Risk factors for acute kidney injury after Sun’ s procedure in patients with acute aortic dissection
10.3760/cma.j.issn.1001-4497.2016.07.007
- VernacularTitle:急性主动脉夹层孙氏手术后急性肾损伤临床研究
- Author:
Wei SHANG
;
Min MA
;
Caixia RUAN
;
Wei ZHANG
;
Nan LIU
;
Xiaotong HOU
;
Lizhong SUN
- Publication Type:Journal Article
- Keywords:
Acute aortic dissection;
Acute kidney injury;
Fluid balance;
Risk factors
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2016;32(7):407-410
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the independent risk factors associated with acute kidney injury(AKI)after Sun’s pro-cedure in the patients with acute aortic dissection .Methods Clinical data of 400 patients who underwent Sun ’ s procedure from February 2009 to August 2013 were collected.Data included preoperative GFR, Cleveland values, CPB time and fluid balance of 24 h intra and after operation were gathered .The patients were divided into the group of AKI and the group of non-AKI accounting to the changing of serum creatinine.Results AKI was occurred in 150(37.5%) patients.Hospital mortality in AKI group was significant higher than that in the non-AKI group(11.3% vs.2.4%, P<0.05).Univariable analysis re-vealed male, BWI, hypertension, preoperative MAP,WBC, eGFR, Cleveland value, cardiopulmonary bypass time, intra and postoperative fluid balance for 24 h have significant difference between 2 groups.Multivariate logistic regression analysis showed hypertension, Cleveland value, cardiopulmonary bypass time and fluid balance were independent risk factors for AKI .Conclu-sion AKI after acute aortic dissection was a severe complication .Hypertension, Cleveland value, cardiopulmonary time and fluid balance were associated with AKI.
