Renal dysfunction and serious infections after open-heart surgery

Slides:

Advertisements

Similar presentations

Renal involvement in hepatitis C infection: Cryoglobulinemic glomerulonephritis Giuseppe D’Amico Kidney International Volume 54, Issue 2, Pages

Advertisements

Reduced renal function in patients with simple renal cysts

Treatment of acute renal failure

Volume 66, Issue 4, Pages (October 2004)

Volume 54, Issue 2, Pages (August 1998)

Volume 62, Issue 3, Pages (September 2002)

Off-pump coronary artery bypass grafting does not preserve renal function better than on-pump coronary artery bypass grafting: Results of a case-matched.

End-stage renal disease in developing countries

Stem cells for kidney repair: useful tool for acute renal failure?

Volume 101, Issue 6, Pages (June 1992)

Edward D. Siew, Andrew Davenport Kidney International

Volume 70, Issue 6, Pages (September 2006)

Volume 62, Issue 3, Pages (September 2002)

Postoperative renal failure in thoracoabdominal aortic aneurysm repair with simple cross-clamp technique and 4°C renal perfusion Martha M. Wynn, MD,

Mortality caused by sepsis in patients with end-stage renal disease compared with the general population Mark J. Sarnak, Bertrand L. Jaber Kidney International

G protein β3 subunit C825T polymorphism in primary IgA nephropathy

Smoking and cardiovascular outcomes in dialysis patients: The United States Renal Data System Wave 2 Study1,2 Robert N. Foley, Charles A. Herzog, Allan.

C.Y. Hsu, J.D. Ordoñez, G.M. Chertow, D. Fan, C.E. McCulloch, A.S. Go

How to interpret the eGFR in patients with small body surface area

Volume 66, Issue 4, Pages (October 2004)

Comorbidity and confounding in end-stage renal disease

Early mortality in dialysis and adequacy of predialysis renal care: the picture is more complex than we thought Nicolas Rognant, Maurice Laville Kidney.

Volume 73, Pages S81-S86 (April 2008)

Treatment of acute renal failure

Volume 56, Issue 3, Pages (September 1999)

Volume 67, Issue 3, Pages (March 2005)

Prevention of renal failure: The Malaysian experience

Volume 75, Issue 1, Pages (January 2009)

Volume 76, Issue 10, Pages (November 2009)

Volume 73, Pages S5-S17 (April 2008)

Acute myocardial infarction in patients with end-stage renal disease

The calcium–phosphorus in guidelines for CKD-MBD

Volume 70, Issue 12, Pages (December 2006)

Blood pressure targets in hemodialysis patients

Risks and Outcomes of Acute Kidney Injury Requiring Dialysis After Cardiac Transplantation Janet M. Boyle, MD, Soundous Moualla, MD, Susana Arrigain,

Volume 62, Issue 1, Pages (July 2002)

Peritoneal dialysis adequacy and risk of death

Martin K. Kuhlmann, Martina Heckmann, Werner Riegel, Hans Köhler

Volume 76, Issue 6, Pages (September 2009)

Volume 72, Issue 1, Pages 8-10 (July 2007)

Predicting acute renal failure after coronary bypass surgery: Cross-validation of two risk- stratification algorithms Elizabeth Bowen Fortescue, David.

Volume 69, Issue 12, Pages (June 2006)

Volume 69, Issue 3, Pages (February 2006)

Volume 73, Issue 5, Pages (March 2008)

Methods for guideline development

Reduced renal function in patients with simple renal cysts

Perioperative Acute Kidney Injury

Terry Behrend, Steven B. Miller, M.D Kidney International

Homocysteine, renal function, and risk of cardiovascular disease

Yasunori Kitamoto, Katsuhiko Matsuo, Kimio Tomita Kidney International

Renal dysfunction and serious infections after open-heart surgery

Volume 74, Issue 9, Pages (November 2008)

Volume 60, Issue 3, Pages (September 2001)

Does equal care give equal outcomes?

Volume 69, Issue 1, Pages (January 2006)

Volume 80, Issue 10, Pages (November 2011)

Long-term outcome of dialysis patients in the United States with coronary revascularization procedures Charles A. Herzog, M.D., Jennie Z. Ma, Allan J.

Charles A. Herzog Kidney International

Occult renal dysfunction: a mortality and morbidity risk factor in coronary artery bypass grafting surgery Antonio Miceli, MD, Vito D. Bruno, MD, Radek.

Assessing the impact of different imputation methods on serial measures of renal function: The Strong Heart Study N.-M. Shara, J.-G. Umans, W. Wang,

Volume 64, Issue 4, Pages (October 2003)

Volume 70, Issue 10, Pages (November 2006)

The International Pediatric Peritonitis Registry: Starting to walk

D.J. Askenazi, D.I. Feig, N.M. Graham, S. Hui-Stickle, S.L. Goldstein

Similar risk profiles for post-transplant renal dysfunction and long-term graft failure: UNOS/OPTN database analysis Nauman Siddiqi, Maureen A. McBride,

Prediction in idiopathic membranous nephropathy

Stephen Pastan, J. Michael Soucie, William M. McClellan

A. Lauschke, U.K.M. Teichgräber, U. Frei, K.-U. Eckardt

Epidemiologic data of renal diseases from a single unit in China: Analysis based on 13,519 renal biopsies Lei-Shi Li, Zhi-Hong Liu Kidney International

Volume 58, Issue 3, Pages (September 2000)

Presentation transcript:

Renal dysfunction and serious infections after open-heart surgery Charuhas V. Thakar, Jean-Pierre Yared, Sarah Worley, Kathy Cotman, Emil P. Paganini Kidney International Volume 64, Issue 1, Pages 239-246 (July 2003) DOI: 10.1046/j.1523-1755.2003.00040.x Copyright © 2003 International Society of Nephrology Terms and Conditions

Figure 1 The relationship between preoperative creatinine clearance (mL/min) and frequency of infection. The frequency of sepsis syndrome and septic shock is indicated by the shaded portion. N = 22,587; two patients were missing information for age at surgery. Kidney International 2003 64, 239-246DOI: (10.1046/j.1523-1755.2003.00040.x) Copyright © 2003 International Society of Nephrology Terms and Conditions

Figure 2 Shown is the frequency of infections by both of our definitions, including patients with postoperative acute renal failure (ARF). The shaded portion represents those patients who met the criteria for sepsis syndrome and septic shock. Kidney International 2003 64, 239-246DOI: (10.1046/j.1523-1755.2003.00040.x) Copyright © 2003 International Society of Nephrology Terms and Conditions

Figure 3A The frequency of infections in patients who developed acute renal failure (ARF) requiring dialysis, categorized based on preoperative creatinine clearance is illustrated.N = 411; one patient in this subgroup was missing information for age at surgery. Kidney International 2003 64, 239-246DOI: (10.1046/j.1523-1755.2003.00040.x) Copyright © 2003 International Society of Nephrology Terms and Conditions

Figure 3B The frequency of infections in patients who developed acute renal failure (ARF) not requiring dialysis, categorized based on preoperative creatinine clearance is shown. Kidney International 2003 64, 239-246DOI: (10.1046/j.1523-1755.2003.00040.x) Copyright © 2003 International Society of Nephrology Terms and Conditions

Figure 4 The relationship between preoperative creatinine clearance (mL/min) and frequency of infections after excluding those patients who developed postoperative acute renal failure (ARF) by either of our definitions.N = 21,470; 2 patients were missing information for age at surgery, one of which developed ARF requiring dialysis. Kidney International 2003 64, 239-246DOI: (10.1046/j.1523-1755.2003.00040.x) Copyright © 2003 International Society of Nephrology Terms and Conditions

Figure 5 The frequency of infections within each category of type of open-heart surgery compared according to preoperative creatinine clearance. The cutoff point at creatinine clearance of 60mL/min was based upon estimates on the logit scale, as well as the categories of preoperative renal dysfunction. *P < 0.001; **P < 0.003. Kidney International 2003 64, 239-246DOI: (10.1046/j.1523-1755.2003.00040.x) Copyright © 2003 International Society of Nephrology Terms and Conditions