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DOI: 10.1055/s-2007-1014142
Serious Acute Renal Failure following Open Heart Surgery
Publication History
1984
Publication Date:
19 March 2008 (online)
![](https://www.thieme-connect.de/media/thoracic/198505/lookinside/thumbnails/10.1055-s-2007-1014142-1.jpg)
Summary
The influence of 51 preoperative, peroperative and postoperative variables on the development of serious acute renal failure (ARF) following open heart surgery was studied. Although a large number of significant variables was found, a logit-model with only 2 explanatory variables showed an almost perfect fit. With this model the chances of serious ARF up to 90% were estimated. The results suggest that a critical circulation is the main cause of serious ARF. Further-more, a reduced ability to cope with a critical circulation without renal failure plays an important role in the pathogenesis. There is a higher risk of serious ARF for patients older than 70, especially when circulatory Support with dopamine is needed.
Key words
Acute renal failure - Complication of open heart surgery - Multivariate analysis