1. Hemodilution is associated with underestimation of serum creatinine in cardiac surgery patients: a retrospective analysis
- Author
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Jifu Jin, Jiarui Xu, Sujuan Xu, Jiachang Hu, Wuhua Jiang, Bo Shen, Chunsheng Wang, Jie Teng, and Xiaoqiang Ding
- Subjects
Acute kidney injury ,Fluid balance ,Cardiac surgery ,Diagnosis ,Prognosis ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background Fluid overload is related to the development and prognosis of cardiac surgery-associated acute kidney injury (CSA-AKI). The study is to investigate the influence of serum creatinine (SCr) corrected by fluid balance on the prognosis of patients with cardiac surgery. Methods A retrospective study was conducted in 1334 patients who underwent elective cardiac surgery from January 1 to December 31, 2015. Kidney Disease: Improving Global Outcomes (KDIGO) criteria for AKI were applied to identify CSA-AKI. SCr was measured every 24 h during ICU period and was accordingly adjusted for cumulative fluid balance. Changes in SCr, defined as ∆Crea, were determined by difference between before and after adjustment for cumulative fluid balance. All patients were then divided into three groups: underestimation group (∆Crea ≥ P75), normal group (P25
- Published
- 2021
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