Continuous renal replacement therapy after cardiac surgery in patients with acute renal failure

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dc.contributor.authorGuclu O.
dc.contributor.authorYavuz C.
dc.contributor.authorGurkan S.C.
dc.contributor.authorYuksel V.
dc.contributor.authorDemirtas S.
dc.contributor.authorCaliskan A.
dc.contributor.authorGur O.
dc.date.accessioned2024-04-24T18:45:44Z
dc.date.available2024-04-24T18:45:44Z
dc.date.issued2013
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim Acute renal failure is an important adverse effect of cardiopulmonary bypass that can result in high mortality or morbidity rates. It can be treated with continuous renal replacement therapy after cardiac surgery. The purpose of this study was to determine the factors associated with the mortality and incidence of acute renal failure in patients of post cardiac surgery. Methods Patients (1564) who underwent cardiac surgery between January 2007 and January 2012 and treated with continuous renal replacement therapy were included (N=40). Patients with previous renal disorders were excluded. A retrospective analysis was carried out. Results Overall, continuous renal replacement therapy was used in 40 (2.6%) patients. The mean age was 62.7±11 years. Mean duration of cardiopulmonary bypass was 166±80 min, and aorta cross-clamping time was 97±35 min. The patients' mean pretherapy creatinine level and mean creatinine level before hospital discharge were 3.3±1.1 mg/dL and 1.1±0.4 mg/dl, respectively. Thirty-day mortality was 35%. Only 6 patients required long-term renal replacement therapy. Conclusion Acute renal failure requiring hemodialysis after cardiac surgery is associated with higher mortality and morbidity and prolonged hospital stay. Early renal recovery with continuous renal replacement therapy seems to offer an evident survival benefit. Continuous renal replacement therapy may represent an important therapy and reduce mortality rates. We believe that these rates might decrease even more with detailed preoperative evaluation and meticulous postoperative care with collaborative management.en_US
dc.identifier.endpage248en_US
dc.identifier.issn1840-0132
dc.identifier.issue2en_US
dc.identifier.pmid23892839
dc.identifier.scopus2-s2.0-84880727549
dc.identifier.scopusqualityQ2
dc.identifier.startpage244en_US
dc.identifier.urihttps://hdl.handle.net/11468/24840
dc.identifier.volume10en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.relation.ispartofMedicinski Glasnik
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHemodiafiltrationen_US
dc.subjectOpen Heart Surgeryen_US
dc.subjectRenal Disorderen_US
dc.titleContinuous renal replacement therapy after cardiac surgery in patients with acute renal failureen_US
dc.titleContinuous renal replacement therapy after cardiac surgery in patients with acute renal failure
dc.typeArticleen_US

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