Why the study?
Does determining DeltaCrea within 48 hours better predict adverse postoperative outcomes in patients after cardiothoracic surgery compared to RIFLE or AKIN classifications?
Does determining DeltaCrea within 48 hours better predict adverse postoperative outcomes in patients after cardiothoracic surgery compared to RIFLE or AKIN classifications?
Minimal increases in serum creatinine (DeltaCrea) within 48 hours post-cardiac surgery are better predictors of adverse outcomes than standard RIFLE or AKIN classifications.
DeltaCrea within 48 h may aid postoperative risk stratification after cardiothoracic surgery; leaves open whether it should replace RIFLE/AKIN pending validation.
Measuring repeat serum creatinine concentrations within 48 hrs and determining DeltaCrea were the most effective discrimination method to find patients at risk for adverse postoperative outcome after cardiac surgery, better than application of this sole criterion to the RIFLE (least discriminatory) or the AKIN classification.
No takes yet. Share an insight, caveat, or question.
Lassnigg et al. (2008) studied this question.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: