Postoperative Blood Pressure Could Be a Modifiable Risk Factor for Acute Kidney Injury After Coronary Bypass Surgery
Journal Title: The Medical Bulletin of Haseki - Year 2020, Vol 58, Issue 3
Abstract
Aim: Acute kidney injury (AKI) is a common complication associated with coronary surgery. This study aims to define perioperative modifiable risk factors for AKI development. Methods: We prospectively observed perioperative parameters, laboratory tests, and outcome variables of 319 consecutive patients. The patients were divided into groups according to on-pump or off-pump coronary bypass. Results: The off-pump patients were older (65.15±9.247 years vs 60.81±9.659; p=0.001) but he frequency of AKI development was similar between the groups (22% vs 19.9%, p=0.659). Preoperative hypertension, advanced age, high body weight, and prolonged cross-clamp time were associated with postoperative AKI, but postoperative high blood pressure and higher ejection fraction were likely to be protective against AKI development. Expected in-hospital survival in a patient developing AKI after off-pump surgery was better than those with on-pump surgery (88.9% and 84.6%, respectively; p<0.001). Conclusion: Managing postoperative blood pressure according to preoperative level could have the potential to reduce AKI incidence.
Authors and Affiliations
Doğan Kahraman, Ozan Emiroğlu
Keywords
Related Articles
- EP ID EP685289
- DOI 10.4274/haseki.galenos.2020.5644
- Views 141
- Downloads 0
Factors Affecting Recurrence-free Survival in Gastric Gastrointestinal Stromal Tumors: A Single Center Experience
Aim: Gastrointestinal stromal tumors (GISTs) are extremely rare. In this study, we aimed to analyze the factors affecting disease-free survival (DFS) in patients operated for non-metastatic gastric GIST (gGIST). Methods...
YouTube as a Health Information Source: COVID-19 and Andrology
Aim: The purpose of this study is to evaluate the quality and reliability of YouTube videos about infertility, erectile dysfunction and sex relationship with coronavirus disease-2019 (COVID-19). Methods: In this prospec...
The Importance of Electromyographic Findings in Determining the Etiology of Mastalgia
Aim: The etiology of mastalgia is not fully understood. We evaluated the relationship between electromyography (EMG) measurements of the pectoralis major (PM) muscle and mastalgia in patients with non-cyclic unilateral m...
Investigation of APC, MLH1 and MSH2 Mutations in Patients with Hereditary Colorectal Carcinoma: A Single Center Experience
Aim: Colorectal cancer (CRC) is the third most common cancer in the world. About 5-6% of all CRCs have a hereditary inheritance related with germline mutations. Mutation screening is carried out with gene panels for CRCs...
Macular Optical Coherence Tomography Angiography Parameters in Central Retinal Vein Occlusion and Differentiation of Ischemic and Non-Ischemic Types
Aim: To evaluate the macular microvascular parameters in central retinal vein occlusion (CRVO) and to differentiate its ischemic and non-ischemic types. Methods: This study included 32 affected and 32 unaffected eyes of...