当前位置： SCI文献检索 > JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA期刊下所有文献 > Impact of Intraoperative Hypotension During Cardiopulmonary Bypass on Acute Kidney Injury After Coronary Artery Bypass Grafting.

Impact of Intraoperative Hypotension During Cardiopulmonary Bypass on Acute Kidney Injury After Coronary Artery Bypass Grafting.

Abstract：

OBJECTIVE:The aim of this study was to investigate whether acute kidney injury (AKI) after coronary artery bypass grafting can be attributed to intraoperative hypotension during cardiopulmonary bypass (IOH-CPB). DESIGN:Retrospective analysis. SETTING:Tertiary-care hospital. PARTICIPANTS:Patients undergoing on-pump coronary artery bypass grafting from June 2011 to January 2014. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:IOH-CPB was defined as blood pressure below several absolute and relative mean arterial pressure (MAP) thresholds and as the area under the curve for absolute MAP thresholds. AKI was defined as an absolute increase in serum creatinine of≥26 µmol/L within 48 hours or an increase to 150% or more within 7 days of surgery. Poisson regression with robust standard errors both before and after adjustment for confounders was used. Of the 1,891 patients included, 386 (20%) developed AKI. In univariable analysis, all IOH-CPB thresholds defined as a MAP of 50 mmHg or less and as a decrease in MAP of 60% from baseline were associated with a 1.07-to-1.11 times increased risk of AKI per 10 minutes of IOH-CPB (p<0.01). After adjustment for potential confounders, IOH-CPB, irrespective of the definition chosen, was not associated with an increased risk of AKI. CONCLUSIONS:In the authors' study population, univariable analysis showed an association of IOH-CPB with AKI in patients undergoing isolated CABG, but this relationship disappeared after correction for well-known risk factors for AKI.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Rettig TCD,Peelen LM,Geuzebroek GSC,van Klei WA,Boer C,van der Veer JW,Hofland J,van de Garde EMW,Noordzij PG

doi

10.1053/j.jvca.2016.07.040

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

522-528

issue

2

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(16)30304-4

journal_volume

31

pub_type

杂志文章

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