Survival and Risk Factors Among Dialytic Acute Kidney Injury Patients After Cardiovascular Surgery

Silva, Andrea B V; Cavalcante, Agueda Maria Ruiz Zimmer; Taniguchi, Fábio Papa

doi:10.21470/1678-9741-2017-0184

Cited by 6 publications

(8 citation statements)

References 23 publications

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“…Glomerular filtration rate (GFR) is an important component that determines the occurrence of AKI in post cardiovascular patients. Research has shown that GFR <30 before surgery is a risk factor for postoperative AKI (Silva et al, 2018). his is consistent with other studies which state that preoperative GFR can be used to predict the risk of postoperative AKI (Wu et al, 2019).…”

Section: Introductionsupporting

confidence: 86%

Risk Factors Analysis of Acute Kidney Injury Incidence Following Coronary Artery Bypass Graft with Cardiopulmonary Bypass in Indonesia

Adisurya¹,

Abbas²,

Setiawan³

et al. 2021

International Journal of Scientific Advances

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Introduction: The incidence of postoperative CABG AKI in Indonesia, one of which is in the city of Surabaya, is known to reach 69.8%. For this reason, this study was prepared with the aim of analyzing the risk factors of Acute Kidney Injury Incidence following coronary artery bypass graft with cardiopulmonary bypass. Method: The study conducted a prospective analytic study on CABG patients with the CPB technique without a history of previous kidney disease at a hospital in Indonesia in the period 2020. Results: Through the results of the study, it was found that 14 people were diagnosed as AKI after surgery, of which 11 were men. On the other hand, it is also known that AKI patients also experience a longer duration of CPB and also lower plasma osmolarity Conclusion: Of all the factors it is known that eGFR is an independent risk factor for AKI.

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Section: Introductionsupporting

confidence: 86%

Risk Factors Analysis of Acute Kidney Injury Incidence Following Coronary Artery Bypass Graft with Cardiopulmonary Bypass in Indonesia

Adisurya¹,

Abbas²,

Setiawan³

et al. 2021

International Journal of Scientific Advances

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“…It has been shown that the mortality was 50% in the patients who needed dialysis [60] . Silva et al [61] proved in a retrospective study that AKI patients requiring dialysis during postoperative period were a risk factor of late mortality. Zheng et al [9] reported that patients with oliguresis of 3 hours showed a higher drug cure rate and a lower mortality rate than those with oliguresis >5-6 hours (drug cure rate: 75.8% vs .…”

Section: Treatmentmentioning

confidence: 99%

Acute Kidney Injury after Cardiac Surgery: Risk Factors and Novel Biomarkers

Yuan¹

2019

Braz J Cardiovasc Surg

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Acute kidney injury (AKI) is a common and severe complication after cardiac surgery. Currently, a series of novel biomarkers have favored the assessment of AKI after cardiac surgery in addition to the conventional indicators. The biomartkers, such as urinary liver fatty acid binding protein (L-FABP), urinary neutrophil gelatinase-associated lipocalin (NGAL), serum L-FABP, heart-type FABP, kidney injury molecule 1 (KIM-1), and interleukin-18 were found to be significantly higher in patients who developed AKI after cardiac surgery than those who did not. Apart from urinary interleukin-18, the novel biomarkers have been recognized as reliable indicators for predicting the diagnosis, adverse outcome, and even mortality of AKI after cardiac surgery. The timing of the renal replacement therapy is a significant predictor relating to patients’ prognoses. In patients with AKI after cardiac surgery, renal replacement therapy should be performed as early as possible in order to achieve promising outcomes. In children, AKI after cardiac surgery can be managed with peritoneal dialysis. AKI after cardiac surgery has received extensive attention as it may increase early mortality and impact long-term survival of patients as well. The purpose of this article was to analyze the changes of the pertinent biomarkers, to explore the related risk factors leading to the occurrence of AKI after cardiac surgery, and to provide a basis for the clinical prevention and reduction of AKI.

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“…Postoperative acute kidney injury (AKI), a common complication of cardiac surgery [ 7 ], is a clinical syndrome characterized by water, electrolyte, and acid-base imbalances, and accumulation of nitrogenous wastes caused by a rapid decrease in glomerular filtration function within hours to weeks [ 8 ]. AKI occurs in 2.7–70% of patients with CHD who undergo cardiac surgery [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

A meta-analysis of the incidence rate of postoperative acute kidney injury in patients with congenital heart disease

Li¹,

Niu²,

Huang³

et al. 2020

BMC Nephrol

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Background Acute kidney injury (AKI) is a common complication of cardiac surgery. However, the incidence rate of AKI in patients with congenital heart disease (CHD) greatly varies between reports owing to the different definitions used for AKI. Therefore, this study was designed as a meta-analysis aimed at summarizing the incidence rate of AKI in patients with congenital heart disease (CHD) on the basis of different AKI criteria. Methods Studies published till April 24, 2020, on the incidence rate of AKI in patients with CHD, were retrieved from electronic databases and printed literature. To pool data from the included studies, the effect size, a combined statistics, was chosen and presented with the incidence rate and 95% confidence interval (CI). Heterogeneity was evaluated using I 2 statistics and Cochran Q test. The incidence rates obtained from the subgroup analysis according to study location, type of surgery, type of cohort, age, and AKI criteria) were also evaluated to determine the correlation of AKI with these factors. Publication bias was estimated using the Egger test. Results Thirty studies, comprising 9925 patients with AKI who had CHD, were included. Overall, the pooled incidence rate of AKI in the patients with CHD was 38.4% (95% CI, 32.0–44.7%). However, the incidence rate was not significantly affected by gender, study location, type of surgery, type of cohort, and AKI criteria. Moreover, age was significantly associated with the incidence of AKI, and the incidence rate was higher in the patients aged < 1 month than in those aged 1 month to 18 years, < 18 years, and ≥ 18 years ( P < 0.05). Conclusions In this study, the estimated incidence rate of AKI in patients with CHD was 38.4% and may be influenced by age. These findings highlight the importance of further investigation of the specific causes of and effective preventive measures for AKI.

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Survival and Risk Factors Among Dialytic Acute Kidney Injury Patients After Cardiovascular Surgery

Cited by 6 publications

References 23 publications

Risk Factors Analysis of Acute Kidney Injury Incidence Following Coronary Artery Bypass Graft with Cardiopulmonary Bypass in Indonesia

Risk Factors Analysis of Acute Kidney Injury Incidence Following Coronary Artery Bypass Graft with Cardiopulmonary Bypass in Indonesia

Acute Kidney Injury after Cardiac Surgery: Risk Factors and Novel Biomarkers

A meta-analysis of the incidence rate of postoperative acute kidney injury in patients with congenital heart disease

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