RIFLE criteria for impact of acute kidney injury on early and long-term outcome after acute type A dissection surgery
10.3760/cma.j.issn.1001-4497.2016.07.004
- VernacularTitle:应用 RIFLE 标准评价急性主动脉 A 型夹层术后急性肾功能损伤对近远期结果的影响
- Author:
Hong LIU
;
Haitao ZHANG
;
Qian CHANG
;
Cuntao YU
;
Xiaogang SUN
;
Xiangyang QIAN
- Publication Type:Journal Article
- Keywords:
Acute type A dissection;
Deep hypothermic circulatory arrest;
Acute kidney injury
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2016;32(7):395-398
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the impact of acute kidney injury ( AKI ) on early and long-term outcome using RIFLEcriteria in patients after acute type A dissection surgery.Methods Between January 2006 and June 2011, 286 cases a-cute type A dissection patients underwent deep hypothermic circulatory arrest surgery were retrospectively analyzed .Using RIFLEcriteria to classfy AKI to risk, injury and failure stages and comparing 30-day mortality, dialysis, ventilation time, ICU stay, hospital stay and cost, and three-year mortality.Multivariate analyses were performed to identify predictors of failure stage.Results AKI was detected in 160 patients(55.9%), and risk 85 cases(29.7%), injury 39 cases(13.6%), failure 36 cases(12.6%).Dialysis rate, ventilation time, ICU stay, cost, and 30-day mortality increased with worsening severity of renal injury, and these was significant increased in failure stage than other groups .There was no association between severity of renal injury and 3-year mortality.Multiple logistic regression showed that malperfusion syndrome ( OR =3.499, 95%CI:1.019-12.013, P=0.047) and WBC(OR=1.121, 95%CI:1.017 -1.237, P=0.022) were independent predictors of renal failure.Conclusion Postoperative mild and morderate acute kidney injury were common in acute type A dissection pa-tients.The severe acute kidney injury had association with poor early outcome .
