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Renal Dysfunction after Myocardial Revascularization: Risk Factors, Adverse Outcomes, and Hospital Resource Utilization

Annals of Internal MedicinePublished 1 February 1998
Christina Mora Mangano, Laura S. Diamondstone, James G. Ramsay, Anil Aggarwal, Ahvie Herskowitz, Dennis T. Mangano
Citations1,075
SJR quartileQ1
SJR score3.38
SNIP3.27

TL;DR

The Multicenter Study for Perioperative Ischemia (McSPI) Research Group studied 2400 patients who underwent myocardial revascularization with cardiopulmonary bypass to determine the incidence and characteristics of postoperative renal dysfunction and failure, the predictors of renal dysfunction [determined by the use of multivariate modeling techniques], and the effect of kidney dysfunction on in-hospital resource utilization and patient disposition after discharge.

Abstract

Many patients having elective myocardial revascularization develop postoperative renal dysfunction and failure, which are associated with prolonged intensive care unit and hospital stays, significant increases in mortality, and greater need for specialized long-term care. Resources should be redirected to mitigate renal injury in high-risk patients.

Keywords

Medicine