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    Por favor, use este identificador para citar o enlazar este ítem:http://uvadoc.uva.es/handle/10324/15241

    Título
    Predicting cardiac surgery–associated acute kidney injury: The CRATE score
    Autor
    Jorge Monjas, PabloAutoridad UVA
    Bustamante Munguira, JuanAutoridad UVA Orcid
    Lorenzo López, MarioAutoridad UVA
    Heredia Rodríguez, MaríaAutoridad UVA
    Fierro Lorenzo, María Inmaculada
    Gómez Sánchez, EstherAutoridad UVA
    Hernández, Alfonso
    Álvarez González, Francisco JavierAutoridad UVA Orcid
    Bermejo Martín, Jesús FranciscoAutoridad UVA Orcid
    Gómez Pesquera, EstefaníaAutoridad UVA
    Gómez Herreras, José IgnacioAutoridad UVA
    Tamayo Gómez, EduardoAutoridad UVA
    Año del Documento
    2015
    Editorial
    Elsevier
    Descripción
    Producción Científica
    Documento Fuente
    Journal of Critical Care, 2016, 31 (1): 130–138
    Résumé
    Purpose: Acute kidney injury (AKI) is a frequent complication after cardiac surgery and is associated with increased mortality. The aim was to design a nondialytic AKI score in patients with previously normal renal function undergoing cardiac surgery. Methods: Data were collected on 909 patients who underwent cardiac surgery with cardiopulmonary bypass between 2012 and 2014. A total of 810 patients fulfilled the inclusion criteria. Patients were classified as having AKI based on the RIFLE criteria. Postoperative AKI occurred in 137 patients (16.9%). Several parameters were recorded preoperatively, intraoperatively, and at intensive care unit admission, looking for a univariate andmultivariate associationwith AKI risk. A second data set of 741 patients, from2 different hospitals,was recorded as a validation cohort. Results: Four independent risk factors were included in the CRATE score: creatinine (odds ratio [OR], 9.66; 95% confidence interval [CI], 4.77-19.56; P b .001), EuroSCORE (OR, 1.40; CI, 1.29-1.52; P b .001), lactate (OR, 1.03; CI, 1.01- 1.04; P b .001), and cardiopulmonary bypass time (OR, 1.01; CI, 1.01-1.02; P b .001). The accuracy of the model was good, with an area under the curve of 0.89 (CI, 0.85-0.92). The CRATE score retained good discrimination in validation cohort, with an area under the curve of 0.81 (95% CI, 0.78-0.85). Conclusions: CRATE score is an accurate and easy to calculate risk score that uses affordable andwidely available variables in the routine care surgical patients.
    Materias (normalizadas)
    Cardiovascular, Aparato - Cirugía - Complicaciones y secuelas
    Enfermedad renal
    ISSN
    0883-9441
    Revisión por pares
    SI
    DOI
    10.1016/j.jcrc.2015.11.004
    Idioma
    eng
    URI
    http://uvadoc.uva.es/handle/10324/15241
    Derechos
    openAccess
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    • DEP05 - Artículos de revista [198]
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    Attribution-NonCommercial-NoDerivatives 4.0 InternationalExcepté là où spécifié autrement, la license de ce document est décrite en tant que Attribution-NonCommercial-NoDerivatives 4.0 International

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