Factores asociados a lesión renal aguda en pacientes sometidos a cirugía cardiaca en la Fundación Cardioinfantil

dc.contributorHernández Leiva, Edgar
dc.creatorPeña Peña, Adwar
dc.creatorOrtiz García, César Augusto
dc.date.accessioned2017-02-07T12:28:47Z
dc.date.available2017-02-07T12:28:47Z
dc.date.created2017-02-07T12:28:47Z
dc.date.issued2017
dc.identifierhttp://repository.urosario.edu.co/handle/10336/12893
dc.identifierhttps://doi.org/10.48713/10336_12893
dc.description.abstractIntroduction: Acute Kidney Injury (AKI) is one of the major complications of cardiacsurgery. AKI has been shown as an independent risk factor for both, early and latepostoperative death in this population. The knowledge of the factors that lead to acute renal injury would help to reduce this complication. Methods: Case control study. The objective of this study was to evaluate the factorsassociated with acute renal injury in patients undergoing cardiac surgery, with the hypothesis that Brain Natriuretic Peptide (BNP), low hemoglobin, and an elevated EuroSCORE and serum creatinine, are associated with the occurrence of AKI in the postoperative period. Results: A total of 491 patients were analyzed, 141 women (28. 72%), 35 of them (7. 13%)met criteria for AKI in the postoperative period. Patients with AKI had a higher meancreatinine level in the preoperative period (p< 0. 001) and had a greater EuroSCORE(p< 0. 001). Univariate analysis showed that preoperative BNP was higher (p< 0. 001) andhematocrit was lower in the AKI group (p < 0. 004). Factors associated with LRA were: BNP pμ / ml> 300 OR 3. 9 IC95% (1. 6-9. 5), presence of previous arrhythmia OR 5. 4 95% CI (2. 2-13. 5), EuroSCORE standard OR 1. 2 IC95% (1. 0-1. 3), surgery Valvular OR 2. 7 IC95% (0. 8-7. 6). Conclusion: Elevated preoperative BNP, the presence of previous arrhythmia, a valvularsurgery and EuroSCORE are associated with increased risk for impaired renal function and requirement for renal replacement therapy in postoperative cardiovascular surgery patients.
dc.languagespa
dc.publisherUniversidad del Rosario
dc.publisherEspecialización en Medicina Interna
dc.publisherFacultad de Medicina
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAbierto (Texto completo)
dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombia
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dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectLesión renal aguda
dc.subjectEuroSCORE
dc.subjectCirculación extracorpórea
dc.subjectCirugía cardiaca
dc.titleFactores asociados a lesión renal aguda en pacientes sometidos a cirugía cardiaca en la Fundación Cardioinfantil
dc.typemasterThesis


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