Acute kidney injury after coronary artery bypass grafting: assessment using RIFLE and AKIN criteria

Revista Brasileira de Cirurgia Cardiovascular

Vinicius José Da Silva Nina²  Maryanne Miranda Matias¹  Dyego José De Araújo Brito¹  José Albuquerque De Figueiredo Neto¹  Léa Barroso Coutinho¹  Rayssa Fiterman Rodrigues¹  Vinícius Giuliano Gonçalves Mendes¹  Shirlyne Fabianni Dias Gaspar¹ 

[1],University Hospital of Maranhão Head of the Cardiac Surgery Unit São Luís MA ,Brazil

关键词: Myocardial revascularization;    Acute kidney injury;    Risk factors;    Revascularização miocárdica;    Lesão renal aguda;    Fatores de risco;   

DOI  :  10.5935/1678-9741.20130033

来源: SciELO

【 摘 要 】

OBJECTIVE: To compare the RIFLE (Risk, Injury, Failure, Loss and End-stage Renal Failure) and AKIN (Acute Kidney Injury Network) criteria for diagnosis of acute kidney injury after coronary artery bypass grafting. METHODS: Retrospective cohort. 169 patients who underwent coronary artery bypass grafting from January 2007 through December 2008 were analyzed. Information was entered into a database and analyzed using STATA 9.0. RESULTS: Patients' mean age was 63.43 1 9.01 years old. Predominantly male patients (66.86%) were studied. Acute Kidney Injury was present in 33.14% by AKIN and in 29.59% by RIFLE. Hemodialysis was required by 3.57% and 4.0% of the patients when AKIN and RIFLE were applied respectively. There was 4.0% and 3.57% mortality of patients with Acute Kidney Injury according to the RIFLE and AKIN criteria, respectively. In 88.76% of the cases, there was good agreement between the two methods in the detection (kappa=0.7380) and stratification (kappa=0.7515) of Acute Kidney Injury. CONCLUSION: This study showed that the RIFLE and AKIN criteria have a good agreement in the detection and stratification of acute kidney injury after coronary artery bypass grafting.

【 授权许可】

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