Fluid disorders and acute kidney injury in myocardial revascularization
Palavras-chave:
Postoperative Period, Blood Volume, Waste Disposal, Fluid, Thoracic Surgery, Acute Kidney InjuryResumo
This is a retrospective observational study. The data were extracted from the physical and electronic medical records of patients undergoing post-myocardial revascularization with extracorporeal circulation admitted to the Intensive Care Unit of a tertiary-level teaching hospital in the Brazilian Midwest region. To collect data, a questionnaire was used with demographic, hemodynamic and laboratory records from July 2022 to September 2023. Descriptive analysis was carried out and, due to lack of symmetry in the data; Fisher's exact test and Mann-Whitney's U test were used. Results with an α of 5% were considered significant. The 41 patients included were predominantly male, older adults, overweight and of black ethnicity. Patients with fluid deficit developed Acute Kidney Injury (AKI) more frequently (60%). Fluid overload predominated in the first postoperative periods and fluid deficit occurred later. In general, patients with fluid overload presented KDIGO 3 AKI (p<0.001). I was concluded that fluid overload and/or deficit appears to impact renal function. Patients with fluid deficit developed AKI more frequently. However, severe AKI (KDIGO 3) occurred significantly in patients with fluid overload.
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