To determine the risk factors of post operative renal dysfunction (RD) in open heart surgery under CPB
- Author:
Nguyen Quoc Kinh
- Publication Type:Journal Article
- Keywords:
Renal dysfunction
- MeSH:
Thoracic Surgery;
Risk Factors
- From:Journal of Practical Medicine
2005;0(6):15-18
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Material and methods: all patients with open heart surgery were enrolled in a case-control study. Renal dysfunction (RD) is defined as creatinine clearance < 60 ml/min. 16 risk factors were analyzed in logistic regression to define the adjusted OR. Results: There were 14 independent risk factors of post-operative RD, consisting of 5 pre-operatives, 4 perCPB and 5 post-operative risk factors. Conclusions: 14 independent risk factors of postoperative RD were: CPB >120 min, years ≤14 , EF <0.6, cardiogenic shock, aortic cross-clamping >60 min, preoperative RD, per-CPB RD, infusion of catecholamine > 2 hours , mechanical ventilation >48 hours, hypotension >2 hours, hypovolemia, cardio-thoracic index >0.5, mean pulmonary artery pressure ≥ 25 mm/Hg, hemoglobinuria (+).
