Patients Undergoing Surgery for Congenital Heart Disease
Conditions
Keywords
congenital heart disease, acute kidney injury, risk factor, anesthesia
Brief summary
Acute kidney injury (AKI) is a major complication after cardiac surgery and has been reported to be associated with adverse outcome. Previous studies have reported that the incidence of AKI in patients undergoing surgery for congenital heart disease is as high as 42% and AKI increase the patient mortality, intensive care unit stay and hospital stay. Previous studies have reported several risk factors for AKI after congenital heart surgery, however, perioperative variables including anesthesia-related factors have not been evaluated fully. Therefore, the investigators attempt to find out independent risk factors regarding perioperative variables.
Detailed description
Acute kidney injury (AKI) is a major complication after cardiac surgery and has been reported to be associated with adverse outcome. Previous studies have reported that the incidence of AKI in patients undergoing surgery for congenital heart disease is as high as 42% and AKI increase the patient mortality, intensive care unit stay and hospital stay. Previous studies have reported several risk factors for AKI after congenital heart surgery, however, perioperative variables including anesthesia-related factors have not been evaluated fully. In addition, a neutrophil-lymphocyte ratio (NLR), which have been reported to be a marker for systemic inflammation and associated with prognosis of cardiac and cancer patients might be able to predict development of postoperative AKI. Therefore, the investigators attempt to assess independent risk factors regarding perioperative variables including transfusion-related parameters, preoperative anemia, preoperative hypoalbuminemia, pulmonary hypertension, use of nitric oxide, use of hydroxyethyl starch, perioperative medication, hemodynamic variables and perioperative NLR.
Interventions
PROCEDUREsurgery for congenital heart disease
surgery for congenital heart disease
Sponsors
Samsung Medical Center
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 17 Years
Healthy volunteers
No
Inclusion criteria
* patients who underwent surgery for congenital heart disease between January 2012 and December 2012 in Samsung Medical Center
Exclusion criteria
* incomplete data for creatinine, estimated glomerular filtration rate, or urine output required to diagnose acute kidney injury * patients who expired within 24 hours after surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acute kidney injury as defined by KDIGO (Kidney Disease: Improving Global outcome) criteria | during seven days after surgery | Acute kidney injury as defined by KDIGO criteria (Stage 1, 2, 3) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acute kidney injury as defined by AKIN (acute kidney injury network) criteria | within 48 hours after surgery | Acute kidney injury as defined by AKIN (acute kidney injury network) criteria within 48 hours after surgery |
| acute kidney injury diagnosis defined by RIFLE criteria | during seven days after surgery | acute kidney injury diagnosis defined by RIFLE criteria (for Risk, Injury, Failure during seven days after surgery |
Countries
South Korea
Outcome results
None listed