Risk Factors for Acute Kidney Injury Following Cardiac Surgery and Performance of Leicester Score in a Spanish Cohort

The incidence of acute kidney injury following cardiac surgery (CSA-AKI) is up to 30%, and it places patients at an increased risk of death. The Leicester score (LS) is a new score that predicts CSA-AKI of any stage with better discrimination compared to previous scores. The aim of this study was to...

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Bibliographic Details
Published in:Journal of clinical medicine 2022-02, Vol.11 (4), p.904
Main Authors: Molina Andújar, Alícia, Lucas, Alvaro, Escudero, Victor Joaquin, Rovira, Irene, Matute, Purificación, Ibañez, Cristina, Blasco, Miquel, Sandoval, Elena, Ruiz, Jesús, Chorda Sánchez, Marina, Piñeiro, Gaston J, Quintana, Eduard, Poch, Esteban
Format: Article
Language:English
Subjects:
Chronic obstructive pulmonary disease
Clinical medicine
Creatinine
Diabetes
Ejection fraction
Heart surgery
Hemoglobin
Hypertension
Ischemia
Kidney diseases
Mortality
Patients
Risk factors
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Summary:The incidence of acute kidney injury following cardiac surgery (CSA-AKI) is up to 30%, and it places patients at an increased risk of death. The Leicester score (LS) is a new score that predicts CSA-AKI of any stage with better discrimination compared to previous scores. The aim of this study was to identify risk factors for CSA-AKI and to assess the performance of LS. A unicentric retrospective study of patients that required cardiac surgery with cardio-pulmonary bypass (CPB) in 2015 was performed. The inclusion criteria were patients over 18 years old who were operated on for cardiac surgery (valve substitution (VS), Coronary Artery Bypass Graft (CABG), or a combination of both procedures and requiring CPB). CSA-AKI was defined with the Kidney Disease Improving Global Outcomes (KDIGO) criteria. In the multivariate analysis, hypertension (odds ratio 1.883), estimated glomerular filtration rate (EGFR)
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm11040904