Acute Kidney Injury After Adult Cardiac Surgery
Conditions
Brief summary
This study retrospectively assess the effect or using balanced hydroxyethyl sctarch (HES) 130/0.4 or a balanced crystalloid solution as a pump prime and for intraoperative fluid therapy on the risk of early acute postoperative kidney injury in adult cardiac surgery patients.
Interventions
2500 mL of balanced HES 130/0.4
2500 mL of balanced crystalloid.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 yo * Having on pump cardiac surgery at CHU of Liège between April 2013 and June 2014
Exclusion criteria
* Off pump surgery * Use of Blood or Albumin in the cardiopulmonary bypass priming solution * Preoperative dialysis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| AKIN SCr | Forty eight hours | Stage of acute kidney injury using the Acute Kidney Injury Network Classification omitting the diuresis criteria. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative dialysis | 30 days | Requirement of postoperative renal replacement therapy |
| Respiratory complication | 30 days | Need for reintubation, non-invasive ventilation or prolonged intensive care unit stay as a consequence of atelectasis, pulmonary edema or pneumonia. |
| AKIN SCr+UO | Forty eight hours | Stage of acute kidney injury using the Acute Kidney Injury Network Classification including the diuresis criteria. |
| Hospital stay | 30 days | Length of stay at the hospital |
| 30-day mortality | 30 days | Death in hospital or within 30 days of surgery |
| ICU stay | 30 days | Length of stay at the intensive care unit |