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HERDIN Record #: PCHRD070408030739 Submitted: 02 July 2008

Clinical risk scoring for predicting acute renal failure after cardiothoracic surgery.

Dorothy Marcelino-Del Poso,
Agnes D. Mejia

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Background ÃÆ'Æ'Æ’ÃÆ'†â€™ÃÆ'Æ'â€Ã...¡ÃÆ'‚¢ÃÆ'Æ'Æ’ÃÆ'¢â‚¬Ã...¡ÃÆ'Æ'¢ÃÆ'¢â‚¬Ã...¡ÃÆ'‚¬ÃÆ'Æ'Æ’ÃÆ'¢â‚¬Ã...¡ÃÆ'Æ'¢ÃÆ'¢â€Ã...¡Ã‚¬ÃÆ'‚ The incidence of Acute Renal Failure (ARF) requiring dialysis after a cardiothoracic surgery is 17 percent. The Thakar score and Euroscore are significant in predicting ARF with p value of 0.000 percent. Significant characteristic risk factors identified were as follows: mean age of 61 (p value 0.004),hypertension (p value = 0.001), diabetes (p value = 0.054), dyslipidemia (p value = 0.001), poor functional status (p value 0.000) and CCS greater than 3 (p value 0.015) and STEMI (p value 0.000). Perioperative characteristics were found to be significant in the development of ARF requiring dialysis. These include pre-op IABP (p value = 0.003), ACB (p value = 0.034), blood transfusion (p value = 0.001), mediastinitis (p value = 0.003), PAD (p value = 0.027), prolonged mechanical ventilation (p value = 0.003) and cardiac arrest (p value = 0.003). Patients with ARF requiring dialysis have significant increased mortality 29 percent (p value 0.01) and prolonged hospital stay of 26 days (p value 0.001). (Author)

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Heart Center Journal
Frequency
Quarterly
Publication Date
July-September 2006
Volume
12
Issue
3
Page(s)
57-60

Objectives

General: To assess the validity of two clinical scores using the Thakar score and Euroscore in predicting acute renal failure requiring dialysis after cardiothoracic surgery.

Specifics:
1. To determine the incidence of acute renal failure requiring dialysis after cardiothoracic surgery.
2. To identify the risk factors associated with the development of acute renal failure.
3. To determine the length of hospital stay and 30 day mortality of patients in acute renal failure requiring dialysis.

LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Abstract Print Format (Request Document)