RT info:eu-repo/semantics/article
T1 eComment. Creatinine in the diagnosis of acute kidney injury following cardiac surgery with cardiopulmonary bypass
A1 Bustamante Munguira, Juan
A1 Jorge Monjas, Pablo
A1 Hernandez Lorenzo, Alfonso
A1 Tamayo Gómez, Eduardo
K1 Creatinine
K1 Creatinina
K1 Acute kidney injury
K1 Lesión renal aguda
K1 Cardiopulmonary bypass
K1 Bypass cardiopulmonar
K1 3213.07 Cirugía del Corazón
AB We read the article by Takaki et al. [1] with great interest, owing to the fact that the onset of kidney failure in the postoperative period following cardiac surgery is, perhaps, the most common complication and one that is linked to high morbidity and mortality and increased hospital stays, both in the ICU and generally; it is an independent predictor of mortality following cardiac surgery [2,3].Several authors have highlighted the role of creatinine as a predictive factor in the development of acute kidney injury (AKI). The majority of studies are based on the analysis of raised creatinine levels, and do not take into account reductions to the figures due to haemodilution, a consequence of the priming of extracorporeal circulation (ECC). In this sense, the analysis of these authors is very interesting, as it looks at the correlation between changes in creatinine levels and haematocrit [1]. The issue of optimum haematocrit levels that should be maintained during ECC in order to reduce the incidence of AKI is widely debated
PB Oxford University Press
SN 1569-9285
YR 2015
FD 2015
LK http://uvadoc.uva.es/handle/10324/45620
UL http://uvadoc.uva.es/handle/10324/45620
LA eng
NO Interactive CardioVascular and Thoracic Surgery, 2015, vol. 21, n. 4. p. 470
NO Producción Científica
DS UVaDOC
RD 22-dic-2024