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Perioperative risk factors for acute kidney injury after off-pump coronary artery bypass grafting: a retrospective study
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kumada, Yuta Yoshitani, Kenji Shimabara, Yusuke Ohnishi, Yoshihiko |
| Copyright Year | 2017 |
| Abstract | BackgroundAcute kidney injury (AKI) after cardiac surgery is associated with increased morbidity and mortality. Although morbidity of AKI after off-pump coronary artery bypass grafting (OPCAB) has been investigated, little is known about risk factors for AKI after OPCAB. To identify risk factors for AKI, we examined the association between perioperative variables and AKI after OPCAB.FindingsWe reviewed the medical records of consecutive adult patients who underwent isolated OPCAB between January 2010 and February 2013 in a single institute, retrospectively. The primary outcome was the incidence of AKI evaluated using Acute Kidney Injury Network classifications during the first 48 h postoperatively. We investigated preoperative and intraoperative variables, including hemodynamic parameters, as potential risk factors for AKI. The relationship between candidates of AKI and incidence of AKI was examined by multivariate logistic regression analysis.A total of 298 patients were enrolled in this study. Acute kidney injury occurred in 47 patients (15.7%). Multivariate logistic regression analysis showed that intraoperative furosemide administration (odds ratio [OR], 5.163; 95% confidence interval, 2.171 to 12.185; P < 0.001] and diabetes mellitus (OR, 1.954; 95% confidence interval, 1.004 to 3.880; P = 0.049) were significantly associated with AKI.ConclusionsIntraoperative furosemide administration and diabetes mellitus were significantly associated with AKI in patients who had received OPCAB. |
| Starting Page | 2444 |
| Ending Page | 2453 |
| Page Count | 10 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://jaclinicalreports.springeropen.com/track/pdf/10.1186/s40981-017-0125-2?site=jaclinicalreports.springeropen.com |
| PubMed reference number | 5804651 |
| Alternate Webpage(s) | https://doi.org/10.1186/s40981-017-0125-2 |
| DOI | 10.1186/s40981-017-0125-2 |
| Journal | JA Clinical Reports |
| Volume Number | 3 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Acute kidney injury Blighia sapida Cardiac Surgery procedures Classification Confidence Intervals Coronary Artery Bypass Surgery Coronary Artery Bypass, Off-Pump Diabetes Mellitus Furosemide Hemodynamics Kidney Diseases Morbidity - disease rate Odds Ratio Patients Transplanted tissue |
| Content Type | Text |
| Resource Type | Article |
