RESEARCH ARTICLE


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, *
iD

1 Faculty of Nursing, Applied Science Private University, Amman, Jordan
2 Department of Critical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt
3 Department of Adult Health and Critical Care Nursing, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman

Article Information


Identifiers and Pagination:

Year: 2023
Volume: 17
E-location ID: e18744346256499
Publisher ID: e18744346256499
DOI: 10.2174/0118744346256499231006045858

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

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Creative Commons License
© 2023 Qadan et al.

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.

* Address correspondence to this author at the Department of Adult Health and Critical Care Nursing, College of Nursing, Sultan Qaboos University, Muscat, Sultanate of Oman; E-mail: f.alaloul@squ.edu.om


Abstract

Background:

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.

Objective:

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.

Methods:

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.

Results:

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.

Conclusion:

Obesity and more prolonged cardiopulmonary bypass time increased the incidence of cardiac surgery-associated Acute Kidney Injury.

Keywords: Acute kidney injury, Renal failure, Cardiac surgery, Open heart, Cardiopulmonary bypass, On-pump.