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Factors associated to postoperative kidney failure following myocardial revascularisation

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dc.creatorB., Albert F. Guerrerospa
dc.creatorM., Jaime Camachospa
dc.creatorSandoval, Néstor F.spa
dc.creatorM., Juan P. Umañaspa
dc.creatorObando, Carlos E.spa
dc.creatorCarreño, Marisolspa
dc.date.accessioned2020-05-25T23:59:09Z
dc.date.available2020-05-25T23:59:09Z
dc.date.created2016spa
dc.description.abstractMotivation: To determine which medical history and surgical procedure factors are associated to the onset of postoperative kidney failure in patients undergoing myocardial revascularisation. Methods: Case-control cohort study carried out between January 2005 and December 2013 which included patients who had undergone elective myocardial revascularisation and showed postoperative kidney failure immediately after surgery and until discharge. Controls consisted of patients who had undergone elective myocardial revascularisation and did not develop postoperative kidney failure immediately after surgery. A logistic regression model was used to determine the factors associated to postoperative kidney failure. Associations were expressed as grounds of disparity with their corresponding confidence intervals. Results: old age [OR 1.03 CI 95% (1.01-1.04)], preoperative presence of diabetes mellitus [OR 1.8 CI 95% (1.9-3.4)], cardiac insufficiency [OR 2.7 CI 95% (1.1-6.7)] and a longer perfusion time [OR 1.02 CI 95% (1.01-1.03)] were associated to a higher risk of postoperative kidney failure, while higher hematocrit [OR 0.86 CI 95% (0.82-0.91)] and higher ejection fraction [OR 0.94 CI 95% (0.92-0.96)] were associated with a decrease of the risk of postoperative kidney failure. Conclusions: In patients who had undergone myocardial revascularisation, risk factors associated to postoperative kidney failure where comorbidities related to internal and external gradual kidney damage outside the context of the surgery. This implies that strategies to minimise this event should be focused on identifying these patients in a timely manner and offering appropriate nephroprotection. © 2015 Sociedad Colombiana de Cardiología y Cirugía Cardiovascular.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.rccar.2015.09.006
dc.identifier.issn1205633
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22995
dc.language.isoengspa
dc.publisherElsevier B.V.spa
dc.relation.citationEndPage236
dc.relation.citationIssueNo. 3
dc.relation.citationStartPage230
dc.relation.citationTitleRevista Colombiana de Cardiologia
dc.relation.citationVolumeVol. 23
dc.relation.ispartofRevista Colombiana de Cardiologia, ISSN:1205633, Vol.23, No.3 (2016); pp. 230-236spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84949870322&doi=10.1016%2fj.rccar.2015.09.006&partnerID=40&md5=190aa0bf4d16da6e55905cfefe4d76b2spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAgespa
dc.subject.keywordArticlespa
dc.subject.keywordCase control studyspa
dc.subject.keywordComorbidityspa
dc.subject.keywordControlled studyspa
dc.subject.keywordDiabetes mellitusspa
dc.subject.keywordDisease associationspa
dc.subject.keywordElective surgeryspa
dc.subject.keywordHeart ejection fractionspa
dc.subject.keywordHeart failurespa
dc.subject.keywordHeart muscle revascularizationspa
dc.subject.keywordHeart perfusionspa
dc.subject.keywordHematocritspa
dc.subject.keywordHospital dischargespa
dc.subject.keywordHumanspa
dc.subject.keywordKidney failurespa
dc.subject.keywordKidney injuryspa
dc.subject.keywordPostoperative complicationspa
dc.subject.keywordPreoperative evaluationspa
dc.subject.keywordRenal protectionspa
dc.subject.keywordRisk assessmentspa
dc.subject.keywordRisk factorspa
dc.subject.keywordCoronary diseasespa
dc.subject.keywordCoronary revascularisation surgeryspa
dc.subject.keywordKidney failurespa
dc.titleFactors associated to postoperative kidney failure following myocardial revascularisationspa
dc.title.TranslatedTitleFactores asociados a insuficiencia renal postoperatoria en cirugía de revascularización miocárdicaspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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