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2015, Number 3

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Rev Cuba Enf 2015; 31 (3)

RIFLE and AKIN: impact in predicting acute kidney injury in the postoperative period of cardiac surgery

da Silva MMC, Zerbato B, Gonçalves DM, Quidim A, Sassá E, Lamonica CJC

Language: Portugués
References: 40
Page:
PDF size: 218.48 Kb.


ABSTRACT

Introduction: the survival rate for renal diseases remains a prevalent health problem.
Objective: to compare the performance of RIFLE and AKIN classifications in renal function assessment in the postoperative period of cardiac surgery.
Method: prospective, longitudinal study, with quantitative approach, sample of 207 patients in postoperative period of cardiac surgery followed for the first 72 hours after surgery.
Results: patients were predominantly hypertensive, Caucasian and males with mortality rate of 2.9%. The incidence of acute kidney injury (AKI) was 76.3% and 80.7% according to AKIN and RIFLE classifications, respectively. Both classifications showed similar power for AKI identification, using both creatinine and urinary output criteria. Body mass index and length of stay in ICU have been shown to be risk factors for AKI.
Conclusion: The incidence of AKI remains high and the performance of RIFLE and AKIN classification for renal function assessment after cardiac surgery was similar.


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