Abstract | OBJECTIVE: METHODS: Data from a cohort of 769 patients were assessed using bivariate analyses and binary logistic regression modeling. RESULTS: Three hundred eighty one patients underwent CABG, 339 valve surgery and 49 had undergone both simultaneously. Forty six percent of the patients were female and the mean age was 57 +/- 14 years (13 to 89 years). Seventy eight (10%) patients presented renal dysfunction postoperatively, of these 23% needed hemodialysis (2.4% of all patients). The mortality for the whole cohort was 10%. The overall mortality for patients experiencing postoperative renal dysfunction was 40% (versus 7%, P < 0.001), 29% for those who did not need dialysis and 67% for those who needed dialysis (P = 0.004). The independent risk factors found were: age (P < 0.000, OR: 1.056), congestive heart failure (P = 0.091, OR: 2.238), COPD (P = 0.003, OR: 4.111), endocarditis (P = 0.001, OR: 12.140), myocardial infarction < 30 days (P = 0.015, OR: 4.205), valve surgery (P = 0.016, OR: 2.137), cardiopulmonary bypass time > 120 min (P = 0.001, OR: 7.040), peripheral arterial vascular disease (P = 0.107, 2.296). CONCLUSION:
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Authors | Alfredo José Rodrigues, Paulo Roberto Barbosa Evora, Solange Bassetto, Lafaiete Alves Júnior, Adilson Scorzoni Filho, Wesley Ferreira Araújo, Walter Vilella Andrade Vicente |
Journal | Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular
(Rev Bras Cir Cardiovasc)
2009 Oct-Dec
Vol. 24
Issue 4
Pg. 441-6 Brazil |
PMID | 20305915
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Acute Kidney Injury
(etiology, mortality)
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Brazil
- Cardiac Surgical Procedures
(adverse effects, mortality)
- Creatinine
(blood)
- Epidemiologic Methods
- Female
- Heart Valves
(surgery)
- Humans
- Male
- Middle Aged
- Risk Factors
- Young Adult
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