Key result
Risk factors during cardiac surgery are linked to the occurrence of acute kidney injury and long-term renal complications, with many being modifiable while others remain unclear.
Why the study?
Renal complications following cardiac surgery are fairly common and may require renal replacement therapy, highlighting compelling evidence for prompt recognition and management.
This comprehensive review summarizes the risk factors, pathophysiology, and outcomes of cardiac surgery-associated acute kidney injury.
Answers are grounded in this paper and cite their sources.
Highlights modifiable perioperative risks for cardiac surgery-associated AKI; leaves open optimal prevention and long-term management strategies.
Background: Renal complications following cardiac surgery are fairly common and may require renal replacement therapy. Most of such cases recover with either conservative management or temporary, short period requirements for renal replacement therapy. Several studies highlight compelling evidence for such complications to be recognised and managed promptly. Aim: In this review, we aim to address the identified risk factors and pathophysiology of cardiac surgery associated renal injury. Furthermore, data regarding acute kidney injury and the long-term renal complications post-cardiac surgery will also be analysed. Methods: A comprehensive review of literature was conducted using appropriate keywords on search engines of SCOPUS, Wiley, PubMed, and SAGE Journals. Conclusion: Various risk factors during the periods of surgery have been identified to be linked to the occurrence of these adverse outcomes. Many of these factors have been identified through extensive research and are modifiable while several others are still unclear or needs deeper understanding and studies.
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Shirke et al. (2020) conducted a review in Renal complications following cardiac surgery. Risk factors during cardiac surgery are linked to the occurrence of acute kidney injury and long-term renal complications, with many being modifiable while others remain unclear.
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