Acute renal failure associated with cardiac surgery.
We present the incidence, management and outcome of acute renal failure (ARF) in children who underwent cardiac surgery. Fourteen (9%) from a total of 156 children developed ARF in our hospital in a 3-year period. Patients were aged 2 days to 15 years. Prerenal failure was present in 6 and renal type in the remaining 8 children. Peritoneal dialysis treatment was utilized in 58% of patients. Neurologic and respiratory complications were present. Mortality rate was 58% and related to underlying pathology and to complications in other organs. The management of these patients must be by competent personnel preferably trained in pediatrics.
Gómez-Campderá
F J
FJ
Department of Pediatric Nephrology, Hospital General Gregorio Marañón, Madrid, Spain.
Maroto-Alvaro
E
E
Galiñanes
M
M
Garcia
E
E
Duarte
J
J
Rengel-Aranda
M
M
D058186:Acute Kidney Injury / Q000209:etiology* / Q000401:mortality; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies