INCIDENCE AND DIFFERENT RISK FACTORS OF CARDIAC SURGERY ASSOCIATED ACUTE KIDNEY INJURY

Lubna Shaheen; Dr Amna; Syed Shaheer Haider Bukhari; Rehana Javaid; Rashad Sidiqui

doi:10.51253/pafmj.v70iSuppl-4.6030

Authors

Lubna Shaheen Queen Elizabeth Hospital Birmingham UK
Dr Amna Armed Forces Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Syed Shaheer Haider Bukhari Hameed Latif Hospital Lahore Pakistan
Rehana Javaid Armed Forces Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Rashad Sidiqui Armed Forces Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v70iSuppl-4.6030

Keywords:

Aortic cross clamp time, Cardiac surgery associated acute kidney injury, Cardio pulmonary bypass time, IABP, Risk factors, Transfusions

Abstract

Objective: To identify the incidence of cardiac surgery associated acute kidney injury and its association with different risk factors.

Study Design: Descriptive cross sectional study.

Place and Duration of Study: Adult cardiac surgery department, AFIC/NIHD, from Jan to Jun 2019.

Methodology: Three hundred forty patients undergoing cardiac surgery were evaluated for Cardiac Surgery associated acute kidney injury according to acute kidney injury network criteria over a period of 6 months. The chi-square test was used find the relationship of different factor for cardiac surgery associated acute kidney injury.

Results: Total of 430 patients were included. 345 (80.2%) were male and mean age of 55 ± 11.6 years and mean pre operative creatinine clearance was 80.7 ml/hr. Coronary artery bypass grafting was the most common procedure performed. Intra aortic balloon pump, Cardio-pulmonary bypass time, AXc time, ionotropes, transfusion of RCC and FFPs were found to be highly significant risk factors of acute kidney injury.

Conclusion: Cardiac surgery associated acute kidney injury is very common complication; some of the modifiablefactors should be identified and controlled to reduce acute kidney injury.