April 1, 2004The Thoracic and Cardiovascular Surgeon
Requirement for Renal Replacement Therapy in Patients Undergoing Cardiac Surgery
Why the study?
What are the independent predictors for requiring postoperative renal replacement therapy in patients undergoing cardiac surgery?
Population
16,184 patients undergoing different cardiac surgical procedures between April 1996 and August 2001…
Design
Cohort
Follow-up
Postoperative stay / 30 days
Authors
Discussion
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Implication
May aid perioperative risk stratification in cardiac surgery; hypothesis-generating and requires prospective validation before practice change.
Structured PICO
What are the independent predictors for requiring postoperative renal replacement therapy in patients undergoing cardiac surgery?
P
Population
16,184 patients undergoing different cardiac surgical procedures (CABG, beating heart CABG, aortic valve surgery, mitral valve surgery, double valve surgery, CABG and valve surgery) between April 1996 and August 2001. Patients with preoperative dialysis dependent renal insufficiency were excluded.
I
Intervention
Cardiac surgery (various procedures)
O
Outcome
Postoperative renal replacement therapy (RRT), defined as any postoperative renal insufficiency requiring first time hemofiltration or dialysis during the postoperative stayhard clinical
Identifies key perioperative risk factors for postoperative renal replacement therapy in cardiac surgery patients, highlighting the potential benefit of avoiding cardiopulmonary bypass.
Cite This Study
Gummert et al. (2004) studied this question.