[Analysis of the risk factors of acute renal insufficiency following coronary artery bypass grafting].
OBJECTIVE
To study the risk factors of acute renal insufficiency (ARI) following coronary artery bypass grafting (CABG).


METHODS
The clinic data of 2242 patients undertaking CABG between July 1997 and July 2006 were retrospectively analyzed, and ARI following CABG was included.


RESULTS
ARI occurred in 219 patients, with an incidence of 9.8%. Univariate analysis revealed that advanced age, diabetes mellitus, preoperative chronic renal dysfunction, left main disease, low left ventricular erection faction, emergency operation, on-pump CABG, ascending aortic atherosclerosis, postoperative respiratory function insufficiency and low cardiac output syndrome were significantly related to ARI following CABG, and logistic multivariate regression analysis showed that presence of advanced age (P = 0.031), preoperatively chronic renal dysfunction (CrCl <or= 60 ml/min, P = 0.023 or Scr >or= 150 micromol/L, P = 0.041), on-pump CABG (P < 0.001), postoperative respiratory function insufficiency (P = 0.013) and low cardiac output syndrome (P = 0.004) were independent risk factors of ARI.


CONCLUSIONS
Advanced age, preoperatively chronic renal dysfunction, on-pump CABG, postoperative respiratory function insufficiency and low cardiac output syndrome are the risk factors of ARI following CABG.
Chen
Xu-jun
XJ
Department of Cardiac Surgery, Beijing Friendship Hospital, Medical University of Capital Sciences, Beijing 100050, China. chenstan@163.com
Xiao
Ming-di
MD
Feng
Wen-hui
WH
Yang
Bi-bo
BB
Zhang
Yong
Y
Lü
Zhi-qian
ZQ
Li
Da-lian
DL
D058186:Acute Kidney Injury / Q000453:epidemiology / Q000209:etiology*; D002681:China / Q000453:epidemiology; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D012307:Risk Factors