Comparative assessment of criteria for postoperative renal dysfunction in cardiosurgical patients
Morozov, I.A.; Charnaia, M.A.; Gladysheva, V.G.; Savost'ianova, N.M.
Klinicheskaia Laboratornaia Diagnostika 2008(3): 44-46
2008
ISSN/ISBN: 0869-2084 PMID: 18450083 Document Number: 621580
The paper presents data on comparison of the detection rate of renal dysfunction after cardiac surgery, by using the criteria developed by Cockroft-Gault, C. M. Mangano, L.-G. Andersson, and G. Zanardo. It is shown that it is expedient to calculate creatinine phosphokinase by the Cochroft-Gault formula that using a patient's individual parameters provides a more objective approach to making the diagnosis of renal dysfunction. The rate of development of renal dysfunctions in patients who have undergone cardiac surgery under extracorporeal circulation (EC) depends on the type of an operation and the duration and temperature of perfusion. By postoperative day 14, renal function became normal in the vast majority of patients. Renal function became chronic in 1% of the patients operated on the heart under EC.