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The Journal of Thoracic and Cardiovascular Surgery, Vol 98, 1107-1112, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
HL Corwin, SM Sprague, GA DeLaria and MJ Norusis
We performed a case-control study to identify risk factors for the
development of acute renal failure after cardiac operations. Forty-two
cases of acute renal failure were identified in a total of 572 patients who
underwent cardiac operations. They were matched with a control population
of patients having cardiac operations without acute renal failure.
Discriminant analysis performed with preoperative variables revealed
preoperative serum creatinine values, concurrent valve and bypass surgery,
and age to be significant variables for identifying patients at risk for
acute renal failure. The use of these three variables in a discriminant
model correctly classified 77% of patients. The addition of intraoperative
variables did not significantly improve the ability of the model to
correctly classify patients. Acute renal failure was associated with a
significant increase in the number of postoperative complications,
mortality, and length of hospitalization and intensive care unit stay.
ARTICLES
Acute renal failure associated with cardiac operations. A case-control study
Department of Medicine, Rush Presbyterian-St. Luke's Medical Center, Chicago, Ill.
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