Acute Kidney Injury, Extracorporeal Circulation; Complications, Surgery
Conditions
Brief summary
Acute kidney injury (AKI) is one of the most frequent major complications in patients undergoing cardiac surgery. CSA-AKI is independently related to increased perioperative mortality, increased hospital and ICU length of stay as well as heath care expenditure. Identification of relevant biomarkers may lead to early diagnosis and improve patient outcomes and health care costs. The pathophysiology of CSA-AKI is complex and ischemia-reperfusion injury is one of the important factors. Recently, it has been shown that Tissue Inhibitor of Metalloproteinases 2 (TIMP2) is associated with ischemia-reperfusion injury. In this study, relationship between TIMP2 with the risk of CSA-AKI was analyzed and the predictive value of elevated level of TIMP2 for early prediction of CSA-AKI was further evaluated.
Interventions
different TIMP2 level after on-pump cardiac surgery
Sponsors
Study design
Intervention model description
TIMP2 level
Eligibility
Inclusion criteria
* Patients (≥18 years old) underwent on-pump cardiac surgery * admitted to ICU immediately after surgery
Exclusion criteria
* Patients younger than 18 years * with prior AKI * end-stage kidney disease * need for chronic hemodialysis * pregnant patients * unable to give written consent for participation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the development of CSA-AKI | 1 Week | the development of CSA-AKI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| AKI severity | 1 Week | AKI stage 1,stage 2,stage 3 |
| need for RRT | 1 Week | Reflect kidney function |
| duration of AKI (≥7 days) | 1 Week | Reflect kidney function |
| length of ICU stay | up to 28 days | Reflect patient prognosis |
| post-operative hospital stay | up to 28 days | Reflect patient prognosis |
Countries
China