Background: After the cardiac procedures in the patients like Coronary Artery Bypass Grafting(CABG) or Percutaneous Coronary Intervention(PCI), etc. the most common and severe complication that can occur is Acute Kidney Injury(AKI). This research aimed to evaluate the severity and recovery from AKI following these interventions and to recognize clinical predictors related to this condition. A total of 46 patients were recruited between January 2023 and May 2024. Informatio Method: n regarding demographics, comorbid like conditions, medication use, and important clinical factors was gathered. The function of kidney was monitored through the serum creatinine levels and the estimated glomerular filtration rate (eGFR) at the time of admission, as well as on Day 3 and Day 7 following the procedures. Chi-square tests were conducted to examine the relationship between the clinical variables and the occurrence of AKI. Age, Results: gender, diabetes, hypertension, and the use of ACE inhibitors/ARBs/ARNIs did not show a statistically significant link to the development of AKI. Conversely, hypotension(p=0.01), sepsis(p=0.02), antibiotic treatment(p=0.01), and the volume of contrast used(p=0.001) were notably correlated with AKI. Presence of oliguria and the requirement for renal replacement therapy(RRT) were seen in 10.9% of patients and were significantly linked to AKI(p=0.02). eGFR showed a more considerable decline on Day 3 for CABG patients compared to those who underwent PCI, indicating a higher risk of AKI among the CABG cohort. Patients undergoing CABG exhibited more Conclusion: pronounced early renal dysfunction than those who had PCI, underscoring the necessity for vigilant renal observation. In patients with chronic kidney disease(CKD) or compromised hemodynamics it can be seen. These results advocate for more focused preventive measures in the cardiac patients to control the complication of AKI.
Garre et al. (Fri,) studied this question.