Open AccessRisk factors of acute cardiac surgery-associated kidney injury in newborns and infants with congenital heart defects
Author(s) -
А.А. Селиверстова,
Н. Д. Савенкова,
С. П. Марченко
Publication year - 2019
Publication title -
rossijskij vestnik perinatologii i pediatrii
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 4
eISSN - 2500-2228
pISSN - 1027-4065
DOI - 10.21508/1027-4065-2019-64-2-63-67
Subject(s) - medicine , cardiac surgery , acute kidney injury , kidney , risk factor , cardiology , blood lactate , heart defect , mechanical ventilation , anesthesia , surgery , heart disease , heart rate , blood pressure
Objective. To identify risk factors for acute cardiac surgery-associated kidney damage in 214 newborns and infants with congenital heart defects. Results. 54.7% of 95 newborns and 46.2% of 119 infants have acute cardiac surgery-associated kidney injury. There have been determined statistically significant risk factors of acute cardiac surgery-associated kidney injury: in newborns – the level of lactate in blood plasma more than 2.5 mmol/l and artificial lung ventilation (87.1% as compared to 39.1% without these factors; 93.8 and 46.8% accordingly; р< 0.001), in infants – level of lactate in blood plasma more than 2.5 mmol/l before surgery as compared to those without these factors (96.4% as compared to 30.8% without this factor; р< 0.001).