Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery

The course of perioperative period in 719 patients undergoing CABG in the Research Institute for Complex Issues of Cardiovascular Diseases between March, 2011 and April, 2012 was evaluated. All the patients had creatinine concentrations, glomerular filtration rate (GFR by MDRD) and daily urine micr...

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Main Authors: K. S. Shafranskaja, A. A. Kuzmina, D. A. Sumin, K. V. Kamlenok, K. E. Krivoshapova, V. V. Kalaeva, M. V. Evseeva, O. L. Barbarash, L. S. Barbarash
Format: Article
Language:Russian
Published: Siberian Branch of Russian Academy of Sciences, Research Institute of Internal and Preventive Medicine, branch of the Institute of Cytology and Genetics 2013-03-01
Series:Атеросклероз
Subjects:
Online Access:https://ateroskleroz.elpub.ru/jour/article/view/662/599
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author K. S. Shafranskaja
A. A. Kuzmina
D. A. Sumin
K. V. Kamlenok
K. E. Krivoshapova
V. V. Kalaeva
M. V. Evseeva
O. L. Barbarash
L. S. Barbarash
author_facet K. S. Shafranskaja
A. A. Kuzmina
D. A. Sumin
K. V. Kamlenok
K. E. Krivoshapova
V. V. Kalaeva
M. V. Evseeva
O. L. Barbarash
L. S. Barbarash
author_sort K. S. Shafranskaja
collection DOAJ
description The course of perioperative period in 719 patients undergoing CABG in the Research Institute for Complex Issues of Cardiovascular Diseases between March, 2011 and April, 2012 was evaluated. All the patients had creatinine concentrations, glomerular filtration rate (GFR by MDRD) and daily urine microalbumin levels measured before CABG and at day 7 after CABG. Major event rates were assessed (myocardial infarction, stroke or transient ischemic attack, acute or decompensated chronic renal failure or remediastinotomy) during the hospital stay. The EuroSCORE was calculated for each patient. Different EuroSCORE risk patients had similar serum creatinine levels while microalbumin concentrations in daily urine were significantly higher in moderate and high EuroSCORE risk groups before the surgery as compared to low-risk patients. Patients who experienced postoperative events had significantly higher microalbuminuria both before and after surgery while there were no differences in such renal dysfunction markers as creatinine and GFR. Preoperative microalbuminuria assessment can act as a marker of complicated postoperative period after CABG.
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spelling doaj.art-f5d00a6e43114787980fb7bb66c4177a2023-01-03T11:21:38ZrusSiberian Branch of Russian Academy of Sciences, Research Institute of Internal and Preventive Medicine, branch of the Institute of Cytology and GeneticsАтеросклероз2078-256X2013-03-01912128Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgeryK. S. Shafranskaja0A. A. Kuzmina1D. A. Sumin2K. V. Kamlenok3K. E. Krivoshapova4V. V. Kalaeva5M. V. Evseeva6O. L. Barbarash7L. S. Barbarash8RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"Russian Ministry of Health Russian Federation State educational institution of higher professional education "Kemerovo State Medical Academy"Russian Ministry of Health Russian Federation State educational institution of higher professional education "Kemerovo State Medical Academy"RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"Russian Ministry of Health Russian Federation State educational institution of higher professional education "Kemerovo State Medical Academy"RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases"RAMS Russian Federation SB RAMS Federal State Budgetary Institution "Research Institute of Complex Problems of Cardiovascular Diseases" The course of perioperative period in 719 patients undergoing CABG in the Research Institute for Complex Issues of Cardiovascular Diseases between March, 2011 and April, 2012 was evaluated. All the patients had creatinine concentrations, glomerular filtration rate (GFR by MDRD) and daily urine microalbumin levels measured before CABG and at day 7 after CABG. Major event rates were assessed (myocardial infarction, stroke or transient ischemic attack, acute or decompensated chronic renal failure or remediastinotomy) during the hospital stay. The EuroSCORE was calculated for each patient. Different EuroSCORE risk patients had similar serum creatinine levels while microalbumin concentrations in daily urine were significantly higher in moderate and high EuroSCORE risk groups before the surgery as compared to low-risk patients. Patients who experienced postoperative events had significantly higher microalbuminuria both before and after surgery while there were no differences in such renal dysfunction markers as creatinine and GFR. Preoperative microalbuminuria assessment can act as a marker of complicated postoperative period after CABG.https://ateroskleroz.elpub.ru/jour/article/view/662/599coronary artery bypass surgeryprognosismicroalbuminuria
spellingShingle K. S. Shafranskaja
A. A. Kuzmina
D. A. Sumin
K. V. Kamlenok
K. E. Krivoshapova
V. V. Kalaeva
M. V. Evseeva
O. L. Barbarash
L. S. Barbarash
Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery
Атеросклероз
coronary artery bypass surgery
prognosis
microalbuminuria
title Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery
title_full Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery
title_fullStr Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery
title_full_unstemmed Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery
title_short Role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery
title_sort role of microalbuminuria for inhospital event risk assessment after coronary artery bypass surgery
topic coronary artery bypass surgery
prognosis
microalbuminuria
url https://ateroskleroz.elpub.ru/jour/article/view/662/599
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