Serious Acute Renal Failure following Open Heart Surgery

Autor: Koning Aj, Koning Hm, Leusink Ja
Rok vydání: 1985
Předmět:
Zdroj: The Thoracic and Cardiovascular Surgeon. 33:283-287
ISSN: 1439-1902
0171-6425
Popis: The influence of 51 preoperative, peroperative and postoperative variables on the development of serious acute renal failure (ARF) following open heart surgery was studied. Although a large number of significant variables was found, a logit-model with only 2 explanatory variables showed an almost perfect fit. With this model the chances of serious ARF up to 90% were estimated. The results suggest that a critical circulation is the main cause of serious ARF. Furthermore, a reduced ability to cope with a critical circulation without renal failure plays an important role in the pathogenesis. There is a higher risk of serious ARF for patients older than 70, especially when circulatory support with dopamine is needed.
Databáze: OpenAIRE