Acute Kidney Injury in Children After Heart Surgery
Author Information
Author(s): Zeyneloglu P, Pirat A, Baskin E, Camkiran A, Araz C, Ozkan M, Bayraktar N, Arslan G
Primary Institution: Baskent University Hospital, Ankara, Turkey
Hypothesis
The study aims to evaluate children with acute kidney injury after pediatric cardiac surgery using pediatric-modified RIFLE criteria.
Conclusion
AKI develops in 26% of patients after pediatric cardiac surgery, with younger patients showing higher serum cystatin C levels and inotrope scores.
Supporting Evidence
- Twenty-one children (26%) developed AKI.
- Patients with AKI were significantly younger than those without AKI.
- Postoperative 24-hour inotrope scores were significantly higher in children who developed AKI.
- Serum cystatin C concentrations were significantly increased in AKI patients at 2 hours after CPB.
Takeaway
Some kids can get sick kidneys after heart surgery, and younger kids might have more problems.
Methodology
Eighty-one children undergoing cardiopulmonary bypass for surgical correction of acyanotic congenital heart disease were prospectively enrolled, and blood samples were collected to measure serum cystatin C and creatinine levels.
Participant Demographics
Children undergoing cardiac surgery for congenital heart disease.
Statistical Information
P-Value
P = 0.002
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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