Fatores pré-operatórios associados à injúria renal aguda após cirurgia cardíaca: estudo prospectivo

• Autor(a) principal: Kochi, Ana Claudia [UNESP]
• Data de Publicação: 2008
• Outros Autores: Martins, Antonio Sérgio [UNESP], Lima, Maria Cristina Pereira [UNESP], Martin, Luis Cuadrado [UNESP], Balbi, André Luis [UNESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1590/S0104-42302008000300012; http://hdl.handle.net/11449/11376
• topic: acute kidney injury; acute renal failure; cardiac surgery; complications

OBJECTIVES. To evaluate the clinical characteristics and co-morbidities associated with development of Acute kidney injury (AKI) after cardiac surgery in patients of a predominantly tertiary care university hospital.METHODS. One hundred and fifty cardiac surgery patients were prospectively studied at the Botucatu School of Medicine, University Hospital- UNEP, using a protocol which started 48h before and finished 48h after surgery, AKI was defined as a 30% increase in baseline serum creatinine.RESULTS. Were expressed as mean +/- standard deviation or median, with a significance level of 5%. Results: There was a slight male predominance (57%); mean age of the studied population, was 56 +/- 14 years. Sixty-five per cent of patients underwent myocardial revascularization. AKI was diagnosed in 34% of cases, Multivariate analysis showed that age over 60 years and peripheral vascular disease were significant associated with AKI developmentCONCLUSION. AKI was a common complication in cardiac surgery patients at this hospital, AKI was associated with age over 60 years and presence of peripheral vascular disease.