Fatores pré-operatórios associados à injúria renal aguda após cirurgia cardíaca: estudo prospectivo

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Data

2008-05-01

Autores

Kochi, Ana Claudia [UNESP]
Martins, Antonio Sérgio [UNESP]
Lima, Maria Cristina Pereira [UNESP]
Martin, Luis Cuadrado [UNESP]
Balbi, André Luis [UNESP]

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Editor

Associação Médica Brasileira

Resumo

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- UNEP, 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 significant associated with AKI developmentCONCLUSION. 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.

Descrição

Palavras-chave

acute kidney injury, acute renal failure, cardiac surgery, complications

Como citar

Revista da Associação Médica Brasileira. São Paulo: Assoc Médica Brasileira, v. 54, n. 3, p. 208-213, 2008.