Predicting acute kidney injury in CAD patients undergoing coronary artery bypass grafting
https://doi.org/10.25789/YMJ.2020.70.06
Abstract
The aim of the study was to identify the risk predictors of developing acute kidney injury (AKI) and to create an AKI prognosis chart for patients with coronary artery disease (CAD) undergoing off-pump coronary artery bypass grafting.
The signs of AKI after the surgery were observed in 42.4% of patients. Out of the numerous factors, 17 most significant signs of the risk of developing AKI were selected using the Wald test. Using the identified signs, we built models (1) and (2) for predicting the probability of developing AKI with the sensitivity of 81% and specificity of 91%. We also revealed increased probability of developing AKI in patients with concomitant metabolic syndrome.
About the Authors
A. S. Korostelev
State autonomous institution of the Sakha Republic (Yakutia) “Republic’s Hospital No. 1 - National Center of Medicine."
Russian Federation
Russian Federation
Korostelev Aleksandr Sergeevich – anesthesiologist-resuscitator, Department of Anesthesiology, Resuscitation and Intensive Care (Cardiology)
677000, Sakha Republic (Yakutia), Yakutsk, ul. Oyunskogo, 27. Tel/fax. +7 (4112) 363489. Mob. +7-924- 763-9300
A. F. Potapov
Federal state educational institution of higher professional education "M.K.Ammosov North-Eastern Federal University"
Russian Federation
Russian Federation
Potapov Aleksandr Filippovich – Doctor of Medical Sciences, Head, Department of Anesthesiology, Resuscitation and Intensive Care with Emergency Care Course, Faculty of Post-graduate Studies for Doctors, Institute of Medicine
A. A. Ivanova
Ammosov North-Eastern Federal University
Russian Federation
Russian Federation
Ivanova Albina Ammosovna – Doctor of Medicine, Associate Professor, Department of Anesthesiology, Reanimation and Intensive Care, Institute for Post-graduate Medical Training
P. I. Zakharov
State autonomous institution of the Sakha Republic (Yakutia) “Republic’s Hospital No. 1 - National Center of Medicine."
Russian Federation
Russian Federation
Zakharov Petr Ivanovich – Doctor of Medical Sciences, chief external expert in cardiovascular surgery, Head, Cardiovascular Surgery Department, Clinical Center
A. V. Bulatov
State autonomous institution of the Sakha Republic (Yakutia) “Republic’s Hospital No. 1 - National Center of Medicine."
Russian Federation
Russian Federation
Bulatov Alkviad Valentinovich – Candidate of Medical Sciences Head, Department of Anesthesiology, Resuscitation and Intensive Care (Cardiology)
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Review
For citations:
Korostelev A.S., Potapov A.F., Ivanova A.A., Zakharov P.I., Bulatov A.V. Predicting acute kidney injury in CAD patients undergoing coronary artery bypass grafting. Yakut Medical Journal. 2020;(2):21-24. https://doi.org/10.25789/YMJ.2020.70.06
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