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Published on: January 28, 2020
Preoperative CRP levels is not predictive early renal dysfunction after coronary artery bypass surgery
Veysel Sahin1, Mehmet Besir Akpinar1, Erol Sevim2
1Division of Cardiac Surgery, Sifa University Medical Faculty Izmir, Turkey.
Insights
This study found no significant correlation between preoperative C-reactive protein (CRP) levels and early kidney dysfunction following cardiac surgery. Preoperative CRP levels did not predict postoperative renal function in patients undergoing cardiac operations.
Area of Science:
- Cardiology
- Nephrology
- Biochemistry
Background:
- Assessing preoperative C-reactive protein (CRP) levels is crucial for understanding potential complications after cardiac surgery.
- Early renal dysfunction is a significant concern in patients undergoing cardiac operations.
Purpose of the Study:
- To investigate the relationship between preoperative C-reactive protein (CRP) levels and the incidence of early renal dysfunction after cardiac surgery.
Main Methods:
- A retrospective analysis of 546 patients undergoing cardiac operations between January 2012 and December 2013.
- Patients were categorized into two groups based on preoperative CRP levels: normal (<0.5 mg/dL) and high (≥0.5 mg/dL).
- Comparison of preoperative and postoperative renal function markers (serum BUN, creatinine, and CrCl) between the two groups.
Main Results:
- Significant differences in median preoperative and postoperative CRP levels were observed between the high and normal CRP groups.
- No significant differences were found in preoperative or postoperative levels of serum blood urea nitrogen (BUN), creatinine, or creatinine clearance (CrCl) between the groups.
- Early postoperative renal function indicators did not differ significantly between patients with normal and high preoperative CRP levels.
Conclusions:
- Early renal function, assessed by creatinine and creatinine clearance, is not significantly different between patients with normal and high preoperative CRP levels.
- Preoperative CRP levels do not appear to be correlated with early renal function after coronary artery bypass grafting (CABG) surgery.
Background:
The aim of this retrospective study is to determine the correlation between preoperative CRP levels and the early renal dysfunction after cardiac surgery.
Methods:
From January 2012 to December 2013, values for preoperative CRP were available for 546 unselected patients undergoing cardiac operations. CRP was used to divide this cohort in two groups: a normal CRP levels group (Group I) of 432 patients with CRP of less than 0.5 mg/dL, and a high CRP levels group (group II) of 114 patients with a CRP of 0.5 mg/dL or more.
Results:
Median CRP preoperative values were significantly different in the group II (2.49±1.03 mg/dL) than in the group I (0.32±0.14 mg/dL; P < 0.0001). Median CRP postoperative values were significantly different in the group I (17.62±2.99) than in the group II (23.13±3.01; P < 0.0001). Preoperative levels of serum blood urea nitrogen (BUN), creatinine and CrCl were not significantly different between group I and group II. Postoperative levels of BUN, Cr and CrCl between the two groups were not significantly different.
Conclusions:
The early Cr and CrCl levels after surgery are not significantly different in group I and group II. The early renal function after CABG is not correlated with the preoperative CRP levels.
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