Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması
Yıl: 2020 Cilt: 26 Sayı: 1 Sayfa Aralığı: 1 - 9 Metin Dili: Türkçe DOI: 10.5222/GKDAD.2020.86547 İndeks Tarihi: 07-12-2020
Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması
Öz: Amaç: Kardiyopulmoner baypas (KPB) sonrası oluşan akut böbrek hasarı (ABH) sık görülmekte ve bu durumerken ve geç postoperatif sonuçlar üzerinde ciddi etkiler oluşturmaktadır. Bu retrospektif çalışmanın birincilamacı KPB eşliğinde kardiyovasküler cerrahi geçiren ve böbrek fonksiyonları normal olan hastalarda RIFLE,KDIGO ve AKIN sınıflamaları aracılığı ile cerrahi sonrası akut böbrek hasarı sıklığının saptanması ve akut böbrekhasarı gelişiminde rol alan risk faktörlerinin belirlenmesidir. Sekonder amacı ise bu 3 sınıflamanın ve risk faktörlerininerken mortalite ile ilintisini saptamaktır.Yöntem: Manisa Celal Bayar Üniversitesi Tıp Fakültesi Kalp Damar Cerrahisi Kliniğinde 2011-2015 tarihleriarasında KPB eşliğinde kardiyovasküler cerrahi geçiren ve sonrasında Kalp Damar Cerrahisi Yoğun Bakımdaizlenen hastaların dosyaları retrospektif olarak incelenerek 353 hasta çalışmaya dâhil edildi. Araştırmaya dâhiledilen her hastanın ameliyat öncesi demografik bilgileri, operasyon tipi, hemoglobin, hemotokrit düzeyleri,kreatinin değerleri kaydedildi. Postoperatif dönemde serum kreatinin değeri ve idrar çıkış miktarı kullanılarakgünlük olarak RIFLE, KDIGO ve AKIN skoru belirlendi. Verilerin değerlendirilmesinde ROC analizi ve logistikregresyon analizi kullanıldı.Bulgular: Araştırma grubumuzda KDIGO ve AKIN sınıflamalarına göre %28.6’sının RIFLE sınıflamasına göre ise%29.4’ünün herhangi bir ABH evresinde olduğu bulundu. Çalışmamızda, RİFLE, AKIN ve KDIGO sınıflamalarınagöre böbrek yetmezliği gelişimi ile ileri yaş, CABG ve kapak cerrahisinin birlikte yapılması, uzun pompa süresi,düşük preoperatif hemoglobin düzeyi, yüksek bazal kreatinin değeri, yüksek peroperatif kan transfüzyonu, uzunsüre yoğun bakımda kalış arasında anlamlı ilişki olduğu gösterildi. Çalışmamızda, hastane mortalitesinin tahminindeROC eğrisi altındaki alan RIFLE, AKIN ve KDIGO sınıflamaları için sırasıyla benzer şekilde 0.956, 0.957,0.956 olarak anlamlı bulun.Sonuç: Çalışmamızda, RIFLE, AKIN ve KDIGO sınıflamaları arasında mortalite tahmininde anlamlı bir fark bulunamamıştır.
Anahtar Kelime: Comparison of RIFLE, AKIN and KDIGO Classifications in Patients with Cardiac Surgery
Öz: Objective: Acute Kidney Injury (AKI) occurring after cardiac surgery is commonly seen and has serious effects on early and late postoperative outcomes. The primary objective of this retrospective study was to determine the incidence of acute renal injury using RIFLE, KDIGO and AKIN classifications in patients with normal renal function and to determine the risk factors involved in the development of acute renal injury. The secondary aim was to determine the relationship between these three classifications and risk factors with early mortality. Method: Patients who had undergone cardiovascular surgery with the aid of CPB between 2011 and 2015 at Manisa Celal Bayar University Medical Faculty Cardiovascular Surgery Clinic were examined retrospectively and 353 patients were included in the study. Preoperative demographic information, operation type, hemoglobin, hematocrit levels, and creatinine values of each patient were recorded. RIFLE, KDIGO and AKIN scores were determined daily using serum creatinine values and urine outputs in the postoperative period. ROC analysis and logistic regression analysis were used in the evaluation of the data. Results: According to the KDIGO, AKIN classifications, 28.6%, and RIFLE classifications, 29.4% of the research group were found to be in any AKI stage, respectıvely. According to RIFLE, AKIN and KDIGO classifications in our study, there was a significant relationship between the development of renal injury with advanced age, combined CABG-valve surgery, longer pump duration, low preoperative hemoglobin level, high baseline creatinine value, high perioperative blood transfusion and long- term intensive care unit stay. The area under the receiver operating characteristic curve for hospital mortality was similarly found to be 0.956, 0.957, 0.956 for the RIFLE, AKIN and KDIGO classifications, respectively. Conclusion: In our study, there was no significant difference in mortality estimation among RIFLE, AKIN and KDIGO classifications.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Uğur Y, Açıkel A, ÖZTÜRK T, Yildirim F, AMANVERMEZ ŞENARSLAN D, özyurt b, Çivi M (2020). Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması. , 1 - 9. 10.5222/GKDAD.2020.86547 |
| Chicago | Uğur Yasin Levent,Açıkel Arzu,ÖZTÜRK Tulun,Yildirim Funda,AMANVERMEZ ŞENARSLAN Dilşad,özyurt beyhan cengiz,Çivi Melek Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması. (2020): 1 - 9. 10.5222/GKDAD.2020.86547 |
| MLA | Uğur Yasin Levent,Açıkel Arzu,ÖZTÜRK Tulun,Yildirim Funda,AMANVERMEZ ŞENARSLAN Dilşad,özyurt beyhan cengiz,Çivi Melek Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması. , 2020, ss.1 - 9. 10.5222/GKDAD.2020.86547 |
| AMA | Uğur Y,Açıkel A,ÖZTÜRK T,Yildirim F,AMANVERMEZ ŞENARSLAN D,özyurt b,Çivi M Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması. . 2020; 1 - 9. 10.5222/GKDAD.2020.86547 |
| Vancouver | Uğur Y,Açıkel A,ÖZTÜRK T,Yildirim F,AMANVERMEZ ŞENARSLAN D,özyurt b,Çivi M Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması. . 2020; 1 - 9. 10.5222/GKDAD.2020.86547 |
| IEEE | Uğur Y,Açıkel A,ÖZTÜRK T,Yildirim F,AMANVERMEZ ŞENARSLAN D,özyurt b,Çivi M "Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması." , ss.1 - 9, 2020. 10.5222/GKDAD.2020.86547 |
| ISNAD | Uğur, Yasin Levent vd. "Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması". (2020), 1-9. https://doi.org/10.5222/GKDAD.2020.86547 |
| APA | Uğur Y, Açıkel A, ÖZTÜRK T, Yildirim F, AMANVERMEZ ŞENARSLAN D, özyurt b, Çivi M (2020). Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, 26(1), 1 - 9. 10.5222/GKDAD.2020.86547 |
| Chicago | Uğur Yasin Levent,Açıkel Arzu,ÖZTÜRK Tulun,Yildirim Funda,AMANVERMEZ ŞENARSLAN Dilşad,özyurt beyhan cengiz,Çivi Melek Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi 26, no.1 (2020): 1 - 9. 10.5222/GKDAD.2020.86547 |
| MLA | Uğur Yasin Levent,Açıkel Arzu,ÖZTÜRK Tulun,Yildirim Funda,AMANVERMEZ ŞENARSLAN Dilşad,özyurt beyhan cengiz,Çivi Melek Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, vol.26, no.1, 2020, ss.1 - 9. 10.5222/GKDAD.2020.86547 |
| AMA | Uğur Y,Açıkel A,ÖZTÜRK T,Yildirim F,AMANVERMEZ ŞENARSLAN D,özyurt b,Çivi M Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2020; 26(1): 1 - 9. 10.5222/GKDAD.2020.86547 |
| Vancouver | Uğur Y,Açıkel A,ÖZTÜRK T,Yildirim F,AMANVERMEZ ŞENARSLAN D,özyurt b,Çivi M Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2020; 26(1): 1 - 9. 10.5222/GKDAD.2020.86547 |
| IEEE | Uğur Y,Açıkel A,ÖZTÜRK T,Yildirim F,AMANVERMEZ ŞENARSLAN D,özyurt b,Çivi M "Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması." Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, 26, ss.1 - 9, 2020. 10.5222/GKDAD.2020.86547 |
| ISNAD | Uğur, Yasin Levent vd. "Kardiyak Cerrahi Geçiren Hastalarda RIFLE, ID AKIN ve KDIGO Sınıflamalarının Karşılaştırılması". Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi 26/1 (2020), 1-9. https://doi.org/10.5222/GKDAD.2020.86547 |
