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Thorac Cardiovasc Surg 1985; 33(5): 283-287
DOI: 10.1055/s-2007-1014142
© Georg Thieme Verlag Stuttgart · New York

Serious Acute Renal Failure following Open Heart Surgery

H. M. Korting1 , A. J. Korting2 , J. A. Leusink1
  • 1Department of Anesthesiology, St. Antonius Hospital, Nieuwegein/Utrecht, The Netherlands
  • 2Department of Medical Informatics and Statistics, University of Limburg, Maastricht, The Netherlands
  • Currently at the Department of Mathematical Statistics, Centre for Mathematics and Computer Science, Amsterdam, The Netherlands
Further Information

Publication History

1984

Publication Date:
19 March 2008 (online)

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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