Preoperative 24-hour urine amount as an independent predictor of renal outcome in poor cardiac function patients after coronary artery bypass grafting

Journal of Critical Care
Chun-Liang LinChiu-Ching Huang

Abstract

To investigate the incidence and the main pre-operative risk factors for the development of acute renal failure (ARF) in triple vessels coronary artery bypass grafting (CABG) with special reference to a subset of patients with poor cardiac function (ejection fraction <50%). The study included the patients (n = 66) requiring CABG from January 1, 1995 to January 1, 2002 in a medical center. A high percentage (84.8%) of patients developed ARF and 57.6% of patients received hemodialysis (HD). Preoperative variables significantly associated with the development of ARF included increased age, increased preoperative serum creatinine, decreased preoperative 24-hour urine output and accepted emergent CABG. By the logistic multivariate regression model, increased age (OR = 1.16), preoperative serum creatinine (OR = 3.58,), decreased preoperative 24-hour urine amount (OR = 0.99,) and emergent CABG (OR = 2.01) were independently associated with ARF. As for the need for HD, those factors including, preoperative serum creatinine (2.11 +/- 1.13 v 3.08 +/- 1.67 mg/dL) and preoperative 24-hour urine output (1358.6 +/- 745.9 v 755.2 +/- 572.1 mL/day) were significantly associated with requirement of dialysis. Using multivariate logistic regressi...Continue Reading

References

Apr 1, 1990·Anesthesiology·G P Zaloga, S S Hughes
Jan 9, 1986·The New England Journal of Medicine·B D Myers, S M Moran
Jun 5, 1986·The New England Journal of Medicine·A Bidani, P Churchill
Dec 1, 1985·Annals of Surgery·W A KnausJ E Zimmerman
Feb 1, 1994·Clinical and Experimental Pharmacology & Physiology·B JacksonC I Johnston
Aug 1, 1995·Australian and New Zealand Journal of Medicine·G J MangosJ A Whitworth
Nov 1, 1996·Journal of the American College of Cardiology·J A MagovernG J Magovern
Feb 18, 1997·Circulation·G M ChertowJ Daley
Feb 28, 2002·Blood Purification·S H A LawmanS D Batson

❮ Previous
Next ❯

Citations

Sep 15, 2007·The Heart Surgery Forum·Miha Antonic, Borut Gersak
Jan 25, 2012·The Annals of Thoracic Surgery·Alessandro ParolariUNKNOWN Monzino Research Group on Cardiac Surgery Outcomes
May 20, 2015·The Journal of Thoracic and Cardiovascular Surgery·Davide PaciniRoberto Di Bartolomeo
Jan 24, 2006·The Annals of Thoracic Surgery·Anne KuitunenVille Pettilä
Dec 14, 2004·Journal of the American Society of Nephrology : JASN·Ravindra L Mehta
Jan 15, 2005·The International Journal of Artificial Organs·J L VincentD De Backer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.