Abstract:
:Acute kidney disease (AKD), or renal dysfunction persisting >7 days after an initiating event of acute kidney injury, is a rising concern. This study aimed to elucidate the clinical course of AKD after cardiac surgery with data on post-cardiac surgery patients admitted to intensive care units (ICU) at 18 Japanese hospitals during 2012-2014. Using multivariable logistic models, we evaluated the association of AKD with 90-day mortality and the 50% eGFR decline during 2-year follow-up compared to eGFR at 90 days. AKD was defined as an elevation in serum creatinine to at least 1.5-fold from baseline in >7 days after ICU admission. Of the 3,605 eligible patients undergoing cardiac surgery, 403 patients (11.2%) had AKD. Multivariable analysis revealed that the adjusted odds ratio (OR) of AKD for 90-day mortality was 63.0 (95% confidence interval [CI], 27.9-180.6). In addition, the adjusted OR of AKD for 50% eGFR decline was 3.56 (95% CI, 2.24-5.57) among hospital survivors. In conclusion, AKD after cardiac surgery was associated with higher 90-day mortality and renal function decline after hospital discharge.
journal_name
Sci Repjournal_title
Scientific reportsauthors
Matsuura R,Iwagami M,Moriya H,Ohtake T,Hamasaki Y,Nangaku M,Doi K,Kobayashi S,Noiri Edoi
10.1038/s41598-020-62981-1subject
Has Abstractpub_date
2020-04-16 00:00:00pages
6490issue
1issn
2045-2322pii
10.1038/s41598-020-62981-1journal_volume
10pub_type
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