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Acute kidney injury after cardiac surgery in eastern Saudi Arabia

A M Alkhunaizi1, S S A Shah, U S Wesslen

  • 1Internal Medicine Services Division, Dhahran Health Centre, Dhahron, Saudi Arabia. ahmed.khunaizi@aramco.com

Eastern Mediterranean Health Journal = La Revue De Sante De La Mediterranee Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit
|July 30, 2011
PubMed

Insights

Acute kidney injury (AKI) affects nearly 30% of patients after cardiac surgery in Saudi Arabia. Key risk factors include older age, diabetes, pre-existing kidney disease, and emergency procedures.

Area of Science:

  • Nephrology
  • Cardiology
  • Public Health

Background:

  • Acute kidney injury (AKI) is a significant complication following cardiac surgery.
  • Cardiac surgery is associated with a high risk of developing AKI, impacting patient outcomes.
  • Understanding AKI prevalence and risk factors is crucial for improving patient care in this population.

Purpose of the Study:

  • To determine the frequency of AKI after cardiac surgery.
  • To identify risk factors associated with AKI in this patient cohort.
  • To assess the mortality rates linked to AKI post-cardiac surgery.

Main Methods:

  • Retrospective analysis of patients undergoing cardiac surgery between June 2005 and December 2008.
  • Inclusion criteria applied to 293 patients for the final analysis.
  • Multivariate analysis used to identify significant risk factors for AKI.

Main Results:

  • A total of 85 out of 293 patients (29.0%) developed AKI.
  • Significant risk factors identified: advanced age, diabetes mellitus, preoperative chronic kidney disease, and emergent surgery.
  • Overall mortality associated with AKI was 10.5%, rising to 42.9% when dialysis was required.

Conclusions:

  • AKI is a serious complication following cardiac surgery in eastern Saudi Arabia.
  • Proactive measures to prevent AKI are essential for this patient group.
  • Identifying and managing risk factors can potentially reduce AKI incidence and improve survival rates.

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