[Preoperative factors for the development of acute kidney injury after cardiac surgery: prospective study]

Rev Assoc Med Bras (1992). 2008 May-Jun;54(3):208-13. doi: 10.1590/s0104-42302008000300012.
[Article in Portuguese]

Abstract

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 - UNESP, 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 significantly associated with AKI development.

Conclusion: 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.

Publication types

  • English Abstract

MeSH terms

  • Acute Kidney Injury / epidemiology
  • Acute Kidney Injury / etiology*
  • Adolescent
  • Adult
  • Age Factors
  • Brazil / epidemiology
  • Cardiovascular Diseases / epidemiology
  • Cardiovascular Diseases / surgery*
  • Epidemiologic Methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction
  • Myocardial Revascularization / adverse effects*
  • Peripheral Vascular Diseases / surgery
  • Postoperative Period
  • Preoperative Care
  • Sex Factors
  • Young Adult