Continuous renal replacement therapy after cardiac surgery in patients with acute renal failure

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dc.authorscopusid55531693800
dc.authorscopusid6506614469
dc.authorscopusid14008084500
dc.authorscopusid6506413443
dc.authorscopusid57211127361
dc.authorscopusid55313408800
dc.authorscopusid10139012600
dc.contributor.authorGüçlü, Orkut
dc.contributor.authorYavuz, C.
dc.contributor.authorGürkan, Selami
dc.contributor.authorYüksel, V.
dc.contributor.authorDemirtaş, S.
dc.contributor.authorÇalışkan, Ahmet
dc.contributor.authorCanbaz, Suat
dc.contributor.authorGür, Özcan
dc.date.accessioned2022-05-11T14:35:57Z
dc.date.available2022-05-11T14:35:57Z
dc.date.issued2013
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractAim Acute renal failure is an important adverse effect of cardiopulmonary bypass that can result in high mortality or morbidity rates. It can be treated with continuous renal replacement therapy after cardiac surgery. The purpose of this study was to determine the factors associated with the mortality and incidence of acute renal failure in patients of post cardiac surgery. Methods Patients (1564) who underwent cardiac surgery between January 2007 and January 2012 and treated with continuous renal replacement therapy were included (N=40). Patients with previous renal disorders were excluded. A retrospective analysis was carried out. Results Overall, continuous renal replacement therapy was used in 40 (2.6%) patients. The mean age was 62.7±11 years. Mean duration of cardiopulmonary bypass was 166±80 min, and aorta cross-clamping time was 97±35 min. The patients' mean pretherapy creatinine level and mean creatinine level before hospital discharge were 3.3±1.1 mg/dL and 1.1±0.4 mg/dl, respectively. Thirty-day mortality was 35%. Only 6 patients required long-term renal replacement therapy. Conclusion Acute renal failure requiring hemodialysis after cardiac surgery is associated with higher mortality and morbidity and prolonged hospital stay. Early renal recovery with continuous renal replacement therapy seems to offer an evident survival benefit. Continuous renal replacement therapy may represent an important therapy and reduce mortality rates. We believe that these rates might decrease even more with detailed preoperative evaluation and meticulous postoperative care with collaborative management.
dc.identifier.endpage248
dc.identifier.issn1840-0132
dc.identifier.issue2en_US
dc.identifier.pmid23892839
dc.identifier.scopus2-s2.0-84880727549
dc.identifier.scopusqualityQ4
dc.identifier.startpage244
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8308
dc.identifier.volume10
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGürkan, Selami
dc.institutionauthorGür, Özcan
dc.language.isoen
dc.relation.ispartofMedicinski Glasnik
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectHemodiafiltration
dc.subjectOpen heart surgery
dc.subjectRenal disorder
dc.subjectcreatinine
dc.subjectacute kidney failure
dc.subjectadult
dc.subjectaged
dc.subjectaorta clamping
dc.subjectarticle
dc.subjectclinical article
dc.subjectcontinuous renal replacement therapy
dc.subjectdisease association
dc.subjectfemale
dc.subjecthemodialysis
dc.subjecthospitalization
dc.subjecthuman
dc.subjectincidence
dc.subjectmale
dc.subjectmorbidity
dc.subjectmortality
dc.subjectpostoperative care
dc.subjectretrospective study
dc.subjectsepsis
dc.subjecturea nitrogen blood level
dc.subjectvascular access
dc.subjectacute kidney failure
dc.subjectheart surgery
dc.subjectrenal replacement therapy
dc.subjectrisk factor
dc.subjectAcute Kidney Injury
dc.subjectCardiac Surgical Procedures
dc.subjectHumans
dc.subjectRenal Replacement Therapy
dc.subjectRetrospective Studies
dc.subjectRisk Factors
dc.titleContinuous renal replacement therapy after cardiac surgery in patients with acute renal failure
dc.typeArticle

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