Saudi Journal of Kidney Diseases and Transplantation

ORIGINAL ARTICLE
Year
: 2015  |  Volume : 26  |  Issue : 6  |  Page : 1177--1182

Profile of acute kidney injury after open heart surgeries in a tertiary care hospital


Fayaz A Rather1, Saleem M Najar2, Hilal A Malla2, AG Ahangar3, Hilal M Bhat2, Imtiyaz A Wani2 
1 Department of Cardiology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
2 Department of Nephrology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
3 Department of Cardiovascular and Thoracic Surgery, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Hilal A Malla
Department of Nephrology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir
India

Our objective is to determine the incidence, etiology, risk factors and outcome of acute kidney injury (AKI) after open heart surgery. A prospective study was conducted on 62 patients who underwent open heart surgery and were followed-up for the development of AKI and to determine its incidence, etiology and outcome. Post-operative AKI was considered when the post-operative serum creatinine was >1.5 mg/dL or there was doubling of serum creatinine above the baseline (pre-operative) with a prior normal renal function. The incidence of AKI in the post-operative period in our study was 17.7%. The common etiological factors for AKI in our study were sepsis, hypotension, prolonged need for ventilator and inotropic support and drugs given in the post-operative period. The important risk factors for the development of AKI in the post-operative period were hypertension, diabetes mellitus, gout, prolonged total bypass time and prolonged aortic cross-clamp time. The overall mortality in our study subjects was 11.3% (seven of 62 died) and the mortality in the patients who developed post-operative AKI was 71.4%.


How to cite this article:
Rather FA, Najar SM, Malla HA, Ahangar A G, Bhat HM, Wani IA. Profile of acute kidney injury after open heart surgeries in a tertiary care hospital.Saudi J Kidney Dis Transpl 2015;26:1177-1182


How to cite this URL:
Rather FA, Najar SM, Malla HA, Ahangar A G, Bhat HM, Wani IA. Profile of acute kidney injury after open heart surgeries in a tertiary care hospital. Saudi J Kidney Dis Transpl [serial online] 2015 [cited 2022 Jan 17 ];26:1177-1182
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2015;volume=26;issue=6;spage=1177;epage=1182;aulast=Rather;type=0