Acute on Chronic Renal Failure has Worse Postoperative Outcomes than End-Stage Renal Disease Following Cardiac Surgery

Barış Durgun, Ahmet Yüksel*, Gökhan Erol, Mevlüt Kobuk and Suat Doğancı

Background: Renal failure is a systemic disorder and has destructive effects among all organs including cardiovascular system. The development of postoperative acute kidney injury has been recognized as one of the strongest risk factor for mortality in patients undergoing cardiac surgery.

Aim/Objective: To investigate postoperative course of acute on chronic renal failure after cardiac surgery and define perioperativerisk factors for predicting postoperative acute renal failure (ARF) development.

Materials and Methods: From January 2006 to December 2014, data of 3038 patients undergone cardiac surgery was retrospectively reviewed. Data of 42 chronic renal failure (CRF) patients who undergone dialysis at early postoperative period (≤30 days after cardiac surgery) were selected and evaluated. Group 1 (n=18) was consisted of patients who have preoperative dialysis dependent CRF and undergone dialysis after cardiac surgery, while Group 2 (n=24) was consisted of patients who have preoperative dialysis nondependent CRF and undergone dialysis after cardiac surgery. Preoperative clinical characteristics and demographics, operational data of patients as well as postoperative outcomes of patient groups were analyzed, hereby a comparison of two groups was performed.

Keywords: Acute renal failure; Chronic renal failure; Dialysis; Cardiac surgery

Published on: Apr 4, 2017 Pages: 26-32

Full Text PDF Full Text HTML DOI: 10.17352/2455-5452.000024
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