التفاصيل البيبلوغرافية
| العنوان: |
Association of urine output during cardiopulmonary bypass and postoperative acute kidney injury in patients undergoing coronary artery bypass graft. |
| المؤلفون: |
Khademi, Saeed, Mehr, Leila Shojaei, Janati, Mansour, Jouybar, Reza, Dehghanpisheh, Laleh |
| المصدر: |
Perfusion; Apr2023, Vol. 38 Issue 3, p567-573, 7p |
| مصطلحات موضوعية: |
SURGICAL complication risk factors, STATISTICS, CORONARY artery bypass, BLOOD urea nitrogen, URINATION, EVALUATION, MULTIPLE regression analysis, AGE distribution, RETROSPECTIVE studies, ACQUISITION of data, SURGERY, PATIENTS, TREATMENT duration, MANN Whitney U Test, FISHER exact test, RISK assessment, T-test (Statistics), REGULATION of body fluids, MEDICAL records, RESEARCH funding, CHI-squared test, CARDIOPULMONARY bypass, DATA analysis, RECEIVER operating characteristic curves, DATA analysis software, ACUTE kidney failure, CREATININE, DISEASE risk factors |
| مصطلحات جغرافية: |
IRAN |
| مستخلص: |
Introduction : Acute kidney injury (AKI) is a common complication in patients undergoing coronary artery bypass graft (CABG) surgery and is associated with significant morbidity and mortality. We investigated the association of urine output (U/O) during cardiopulmonary bypass (CPB) with postoperative AKI in a cohort of patients undergoing elective CABG. Materials and Methods : This single-center retrospective study used data from patients undergoing elective CABG with CPB (March 2015 to March 2020). Demographic data and perioperative information were extracted from the Patients' records. Urine output during CPB and in the first 3 days after surgery was also recorded. Acute kidney injury was defined according to the Acute Kidney Injury Network (AKIN) classification. Spearman's correlation analysis was used to evaluate the relationship between quantitative variables and multiple logistic regression analysis was applied to determine AKI predictors. Results : A total of 532 patients with a mean age of 56.83 ± 7.99 years were analyzed. In the first 48 h after surgery, the incidence of AKI was 18%, of which, 7 (2.7%) patients developed stage II of AKI. There was no significant correlation between U/O during CPB and change in postoperative blood urea nitrogen (BUN) and creatinine. Oliguria during CPB was not observed in any of the patients. Age and duration of bypass were identified as predictors of AKI. Conclusion : In this study, the incidence of AKI was 18% and there was no significant correlation between U/O during CPB and changes in postoperative BUN and creatinine. Age and duration of bypass were independent risk factors of AKI. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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