Incidence, Severity, and Outcomes of Acute Kidney Injury in Octogenarians following Heart Valve Replacement Surgery
المؤلفون المشاركون
Thongprayoon, Charat
Wu, YiFan
Tejwani, Vickram
Vela-Ortiz, Myriam
Dearani, Joseph A.
Mao, Michael
Qian, Qi
المصدر
International Journal of Nephrology
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-05-24
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
The study investigates the occurrence, severity, and outcomes of acute kidney injury (AKI) in octogenarians following heart valve surgery.
Methods.
All patients, age >80 years, not on dialysis and without kidney transplant, undergoing heart valve replacement at Mayo Clinic, Rochester, in the years 2002-2003 were enrolled.
AKI was diagnosed based on AKIN criteria.
Results.
209 octogenarians (88.0% aortic valve, 6.2% mitral valve, 1.0% tricuspid valve, and 4.8% multivalve) with (58.4%) and without CABG were studied.
34 (16.3%) had preexisting CKD.
After surgery, 98 (46.8%) developed AKI.
76.5% of the AKI were in Stage 1, 9.2% in Stage 2, and 14.3% in Stage 3.
76.5% CKD patients developed AKI.
Length of hospital stay was longer for AKI patients.
More AKI patients were discharged to care facilities.
Patient survival at 30 days and 1 year for AKI versus non-AKI was 88.8 versus 98.7%, p=0.003, and 76.5 versus 88.3%, p=0.025, respectively.
With follow-up of 3.94±0.28 years, Kaplan-Meier analysis showed a reduced survival for AKI octogenarians.
Preexisting CKD and large volume intraoperative fluid administration were independent AKI predictors.
Conclusions.
Nearly half of the octogenarians developed AKI after valve replacement surgery.
AKI was associated with significant functional impairment and reduced survival.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Mao, Michael& Thongprayoon, Charat& Wu, YiFan& Tejwani, Vickram& Vela-Ortiz, Myriam& Dearani, Joseph A.…[et al.]. 2015. Incidence, Severity, and Outcomes of Acute Kidney Injury in Octogenarians following Heart Valve Replacement Surgery. International Journal of Nephrology،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1066226
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Mao, Michael…[et al.]. Incidence, Severity, and Outcomes of Acute Kidney Injury in Octogenarians following Heart Valve Replacement Surgery. International Journal of Nephrology No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1066226
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Mao, Michael& Thongprayoon, Charat& Wu, YiFan& Tejwani, Vickram& Vela-Ortiz, Myriam& Dearani, Joseph A.…[et al.]. Incidence, Severity, and Outcomes of Acute Kidney Injury in Octogenarians following Heart Valve Replacement Surgery. International Journal of Nephrology. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1066226
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1066226
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر