Higher Body Mass Index and Prolonged Cardiopulmonary Bypass Time increase the Risk of Cardiac Surgery-associated Acute Kidney Injury
Laith Qadan1, Mohannad Eid AbuRuz1, Fatma Refaat Ahmed2, Fawwaz Alaloul3, *
Identifiers and Pagination:Year: 2023
E-location ID: e18744346256499
Publisher ID: e18744346256499
Article History:Received Date: 08/04/2023
Revision Received Date: 24/06/2023
Acceptance Date: 30/08/2023
Electronic publication date: 23/10/2023
Collection year: 2023
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Cardiac surgery is the second leading cause of Acute Kidney Injury in intensive care settings. The incidence of cardiac surgery-associated Acute Kidney Injury might be more than 30% in some cardiac surgery types. The associated factors for this complication are mostly ischemia-reperfusion injury, inflammation, hemolysis, and others. On the other hand, cardiac surgery-associated Acute Kidney Injury can be reduced and prevented.
This study aims to investigate the incidence of cardiac surgery-associated Acute Kidney Injury among cardiac surgery patients and the most common predictors of this complication.
This study adopted a retrospective quantitative design. A convenience sample of 151 adult patients with any type of on-pump open heart surgery from three major hospitals was included. Data were collected from electronic medical records and analyzed using binary logistic regression.
Two-thirds of the sample were males, 33.1% were overweight, and 55% underwent coronary artery bypass graft surgery. Cardiac surgery-associated Acute Kidney Injury occurred in 49 patients (32.5%) and was significantly associated with higher patients' body mass index (OR = 1.112, p-value = 0.006) and longer cardiopulmonary bypass time (OR = 1.015, p-value = 0.002).
Implications for Nursing:
Weight control and reduction of cardiopulmonary bypass time might decrease the incidence of cardiac surgery-associated acute kidney injury, morbidity, and mortality and improve resource utilization.
Obesity and more prolonged cardiopulmonary bypass time increased the incidence of cardiac surgery-associated Acute Kidney Injury.