Preoperative platelet count, preoperative hemoglobin concentration and deep hypothermic circulatory arrest duration are risk factors for acute kidney injury after pulmonary endarterectomy: a retrospective cohort study

Autor: Congya Zhang, Guyan Wang, Hui Zhou, Guiyu Lei, Lijing Yang, Zhongrong Fang, Sheng Shi, Jun Li, Zhiyan Han, Yunhu Song, Sheng Liu
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Cardiothoracic Surgery, Vol 14, Iss 1, Pp 1-9 (2019)
Druh dokumentu: article
ISSN: 1749-8090
DOI: 10.1186/s13019-019-1026-4
Popis: Abstract Background Acute kidney injury (AKI) is a major postoperative morbidity of patients undergoing cardiac surgery and has a negative effect on prognosis. The kidney outcomes after pulmonary endarterectomy (PEA) have not yet been reported; However, several perioperative characteristics of PEA may induce postoperative AKI. The objective of our study was to identify the incidence and risk factors for postoperative AKI and its association with short-term outcomes. Methods This was a single-center, retrospective, observational, cohort study. Assessments of AKI diagnosis was executed based on the Kidney Disease Improving Global Outcomes (KDIGO) criteria. Results A total of 123 consecutive patients who underwent PEA between 2014 and 2018 were included. The incidence of postoperative AKI was 45% in the study population. Stage 3 AKI was associated with worse short-term outcomes and 90-day mortality (p
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