Risk factors for perioperative acute kidney injury in adult cardiac valve surgery with cardiopulmonary bypass
- VernacularTitle:心肺转流下心脏瓣膜术后急性肾损伤的危险因素分析
- Author:
Zhimei FU
;
Min YAN
;
Li'na YU
;
Fengjiang ZHANG
;
Zhenfeng ZHOU
;
Kai SUN
;
- Keywords:
Cardiac valve surgery;
Cardiopulmonary bypass;
Acute kidney injury;
Risk factors
- From:
The Journal of Clinical Anesthesiology
2017;33(6):534-537
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors of acute kidney injury (AKI) in patients undergoing cardiac valve surgery with cardiopulmonary bypass (CPB).Methods A retrospective cohort database study was conducted, involving 1 349 patients undergoing heart valve surgery with CPB technique.Logistic regression was used to screen out the risk factors of AKI after the surgery.Results Of the 1 349 patients, the incidence of AKI in valve surgery was 28.4%.One year older (OR=1.05, 95%CI 1.03-1.06, P<0.001), diabetes (OR=2.11, 95%CI 1.22-3.68, P=0.008), anemia (OR=1.50, 95%CI 1.05-2.21, P=0.026), each additional basic serum creatinine of 1 mg/dl (OR=1.01, 95%CI 1.01-1.02, P=0.001), each additional operation time of 1 hour (OR=1.28, 95%CI 1.15-1.41, P<0.001), plasma transfusion during surgery (OR=1.50, 95%CI 1.14-1.97, P=0.004) were the independent risk factors for AKI in multivariate logistic regression model.Conclusion AKI is a common and serious complication following cardiac valve surgery.More attention should be paid to the patients with elder age, anemia, prolonged operation time, diabetes, increased basic serum creatinine and requirement of plasma transfusion during surgery.
