Intraoperative central venous pressure during cardiopulmonary bypass is an alternative indicator for early prediction of acute kidney injury in adult cardiac surgery

Autor:	Lei Wang, Lanxin Hu, Qiong yan Dai, HaoYu Qi, ZhenHong Wang, Xin Chen
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	Acute kidney injury Central venous pressure Cardiac surgery Venous congestion Cardiopulmonary bypass Surgery RD1-811 Anesthesiology RD78.3-87.3
Zdroj:	Journal of Cardiothoracic Surgery, Vol 19, Iss 1, Pp 1-7 (2024)
Druh dokumentu:	article
ISSN:	1749-8090
DOI:	10.1186/s13019-024-02734-7
Popis:	Abstract Background The relationship between venous congestion in cardiopulmonary bypass (CPB) and acute kidney injury (AKI) in cardiac surgery has not utterly substantiated. This study aimed at investigate the relationship between CVP in CPB and the occurrence of AKI. Methods We retrospectively reviewed 2048 consecutive patients with cardiovascular disease undergoing cardiac procedure with CPB from January 2018 to December 2022. We used the median CVP value obtained during CPB for our analysis and patients were grouped according to this parameter. The primary outcomes were AKI and renal replacement therapy(RRT). Multivariable logistic regression was used to explore the association between CVP and AKI. Results A total of 2048 patients were enrolled in our study and divided into high CVP group (CVP ≥ 6.5 mmHg) and low CVP group (CVP
Databáze:	Directory of Open Access Journals
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