Serious Acute Renal Failure following Open Heart Surgery
Autor: | Koning Aj, Koning Hm, Leusink Ja |
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Rok vydání: | 1985 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry Statistics as Topic Acute kidney injury Acute Kidney Injury medicine.disease Models Biological Surgery Pathogenesis Postoperative Complications Internal medicine Circulatory system medicine Cardiology Humans Cardiac Surgical Procedures Cardiology and Cardiovascular Medicine business Aged |
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 |
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