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Analysis of the risk factors of acute renal insufficiency following coronary artery bypass grafting / 中华外科杂志
Chinese Journal of Surgery ; (12): 1532-1534, 2006.
Article em Zh | WPRIM | ID: wpr-288553
Biblioteca responsável: WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To study the risk factors of acute renal insufficiency (ARI) following coronary artery bypass grafting (CABG).</p><p><b>METHODS</b>The clinic data of 2242 patients undertaking CABG between July 1997 and July 2006 were retrospectively analyzed, and ARI following CABG was included.</p><p><b>RESULTS</b>ARI occurred in 219 patients, with an incidence of 9.8%. Univariate analysis revealed that advanced age, diabetes mellitus, preoperative chronic renal dysfunction, left main disease, low left ventricular erection faction, emergency operation, on-pump CABG, ascending aortic atherosclerosis, postoperative respiratory function insufficiency and low cardiac output syndrome were significantly related to ARI following CABG, and logistic multivariate regression analysis showed that presence of advanced age (P = 0.031), preoperatively chronic renal dysfunction (CrCl <or= 60 ml/min, P = 0.023 or Scr >or= 150 micromol/L, P = 0.041), on-pump CABG (P < 0.001), postoperative respiratory function insufficiency (P = 0.013) and low cardiac output syndrome (P = 0.004) were independent risk factors of ARI.</p><p><b>CONCLUSIONS</b>Advanced age, preoperatively chronic renal dysfunction, on-pump CABG, postoperative respiratory function insufficiency and low cardiac output syndrome are the risk factors of ARI following CABG.</p>
Assuntos
Texto completo: 1 Índice: WPRIM Assunto principal: Complicações Pós-Operatórias / China / Ponte de Artéria Coronária / Epidemiologia / Incidência / Estudos Retrospectivos / Fatores de Risco / Injúria Renal Aguda Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: Asia Idioma: Zh Revista: Chinese Journal of Surgery Ano de publicação: 2006 Tipo de documento: Article
Texto completo: 1 Índice: WPRIM Assunto principal: Complicações Pós-Operatórias / China / Ponte de Artéria Coronária / Epidemiologia / Incidência / Estudos Retrospectivos / Fatores de Risco / Injúria Renal Aguda Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: Asia Idioma: Zh Revista: Chinese Journal of Surgery Ano de publicação: 2006 Tipo de documento: Article