Effects of biorhythm factors on development of acute kidney injury after cardiac surgery using cardiopulmonary bypass: a retrospective cohort study
10.3760/cma.j.cn131073.20240524.00909
- VernacularTitle:生物节律因素对体外循环心脏手术后AKI发生的影响：回顾性队列研究
- Author:
Xiaodong LI
1
;
Jing WEN
;
Xiao XU
;
Xianjian LIAO
;
Yuxi SONG
;
Jiaxiang DUAN
;
Kaizhi LU
;
Bin YI
;
Jiaolin NING
Author Information
1. 陆军军医大学第一附属医院麻醉科，重庆 400038
- Keywords:
Biorhythm;
Extracorporeal circulation;
Acute kidney injury;
Cohort studies;
Cardiac procedures
- From:
Chinese Journal of Anesthesiology
2024;44(9):1093-1096
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effects of biorhythm factors on the occurrence of acute kidney injury (AKI) after cardiac surgery using cardiopulmonary bypass.Methods:This was a retrospective cohort study. Data from patients undergoing heart surgery involving cardiopulmonary bypass from June 2018 to December 2019 were collected and divided into 2 groups ( n=125 each) based on the time of anesthesia operation: morning rhythm group (group Ⅰ) and afternoon rhythm group (group Ⅱ). Anesthesia operation was performed from 8: 00 to 12: 00 in group Ⅰ. Anesthesia was performed from 14: 00 to 18: 00 in group Ⅱ. The occurrence of postoperative AKI and other postoperative complications (pulmonary infection, sepsis, cerebral infarction) was recorded. Results:Compared with group Ⅱ, the incidence of postoperative AKI was significantly increased, the relative risk was 3.2 (95% confidence interval 1.31-7.70), and no significant change was found in the incidence of pulmonary infection, sepsis and cerebral infarction in group Ⅰ ( P>0.05). Conclusions:Biorhythm factors affect the development of AKI after cardiac surgery using cardiopulmonary bypass, and performing surgeries in the afternoon rather than the morning helps reduce the risk of postoperative AKI.
