identify its predictors. The effects of ARF on outcome were also investigated. METHODS: The study enrolled 3,013 consecutive patients undergoing coronary artery bypass graft surgery. Baseline variables including age, sex, preoperative renal failure, left-ventricular dysfunction, emergency surgery, neurological adverse events, patient history of chronic obstructive pulmonary disease and diabetes mellitus were collected. Intraoperative variables were: type of surgery (on- or off-pump), intra-aortic balloon pump placement, and cardiopulmonary bypass duration. The measured postoperative variables were: low cardiac output syndrome, hemorrhage, transfusion of blood products, and surgical revision. RESULTS: Preoperative renal dysfunction (creatinine >1.4 mg/dL), blood transfusion, low-output syndrome, emergency surgery, low ejection fraction and age were independently associated with ARF. The median (interquartile range) ICU stay was 5.5 (range 4-11.5) days in patients who did and 1 (range 1-2) day in those who did not develop ARF (P<0.001). The median (interquartile range) hospital length of stay was 10 (range 8-21) days in patients who did and 5 (range 4-7) days in those who did not develop ARF (P<0.001). CONCLUSION: Preoperative renal dysfunction, blood transfusion, low-output syndrome, emergency surgery, low ejection fraction and age were independently associated with ARF. Length of ICU and hospital stay were reduced in patients not developing ARF. |
| | |
Authors:
|
G Landoni; T Bove; M Crivellari; D Poli; O Fochi; C Marchetti; A Romano; G Marino; A Zangrillo |
Related Documents
:
|
22363388 - Spontaneous sinus conversion of permanent atrial fibrillation during treatment of hyper... 14672528 - Descending aortic pulsed wave doppler can predict changes in cardiac output during off-... 11115448 - Use of intraoperative hetastarch priming during coronary bypass. 12269518 - Timing of coronary artery bypass graft surgery following acute myocardial infarction: a... 9796838 - Effect of ace inhibition on myocardial ischaemia. 8784138 - Middle cerebral artery occlusion in the rat by intraluminal suture. neurological and pa... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Minerva anestesiologica Volume: 73 ISSN: 0375-9393 ISO Abbreviation: Minerva Anestesiol Publication Date: 2007 Nov |
Date Detail:
|
Created Date: 2007-10-22 Completed Date: 2008-02-14 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0375272 Medline TA: Minerva Anestesiol Country: Italy |
Other Details:
|
Languages: eng Pagination: 559-65 Citation Subset: IM |
Affiliation:
|
Department of Cardiothoracic Anesthesia and Intensive Care, Vita-Salute San Raffaele University, San Raffaele Scientific Institute, Milan, Italy. landoni.giovanni@hsr.it |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Coronary Artery Bypass / adverse effects* Female Humans Kidney Failure, Acute / epidemiology*, etiology*, therapy Kidney Function Tests Male Middle Aged Postoperative Complications / epidemiology* Prospective Studies Renal Replacement Therapy Risk Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Childhood ALL and second neoplasms.
Next Document: The unanticipated difficult intubation: rigid or flexible endoscope?