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A SINGLE CENTER RETROSPECTIVE STUDY OF CARDIAC SURGERY ASSOCIATED ACUTE KIDNEY INJURY – INCIDENCE AND OUTCOMES

SANJA SAKAN   ORCID icon orcid.org/0000-0002-9551-413X ; Magdalena Special Hospital for Cardiovascular Surgery and Cardiology, Krapinske Toplice, Croatia
ZDENKO POVŠIĆ-ČEVRA ; Magdalena Special Hospital for Cardiovascular Surgery and Cardiology, Krapinske Toplice, Croatia
KATARINA TOMULIĆ BRUSICH ; Magdalena Special Hospital for Cardiovascular Surgery and Cardiology, Krapinske Toplice, Croatia
VLADO JURANKO ; Magdalena Special Hospital for Cardiovascular Surgery and Cardiology, Krapinske Toplice, Croatia
DAVORKA PRAJDIĆ-PREDRIJEVAC ; Magdalena Special Hospital for Cardiovascular Surgery and Cardiology, Krapinske Toplice, Croatia
MLADEN NOVKOSKI ; Magdalena Special Hospital for Cardiovascular Surgery and Cardiology, Krapinske Toplice, Croatia
ZLATKO BAUDOIN ; Magdalena Special Hospital for Cardiovascular Surgery and Cardiology, Krapinske Toplice, Croatia

Puni tekst: engleski, pdf (131 KB) str. 285-291 preuzimanja: 43* citiraj
APA 6th Edition
SAKAN, S., POVŠIĆ-ČEVRA, Z., TOMULIĆ BRUSICH, K., JURANKO, V., PRAJDIĆ-PREDRIJEVAC, D., NOVKOSKI, M. i BAUDOIN, Z. (2017). A SINGLE CENTER RETROSPECTIVE STUDY OF CARDIAC SURGERY ASSOCIATED ACUTE KIDNEY INJURY – INCIDENCE AND OUTCOMES. Acta medica Croatica, 71 (4), 285-291. Preuzeto s https://hrcak.srce.hr/193710
MLA 8th Edition
SAKAN, SANJA, et al. "A SINGLE CENTER RETROSPECTIVE STUDY OF CARDIAC SURGERY ASSOCIATED ACUTE KIDNEY INJURY – INCIDENCE AND OUTCOMES." Acta medica Croatica, vol. 71, br. 4, 2017, str. 285-291. https://hrcak.srce.hr/193710. Citirano 17.06.2019.
Chicago 17th Edition
SAKAN, SANJA, ZDENKO POVŠIĆ-ČEVRA, KATARINA TOMULIĆ BRUSICH, VLADO JURANKO, DAVORKA PRAJDIĆ-PREDRIJEVAC, MLADEN NOVKOSKI i ZLATKO BAUDOIN. "A SINGLE CENTER RETROSPECTIVE STUDY OF CARDIAC SURGERY ASSOCIATED ACUTE KIDNEY INJURY – INCIDENCE AND OUTCOMES." Acta medica Croatica 71, br. 4 (2017): 285-291. https://hrcak.srce.hr/193710
Harvard
SAKAN, S., et al. (2017). 'A SINGLE CENTER RETROSPECTIVE STUDY OF CARDIAC SURGERY ASSOCIATED ACUTE KIDNEY INJURY – INCIDENCE AND OUTCOMES', Acta medica Croatica, 71(4), str. 285-291. Preuzeto s: https://hrcak.srce.hr/193710 (Datum pristupa: 17.06.2019.)
Vancouver
SAKAN S, POVŠIĆ-ČEVRA Z, TOMULIĆ BRUSICH K, JURANKO V, PRAJDIĆ-PREDRIJEVAC D, NOVKOSKI M i sur. A SINGLE CENTER RETROSPECTIVE STUDY OF CARDIAC SURGERY ASSOCIATED ACUTE KIDNEY INJURY – INCIDENCE AND OUTCOMES. Acta medica Croatica [Internet]. 2017 [pristupljeno 17.06.2019.];71(4):285-291. Dostupno na: https://hrcak.srce.hr/193710
IEEE
S. SAKAN, et al., "A SINGLE CENTER RETROSPECTIVE STUDY OF CARDIAC SURGERY ASSOCIATED ACUTE KIDNEY INJURY – INCIDENCE AND OUTCOMES", Acta medica Croatica, vol.71, br. 4, str. 285-291, 2017. [Online]. Dostupno na: https://hrcak.srce.hr/193710. [Citirano: 17.06.2019.]

Sažetak
Introduction: Cardiac surgery associated acute kidney injury (CSA-AKI) is an important complication. It is recognized as the second cause of AKI in the intensive care patients after sepsis. Methods: We conducted a single center retrospective threeyear cohort study to reveal the incidence of the postoperative AKI genesis and severity, as well as the use of continuous renal replacement therapy in patients with normal preoperative renal function submitted to cardiac surgery. Our study included 1000 patients. Secondary outcomes were length of intensive care and hospital stay, major postoperative complications, and in-hospital mortality rate. Statistical analysis was applied to correlate CSA-AKI development and patient perioperative variables. Results: The overall CSA-AKI incidence was 15.1% (n=151). The incidence of CSA-AKI was 12.8% (n=128) in stage 1; 1.9% (n=19) in stage 2; and 0.4% (n=4) in stage 3 according to the KDIGO AKI (RIFLE/AKIN) criteria. The incidence of continuous renal replacement therapy in the AKI group was 2.65% or 0.4% of the total cohort (n=4). The CSA-AKI inhospital mortality rate was 2.65% (n=4), while AKI patients that required dialysis survived. Conclusion: Once again, our study revealed the importance of timely recognizing CSA-AKI. It also reaffi rmed CSA-AKI as a serious complication with a high incidence rate. We also confi rmed the usefulness of preoperative AKI risk prediction models such as Cleveland Clinic Score in everyday clinical practice.

Ključne riječi
acute kidney injury; cardiac surgery; dialysis; mortality

Hrčak ID: 193710

URI
https://hrcak.srce.hr/193710

[hrvatski]

Posjeta: 221 *