Profile of acute kidney injury after open heart surgeries in a tertiary care hospital

Our objective is to determine the incidence, etiology, risk factors and outcome of acute kidney injury (AKI) after open heart surgery. A prospective study was conducted on 62 patients who underwent open heart surgery and were followed-up for the development of AKI and to determine its incidence, eti...

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Main Authors: Fayaz A Rather, Saleem M Najar, Hilal A Malla, A G Ahangar, Hilal M Bhat, Imtiyaz A Wani
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=2015;volume=26;issue=6;spage=1177;epage=1182;aulast=Rather
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author Fayaz A Rather
Saleem M Najar
Hilal A Malla
A G Ahangar
Hilal M Bhat
Imtiyaz A Wani
author_facet Fayaz A Rather
Saleem M Najar
Hilal A Malla
A G Ahangar
Hilal M Bhat
Imtiyaz A Wani
author_sort Fayaz A Rather
collection DOAJ
description Our objective is to determine the incidence, etiology, risk factors and outcome of acute kidney injury (AKI) after open heart surgery. A prospective study was conducted on 62 patients who underwent open heart surgery and were followed-up for the development of AKI and to determine its incidence, etiology and outcome. Post-operative AKI was considered when the post-operative serum creatinine was >1.5 mg/dL or there was doubling of serum creatinine above the baseline (pre-operative) with a prior normal renal function. The incidence of AKI in the post-operative period in our study was 17.7%. The common etiological factors for AKI in our study were sepsis, hypotension, prolonged need for ventilator and inotropic support and drugs given in the post-operative period. The important risk factors for the development of AKI in the post-operative period were hypertension, diabetes mellitus, gout, prolonged total bypass time and prolonged aortic cross-clamp time. The overall mortality in our study subjects was 11.3% (seven of 62 died) and the mortality in the patients who developed post-operative AKI was 71.4%.
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spelling doaj.art-f55409ec594d45f4b1d8e058311d5c062022-12-22T03:45:06ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422015-01-012661177118210.4103/1319-2442.168601Profile of acute kidney injury after open heart surgeries in a tertiary care hospitalFayaz A RatherSaleem M NajarHilal A MallaA G AhangarHilal M BhatImtiyaz A WaniOur objective is to determine the incidence, etiology, risk factors and outcome of acute kidney injury (AKI) after open heart surgery. A prospective study was conducted on 62 patients who underwent open heart surgery and were followed-up for the development of AKI and to determine its incidence, etiology and outcome. Post-operative AKI was considered when the post-operative serum creatinine was >1.5 mg/dL or there was doubling of serum creatinine above the baseline (pre-operative) with a prior normal renal function. The incidence of AKI in the post-operative period in our study was 17.7%. The common etiological factors for AKI in our study were sepsis, hypotension, prolonged need for ventilator and inotropic support and drugs given in the post-operative period. The important risk factors for the development of AKI in the post-operative period were hypertension, diabetes mellitus, gout, prolonged total bypass time and prolonged aortic cross-clamp time. The overall mortality in our study subjects was 11.3% (seven of 62 died) and the mortality in the patients who developed post-operative AKI was 71.4%.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2015;volume=26;issue=6;spage=1177;epage=1182;aulast=Rather
spellingShingle Fayaz A Rather
Saleem M Najar
Hilal A Malla
A G Ahangar
Hilal M Bhat
Imtiyaz A Wani
Profile of acute kidney injury after open heart surgeries in a tertiary care hospital
Saudi Journal of Kidney Diseases and Transplantation
title Profile of acute kidney injury after open heart surgeries in a tertiary care hospital
title_full Profile of acute kidney injury after open heart surgeries in a tertiary care hospital
title_fullStr Profile of acute kidney injury after open heart surgeries in a tertiary care hospital
title_full_unstemmed Profile of acute kidney injury after open heart surgeries in a tertiary care hospital
title_short Profile of acute kidney injury after open heart surgeries in a tertiary care hospital
title_sort profile of acute kidney injury after open heart surgeries in a tertiary care hospital
url http://www.sjkdt.org/article.asp?issn=1319-2442;year=2015;volume=26;issue=6;spage=1177;epage=1182;aulast=Rather
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