| Autor: |
Santana-Santos, Eduesley, Kamei, Felipe Kenji Oshiro, Nascimento, Tarcísia Karoline do, Abou Ismail, Anas, Herbas Palomo, Jurema da Silva, Silva Magro, Marcia Cristina da, Ferreira, Fátima Gil, de Oliveira, Larissa Bertacchini, Baldacin Rodrigues, Adriano Rogério, Galvão de Lima, José Jayme |
| Předmět: |
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| Zdroj: |
International Journal of Nephrology; 6/30/2016, p1-4, 4p |
| Abstrakt: |
Background. Acute kidney injury (AKI) is a common complication of cardiac surgery but its long-term consequences, in patients with chronic kidney disease (CKD), are not known. Methods. We compared the long-term prognoses of CKD patients who developed (n=23) and did not develop (n=35) AKI during the period of hospitalization after undergoing coronary artery bypass graft (CABG). Fifty-eight patients who survived (69.6±8.4 years old, 72% males, 83% Whites, 52% diabetics, baseline GFR: 46±16 mL/min) were followed up for 47.8±16.4 months and treated for secondary prevention of events. Results. There were 6 deaths, 4 in the AKI+ and 2 in the AKI− group (Log-rank = 0.218), two attributed to CV causes. At the end of the study, renal function was similar in the two groups. One AKI− patient was started on dialysis. Only 4 patients had an increase in serum creatinine ≥ 0.5 mg/dL during follow-up. Conclusion. CKD patients developing AKI that survived the early perioperative period of coronary intervention present good renal and nonrenal long-term prognosis, compared to patients who did not develop AKI. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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