Journal article

A risk, injury, failure, loss, and end-stage renal failure score-based trigger for renal replacement therapy and survival after cardiac surgery

Antoine G Schneider, Glenn M Eastwood, Siven Seevanayagam, Georges Matalanis, Rinaldo Bellomo

JOURNAL OF CRITICAL CARE | W B SAUNDERS CO-ELSEVIER INC | Published : 2012

Abstract

PURPOSE: It is controversial whether all critically ill patients with risk, injury, failure, loss, and end-stage renal failure (RIFLE) F class acute kidney injury (AKI) should receive renal replacement therapy (RRT). We reviewed the outcome of open heart surgery patients with severe RIFLE-F AKI who did not receive RRT. MATERIALS AND METHODS: We identified all patients with AKI after cardiac surgery over 4 years and obtained baseline characteristics, intraoperative details, and in-hospital outcomes. We analyzed physiologic and biochemical features at RRT initiation or at peak creatinine if no RRT was provided. RESULTS: We reviewed 1504 patients. Of these, 137 (9.1%) developed postoperative AK..

View full abstract