학술논문

Impact of cardiac surgery associated acute kidney injury on 1-year major adverse kidney events
Document Type
article
Source
Frontiers in Nephrology, Vol 3 (2023)
Subject
score
chronic kidney disease (CKD)
major adverse kidney events (MAKE)
acute kidney injury (AKI)
cardiac surgery
Diseases of the genitourinary system. Urology
RC870-923
Language
English
ISSN
2813-0626
Abstract
BackgroundThe incidence of acute kidney injury following cardiac surgery (CSA-AKI) is up to 30%, and the risk of chronic kidney disease (CKD) has been found to be higher in these patients compared to the AKI-free population. The aim of our study was to assess the risk of major adverse kidney events (MAKE) [25% or greater decline in estimated glomerular filtration rate (eGFR), new hemodialysis, and death] after cardiac surgery in a Spanish cohort and to evaluate the utility of the score developed by Legouis D et al. (CSA-CKD score) in predicting the occurrence of MAKE.MethodsThis was a single-center retrospective study of patients who required cardiac surgery with cardiopulmonary bypass (CPB) during 2015, with a 1-year follow-up after the intervention. The inclusion criteria were patients over 18 years old who had undergone cardiac surgery [i.e., valve substitution (VS), coronary artery bypass graft (CABG), or a combination of both procedures].ResultsThe number of patients with CKD (eGFR