Open AccessINCIDENCE AND DIFFERENT RISK FACTORS OF CARDIAC SURGERY ASSOCIATED ACUTE KIDNEY INJURY
Author(s) -
Lubna Shaheen,
. Amna,
Syed Shaheer Haider Bukhari,
Rehana Javaid,
Rashad Sidiqui
Publication year - 2021
Publication title -
pakistan armed forces medical journal
Language(s) - English
Resource type - Journals
eISSN - 2411-8842
pISSN - 0030-9648
DOI - 10.51253/pafmj.v70isuppl-4.6030
Subject(s) - medicine , acute kidney injury , cardiac surgery , incidence (geometry) , surgery , creatinine , complication , artery , renal function , cardiopulmonary bypass , kidney , cardiology , physics , optics
Objective: To identify the incidence of cardiac surgery associated acute kidney injury and its association with different risk factors.
Study Design: Descriptive cross sectional study.
Place and Duration of Study: Adult cardiac surgery department, AFIC/NIHD, from Jan to Jun 2019.
Methodology: Three hundred forty patients undergoing cardiac surgery were evaluated for Cardiac Surgery associated acute kidney injury according to acute kidney injury network criteria over a period of 6 months. The chi-square test was used find the relationship of different factor for cardiac surgery associated acute kidney injury.
Results: Total of 430 patients were included. 345 (80.2%) were male and mean age of 55 ± 11.6 years and mean pre operative creatinine clearance was 80.7 ml/hr. Coronary artery bypass grafting was the most common procedure performed. Intra aortic balloon pump, Cardio-pulmonary bypass time, AXc time, ionotropes, transfusion of RCC and FFPs were found to be highly significant risk factors of acute kidney injury.
Conclusion: Cardiac surgery associated acute kidney injury is very common complication; some of the modifiablefactors should be identified and controlled to reduce acute kidney injury.