Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria
OBJECTIVE: To compare the RIFLE (Risk, Injury, Failure, Loss and End-stage Renal Failure) and AKIN (Acute Kidney Injury Network) criteria for diagnosis of acute kidney injury after coronary artery bypass grafting. METHODS: Retrospective cohort. 169 patients who underwent coronary artery bypass graft...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
2013-06-01
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382013000200012&lng=en&tlng=en |
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| author | Vinicius José da Silva Nina Maryanne Miranda Matias Dyego José de Araújo Brito José Albuquerque de Figueiredo Neto Léa Barroso Coutinho Rayssa Fiterman Rodrigues Vinícius Giuliano Gonçalves Mendes Shirlyne Fabianni Dias Gaspar |
| author_facet | Vinicius José da Silva Nina Maryanne Miranda Matias Dyego José de Araújo Brito José Albuquerque de Figueiredo Neto Léa Barroso Coutinho Rayssa Fiterman Rodrigues Vinícius Giuliano Gonçalves Mendes Shirlyne Fabianni Dias Gaspar |
| author_sort | Vinicius José da Silva Nina |
| collection | DOAJ |
| description | OBJECTIVE: To compare the RIFLE (Risk, Injury, Failure, Loss and End-stage Renal Failure) and AKIN (Acute Kidney Injury Network) criteria for diagnosis of acute kidney injury after coronary artery bypass grafting. METHODS: Retrospective cohort. 169 patients who underwent coronary artery bypass grafting from January 2007 through December 2008 were analyzed. Information was entered into a database and analyzed using STATA 9.0. RESULTS: Patients' mean age was 63.43 1 9.01 years old. Predominantly male patients (66.86%) were studied. Acute Kidney Injury was present in 33.14% by AKIN and in 29.59% by RIFLE. Hemodialysis was required by 3.57% and 4.0% of the patients when AKIN and RIFLE were applied respectively. There was 4.0% and 3.57% mortality of patients with Acute Kidney Injury according to the RIFLE and AKIN criteria, respectively. In 88.76% of the cases, there was good agreement between the two methods in the detection (kappa=0.7380) and stratification (kappa=0.7515) of Acute Kidney Injury. CONCLUSION: This study showed that the RIFLE and AKIN criteria have a good agreement in the detection and stratification of acute kidney injury after coronary artery bypass grafting. |
| first_indexed | 2024-04-14T01:00:23Z |
| format | Article |
| id | doaj.art-437ff06093d84fbc84e1327dcdc6da0b |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-14T01:00:23Z |
| publishDate | 2013-06-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-437ff06093d84fbc84e1327dcdc6da0b2022-12-22T02:21:26ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412013-06-0128223123710.5935/1678-9741.20130033S0102-76382013000200012Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteriaVinicius José da Silva Nina0Maryanne Miranda Matias1Dyego José de Araújo Brito2José Albuquerque de Figueiredo Neto3Léa Barroso Coutinho4Rayssa Fiterman Rodrigues5Vinícius Giuliano Gonçalves Mendes6Shirlyne Fabianni Dias Gaspar7Universidade Federal do MaranhãoUniversidade Federal do MaranhãoUniversidade Federal do MaranhãoUniversidade Federal do MaranhãoUniversidade Federal do MaranhãoUniversidade Federal do MaranhãoUniversidade Federal do MaranhãoUniversidade Federal do MaranhãoOBJECTIVE: To compare the RIFLE (Risk, Injury, Failure, Loss and End-stage Renal Failure) and AKIN (Acute Kidney Injury Network) criteria for diagnosis of acute kidney injury after coronary artery bypass grafting. METHODS: Retrospective cohort. 169 patients who underwent coronary artery bypass grafting from January 2007 through December 2008 were analyzed. Information was entered into a database and analyzed using STATA 9.0. RESULTS: Patients' mean age was 63.43 1 9.01 years old. Predominantly male patients (66.86%) were studied. Acute Kidney Injury was present in 33.14% by AKIN and in 29.59% by RIFLE. Hemodialysis was required by 3.57% and 4.0% of the patients when AKIN and RIFLE were applied respectively. There was 4.0% and 3.57% mortality of patients with Acute Kidney Injury according to the RIFLE and AKIN criteria, respectively. In 88.76% of the cases, there was good agreement between the two methods in the detection (kappa=0.7380) and stratification (kappa=0.7515) of Acute Kidney Injury. CONCLUSION: This study showed that the RIFLE and AKIN criteria have a good agreement in the detection and stratification of acute kidney injury after coronary artery bypass grafting.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382013000200012&lng=en&tlng=enRevascularização miocárdicaLesão renal agudaFatores de risco |
| spellingShingle | Vinicius José da Silva Nina Maryanne Miranda Matias Dyego José de Araújo Brito José Albuquerque de Figueiredo Neto Léa Barroso Coutinho Rayssa Fiterman Rodrigues Vinícius Giuliano Gonçalves Mendes Shirlyne Fabianni Dias Gaspar Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria Brazilian Journal of Cardiovascular Surgery Revascularização miocárdica Lesão renal aguda Fatores de risco |
| title | Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria |
| title_full | Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria |
| title_fullStr | Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria |
| title_full_unstemmed | Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria |
| title_short | Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria |
| title_sort | acute kidney injury after coronary artery bypass grafting assessment using rifle and akin criteria |
| topic | Revascularização miocárdica Lesão renal aguda Fatores de risco |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382013000200012&lng=en&tlng=en |
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