Acute Kidney Injury
Conditions
Brief summary
Background: The development of acute kidney injury (AKI) is an important indicator of clinical outcomes after cardiac surgery. Elevated preoperative hemoglobin A1c level may be associated with acute kidney injury in patients undergoing coronary artery bypass grafting. This study will investigate the association of preoperative HbA1c levels with AKI after isolated coronary artery bypass grafting (CABG).
Interventions
any of the following: increase in serum creatinine by ≥ 0.3 mg/dl within 48 h of surgery or increase in serum creatinin
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA physical status II-III * scheduled to undergo isolated coronary artery bypass grafting
Exclusion criteria
* Patients with history of renal failure * Patients with history of hepatic failure * Patients with history of heart failure * previous cardiac surgery * cerebrovascular event in the last 30 days * percutaneous coronary intervention in the last 30 days prior to operation * peripheral arterial disease * malignancy * infectious diseases * patients who required surgical revision * patients who required postoperative intra-aortic balloon pump * patients with CBP time \> 120 min or aortic cross clamp time \> 90 min
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| serum creatinine level | 3 days | increase in serum creatinine by ≥ 0.3 mg/dl within 48 h of surgery or increase in serum creatinine to ≥ 1.5 times baseline within 3 days of cardiac surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patients in need of RRT | 7 days | The number of patients requiring postoperative renal replacement therapy |
Other
| Measure | Time frame | Description |
|---|---|---|
| Length of ICU stay | 7days | The duration of postoperative patient stay in the intensive care |
Countries
Egypt