ABSTRACT
Acute kidney injury (AKI) is a sudden decline in renal function after cardiac surgery. It is characterized by a significant reduction in glomerular filtration rate, alterations in serum creatinine (S.Cr) levels, and urine output. This study aimed to retrospectively analyze a cohort of 704 patients selected using stringent inclusion and exclusion criteria. AKI was defined by an increase of 0.3 mg/dL in S.Cr levels compared to baseline. Data were collected from the hospital and analyzed using SPSS 16.0. Data analysis revealed that 22% (nâ =â 155) of the patients developed AKI on the second post-operative day, accompanied by a substantial increase in S.Cr levels (from 1.064â ±â 0.2504 to 1.255â ±â 0.2673, Pâ <â .000). Age and cardiopulmonary bypass duration were identified as risk factors along with ejection fraction and days of hospital stay, contributing to the development of AKI. Early renal replacement therapy can be planned when the diagnosis of AKI is established early after surgery.
Subject(s)
Acute Kidney Injury , Coronary Artery Bypass , Humans , Retrospective Studies , Tertiary Care Centers , Pakistan/epidemiology , Prevalence , Coronary Artery Bypass/adverse effects , Risk Factors , Acute Kidney Injury/diagnosis , Acute Kidney Injury/epidemiology , Acute Kidney Injury/etiology , Kidney/physiology , Postoperative Complications/epidemiology , Postoperative Complications/etiology , Creatinine , Cardiopulmonary Bypass/adverse effectsABSTRACT
OBJECTIVE: The objective of this study is to find out association between scar thickness, assessed sonographically, and intraoperative findings (IOF). STUDY DESIGN: Descriptive study. PLACE AND DURATION OF STUDY: Department of Gynecology and Obstetrics, Sharif Medical and Dental College, Lahore, from June 2016 to April 2017. METHODOLOGY: A total of 70 pregnant patients were included in this study. Transabdominal ultrasound was done for scarred uteri. Sonographic findings were co-related with introperative findings. All the given data were entered on SPSS version 23. Age was expressed as mean ± SD. Parity, gestational age, and interval between cesarean sections were expressed as frequencies with percentages. Statistical analysis was done by using Chi-square test for categorical data for association between sonographic scar thickness and intraoperative findings. The statistical significance was set at p-value <0.05. RESULTS: The age range of the patients was 20-36 years with a mean of 27.91 ±3.690 years. Gestational age at the time of cesarean section was between 27-40 weeks of gestation with a mean of 37 ±2.126 weeks. The interval from previous cesarean was 10 months at the minimum, and 6 years at the maximum with a mean of 2.29 ±1.0 months. Mean scar thickness was 2.5 mm. Association between scar thickness (<1-3 mm) and intaoperative findings of dehiscence and rupture showed a p-value of <0.001. CONCLUSION: Sonographic assessment of a uterine scar has a practical application to determine the thickness of previous scar, and assess its integrity.
