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http://dx.doi.org/10.5762/KAIS.2013.14.4.1728

Risk Factors for Development of Acute Renal Failure in Patient undergoing Open Heart Surgery  

Jeon, Hyun Rye (Dongsan Medical Center, Keimyung University)
Park, Jeong Sook (College of Nursing, Keimyung University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.14, no.4, 2013 , pp. 1728-1736 More about this Journal
Abstract
The purpose of this study is to identify prognostic predictors of postoperative acute renal failure(ARF) for the patient undergoing cardiac surgery. Retrospectively review the electronic hospital database at a A hospital from Jan 2008 to Dec. 2011. 483 patients were included in this study. They were divided into a occurrence of ARF group(n=59) and a non occurrence of ARF group(n=424). ARF occurred in 59 cases (12.2%). Multi-variable logistic regression analysis identified that preoperative risk factors include creatinine(OR 3.92, p=<.001), advanced age(OR 2.142, p=.015), female(OR 2.165, p=.015), hypertension(OR 2.513, p=.005), NYHA(New York Heart Association) class II(OR 3.081, p=.003), and III(OR 6.759, p=.004), and intraoperative risk factor includes blood transfusion(OR 3.753, p=<.001), and postoperative factors include bilirubin(OR 4.541, p=.028), creatine(OR 8.554, p=.003), and cardiac output(OR 0.214, p=.033) as a prognostic predictors. The development of postoperative ARF could be a reason for increase in rate of complication and mortality after cardiac surgery. therefore the prevention of ARF is of paramount importance and treatment strategies are urgently needed.
Keywords
Acute Renal Failure; Heart Surgery; Risk Factors;
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