Association of cardiopulmonary bypass with acute kidney injury in patients undergoing coronary artery bypass grafting:a retrospective cohort study  

作　　者：Hairong Gong Taoyuan Zhang Hailong Dong Chong Lei 

机构地区：[1]Department of Anesthesiology and Perioperative Medicine,Xijing Hospital,Fourth Military Medical University,Xi’an,Shaanxi 710032,China

出　　处：《Chinese Medical Journal》2023年第23期2889-2891,共3页中华医学杂志（英文版）

基　　金：Natural Science Foundation of China(No.81970448)

摘　　要：To the Editor:Acute kidney injury(AKI)is a frequent complication of both cardiac and major non-cardiac surgeries.Cardiopulmonary bypass(CPB)-assisted cardiac surgery was associated with a higher incidence of AKI than other surgeries without CPB,suggesting that CPB might be a risk factor for cardiac surgery-associated AKI(CSA-AKI).[1]However,previous studies have demonstrated conflicting results regarding the association of CPB and CSA-AKI,as the diagnosis of AKI has been made according to different criteria.[2-5]The most recent definition of AKI from an AKI Work Group,Kidney Disease:Improving Global Outcomes(KDIGO),allows for the determination of AKI based on a decline in the glomerular filtration rate(GFR)with subsequent increase in serum creatinine or a period of oliguria.[6]We performed a retrospective cohort study to evaluate the association of CPB and postoperative AKI,using the KDIGO definition among patients undergoing on-pump or off-pump coronary artery bypass graft(CABG).

关 键 词：BYPASS CORONARY PATIENTS 

分 类 号：R654.2[医药卫生—外科学] R692.5[医药卫生—临床医学]