ArticleBrazilian journal of cardiovascular surgery
Acute Kidney Injury after Cardiac Surgery in Patients Without Chronic Kidney Disease.
Article in Brazilian journal of cardiovascular surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 61 citations in OpenAlex.
- Effect of TR Band™ radial artery compression device-screw and air types on bleeding severity after radial arterial line removal in open-heart surgery: A randomized controlled clinical trial.Journal of education and health promotion · 2026Article
- Factors Associated With Postoperative Complications Among Critical Patients Undergoing Open-Heart Surgery: A Cross-Sectional Study.Nursing open · 2025Article
- Article
- Beyond the Valve: Incidence, Outcomes, and Modifiable Factors of Acute Kidney Injury in Patients with Infective Endocarditis Undergoing Valve Surgery-A Retrospective, Single-Center Study.Journal of clinical medicine · 2024Article
- Predictors of short-term survival in cardiac valvular surgery patients with intra-aortic balloon pump implantation.General thoracic and cardiovascular surgery · 2024Article
- Angiopoietin-2 is associated with capillary leak and predicts complications after cardiac surgery.Annals of intensive care · 2023Article
- Acceptance of Acute Kidney Injury Alert by Providers in Cardiac Surgery Intensive Care Unit.Applied clinical informatics · 2023Article
- Cardiac Surgery-associated Acute Kidney Injury in Patients with Preserved Baseline Renal Function.Brazilian journal of cardiovascular surgery · 2022Article
- Validation of Various Prediction Scores for Cardiac Surgery-Associated Acute Kidney Injury.Journal of the Saudi Heart Association · 2022Article
- N-Acetylcysteine Supplementation for the Prevention of Postoperative Liver Dysfunction after On-Pump Cardiac Surgery.Turkish journal of anaesthesiology and reanimation · 2021Article
- Risk Factors for Acute Kidney Injury Requiring Renal Replacement Therapy after Orthotopic Heart Transplantation in Patients with Preserved Renal Function.Journal of clinical medicine · 2021Article
- Accelerated versus delayed initiation of renal-replacement strategies following cardiac surgery.JTCVS open · 2021Article
- Identification of risk factors for renal failure after cardiac surgery by RFILE classification.American journal of cardiovascular disease · 2021Article
- Perioperative Renoprotection: General Mechanisms and Treatment Approaches.Anesthesia and analgesia · 2020Review
- Predicting Acute Kidney Injury after Cardiac Surgery by Machine Learning Approaches.Journal of clinical medicine · 2020Article
- Investigating preoperative myoglobin level as predictive factor for acute kidney injury following cardiac surgery with cardiopulmonary bypass: a retrospective observational study.Brazilian journal of anesthesiology (Elsevier)Observational
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAmong patients undergoing cardiac surgery, the occurrence of acute renal injury appears to be associated with worse prognosis and increased mortality. The objective of this study was to evaluate risk factors and the impact this complication on mortality and survival after cardiac surgery among patients without chronic kidney disease.
methodsIn this retrospective study, we reviewed the medical records of 142 patients who underwent elective coronary artery bypass grafting, valve replacement (single or multiple), or both (simultaneously) at a tertiary care hospital.
resultsAmong the 142 patients evaluated, the mean age was 58.28±13.87 years and 80 (56.33%) were female. The postoperative incidence of acute renal injury was 43.66%. Univariate analysis between the groups with and without acute renal injury revealed no significant differences, whereas multivariate analysis showed that risk factors for acute renal injury included valve replacement (OR=4.7, P=0.002, 95% CI=1.76-12.62, age (OR=1.044, P=0.012, 95% CI=1.01-1.07), previous cardiac surgery (OR=36.1, P=0.015, 95% CI=1.99-653.85), postoperative use of the vasoactive drug norepinephrine (OR=3.32, P=0.013, 95% CI=1.29-8.58) and dobutamine (OR=5.3, P=0.019, 95% CI=1.32-21.64). In our sample, there were 30 deaths, of which 25 had acute kidney injury. Survival was also lower among the patients with this complication, especially those who had required hemodialysis (OR=2.60, P<0.001, 95% CI=1.01-6.70) or had previously undergone cardiac surgery (OR=3.68, P<0.001, 95% CI=1.09-12.37).
conclusionOur findings underscore the importance of identifying risk factors for developing acute renal injury after cardiac surgery, which can further the development of effective renoprotective strategies.
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