Comparison of transient changes in renal function between off-pump and on-pump coronary artery bypass grafting

IMR OpenIR

	Comparison of transient changes in renal function between off-pump and on-pump coronary artery bypass grafting
其他题名	Comparison of transient changes in renal function between off-pump and on-pump coronary artery bypass grafting
	Zhang Wenfeng; Gu Tianxiang; Diao Cheng; Zhang Yuhai; Wang Chun; Fang Qin; Wang Hailong
	2008
发表期刊	CHINESE MEDICAL JOURNAL
ISSN	0366-6999
卷号	121 期号:16 页码:1537-1542
摘要	Background Acute renal failure following coronary artery bypass grafting (CABG) surgery is associated with high morbidity and mortality. Approximately half of all patients who develop acute kidney injury (AKI) subsequently develop acute renal failure (ARF). The purpose of the study was to compare early transient changes in renal function within the first post-operative week following CABG in patients that were either off-pump or on-pump.
其他摘要	Background Acute renal failure following coronary artery bypass grafting(CABG)surgery is associated with high morbidity and mortality.Approximately half of all patients who develop acute kidney injury(AKI)subsequently develop acute renal failure(ARF).The purpose of the study was to compare early transient changes in renal function within the first post-operative week following CABG in patients that were either off-pump or on-pump.Methods Eight hundred and forty-nine consecutive patients with isolated CABG in a single institution between January 1990 and August 2006 were retrospectively analyzed.including 51 8 off-pump and 331 on-pump patients.A multivariate Logistic regression model was constructed to identify risk factors for the development of AKI.Results sixty-one off-pump patients and 63 on-pump patients developed AKI.Risk factors for the development of post-operative AKI included an ejection fraction≥50%or≤30%,a pulse pressure>60 mmHg,peripheral vascular disease,diabetes,emergent procedure,triple-vessel disease,body mass index,peri-operative and post-operative.intra.aortic balloon pumping,NYHA class III and IV,and cardiopulmonary bypass.An ejection fraction Z50%and peri-operative and post-operative intra-aortic balloon pumping were protective(OR<1).Peak serum creatinine for post-operative Akl was noted 12 hours and 24 hours in the off-pump and on-pump patients,respectively.Serum creatinine kinetics revealed rapid recovery in the 24th to 48th hour(off-pump)and the 48th to 72nd hour(on-pump).Conclusion Renal protection strategies are indicated from general anesthesia induction until 48 and 72 houm post-operatively in off-pump and on-pump patients,respectively.
关键词	CARDIOPULMONARY BYPASS SERUM CREATININE CARDIAC-SURGERY HOSPITAL MORTALITY FAILURE DYSFUNCTION REVASCULARIZATION ASSOCIATION PREDICTION DIALYSIS coronary artery bypass grafts kidney injury risk analysis
收录类别	CSCD
语种	英语
资助项目	[Department of Education of Liaoning Province, China]
CSCD记录号	CSCD:3431575
引用统计
文献类型	期刊论文
条目标识符	http://ir.imr.ac.cn/handle/321006/148839
专题	中国科学院金属研究所
作者单位	中国科学院金属研究所
推荐引用方式 GB/T 7714	Zhang Wenfeng,Gu Tianxiang,Diao Cheng,et al. Comparison of transient changes in renal function between off-pump and on-pump coronary artery bypass grafting[J]. CHINESE MEDICAL JOURNAL,2008,121(16):1537-1542.
APA	Zhang Wenfeng.,Gu Tianxiang.,Diao Cheng.,Zhang Yuhai.,Wang Chun.,...&Wang Hailong.(2008).Comparison of transient changes in renal function between off-pump and on-pump coronary artery bypass grafting.CHINESE MEDICAL JOURNAL,121(16),1537-1542.
MLA	Zhang Wenfeng,et al."Comparison of transient changes in renal function between off-pump and on-pump coronary artery bypass grafting".CHINESE MEDICAL JOURNAL 121.16(2008):1537-1542.