| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2006;81:542-546
© 2006 The Society of Thoracic Surgeons
a Department of Anesthesia and Intensive Care Medicine, Helsinki University Central Hospital, Helsinki, Finland
b Department of Cardiothoracic Surgery, Helsinki University Central Hospital, Helsinki, Finland
Accepted for publication July 18, 2005.
* Address correspondence to Dr Kuitunen, Department of Anesthesia and Intensive Care Medicine, Helsinki University Hospital, PO Box 340, Helsinki, FIN-00029 HUS, Finland (Email: anne.kuitunen{at}hus.fi).
BACKGROUND: Acute renal failure increases risk of death after cardiac surgery. However, the definition of acute renal failure is not standardized. The Acute Dialysis Quality Initiative Workgroup has outlined consensus criteria. The aim of the present study was to evaluate this determination of postoperative renal impairment in cardiac surgical patients, and its association with mortality.
METHODS: The 813 consecutive patients undergoing cardiac surgery at Helsinki University Central Hospital were analyzed. According to the RIFLE classification (named by the severity of renal impairment: Risk, Injury, Failure, Loss, End-stage kidney disease) patients were divided into three levels based on either plasma creatine level or urine output.The discrimination with death within 90 days after surgery was determined.
RESULTS: According to the RIFLE criteria, 19.3% of patients had renal impairment after cardiac surgery. Patients in the more severe category, RIFLE-F (failure), had a 90-day mortality rate of 32.5% compared with 8.0% for those in RIFLE-R (risk) and 21.4% for RIFLE-I (injury) patients. The RIFLE classification discriminated 90-day mortality quite well (area under curve 0.824) compared with the change of plasma creatinine and the change of estimated gromerular filtration rate (areas under curve 0.849 and 0.829, respectively). The results of the multivariate forward stepwise logistic regression analysis found that RIFLE classification was an independent risk factor for 90-day mortality (p < 0.0001), unlike change in glomerular filtration rate and change in plasma creatinine.
CONCLUSIONS: We propose that the RIFLE classification is a valuable method to evaluate acute renal failure after cardiac surgery. The severity of RIFLE classification may be associated with increased 90-day mortality rate.
This article has been cited by other articles:
|
|
 |
|
  J. A. Lopes, M. J. Melo, A. Viegas, M. Raimundo, I. Camara, F. Antunes, and A. Gomes da Costa Acute kidney injury in hospitalized HIV-infected patients: a cohort analysis Nephrol. Dial. Transplant., December 1, 2011; 26(12): 3888 - 3894. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Bossard, P. Bourgoin, J. J. Corbeau, J. Huntzinger, and L. Beydon Early detection of postoperative acute kidney injury by Doppler renal resistive index in cardiac surgery with cardiopulmonary bypass Br. J. Anaesth., December 1, 2011; 107(6): 891 - 898. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. S. De Santo, G. Romano, C. Amarelli, C. Maiello, F. Baldascino, C. Bancone, F. Grimaldi, and G. Nappi Implications of acute kidney injury after heart transplantation: what a surgeon should know Eur J Cardiothorac Surg, December 1, 2011; 40(6): 1355 - 1361. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Licker, V. Cartier, J. Robert, J. Diaper, Y. Villiger, J.-M. Tschopp, and C. Inan Risk Factors of Acute Kidney Injury According to RIFLE Criteria After Lung Cancer Surgery Ann. Thorac. Surg., March 1, 2011; 91(3): 844 - 850. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Englberger, R. M. Suri, K. L. Greason, H. M. Burkhart, T. M. Sundt III, R. C. Daly, and H. V. Schaff Deep hypothermic circulatory arrest is not a risk factor for acute kidney injury in thoracic aortic surgery J. Thorac. Cardiovasc. Surg., February 1, 2011; 141(2): 552 - 558. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Macedo, R. Malhotra, R. Claure-Del Granado, P. Fedullo, and R. L. Mehta Defining urine output criterion for acute kidney injury in critically ill patients Nephrol. Dial. Transplant., February 1, 2011; 26(2): 509 - 515. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. S. Sever, J. Kellum, E. Hoste, and R. Vanholder Application of the RIFLE criteria in patients with crush-related acute kidney injury after mass disasters Nephrol. Dial. Transplant., February 1, 2011; 26(2): 515 - 524. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. B. Leon, N. Piazza, E. Nikolsky, E. H. Blackstone, D. E. Cutlip, A. P. Kappetein, M. W. Krucoff, M. Mack, R. Mehran, C. Miller, et al. Standardized Endpoint Definitions for Transcatheter Aortic Valve Implantation Clinical Trials: A Consensus Report From the Valve Academic Research Consortium J. Am. Coll. Cardiol., January 18, 2011; 57(3): 253 - 269. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. B. Leon, N. Piazza, E. Nikolsky, E. H. Blackstone, D. E. Cutlip, A. P. Kappetein, M. W. Krucoff, M. Mack, R. Mehran, C. Miller, et al. Standardized endpoint definitions for transcatheter aortic valve implantation clinical trials: a consensus report from the Valve Academic Research Consortium Eur. Heart J., January 6, 2011; (2011) ehq406v2. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Bolesta, L. M. Uhrin, and J. R. Guzek Preoperative Statins and Acute Kidney Injury After Cardiac Surgery: Utilization of a Consensus Definition of Acute Kidney Injury Ann. Pharmacother., January 1, 2011; 45(1): 23 - 30. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Robert, R. S. Kramer, L. J. Dacey, D. C. Charlesworth, B. J. Leavitt, R. E. Helm, F. Hernandez, G. L. Sardella, C. Frumiento, D. S. Likosky, et al. Cardiac Surgery-Associated Acute Kidney Injury: A Comparison of Two Consensus Criteria Ann. Thorac. Surg., December 1, 2010; 90(6): 1939 - 1943. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Mitter, A. Shah, D. Yuh, J. Dodd-O, R. E. Thompson, D. Cameron, and C. W. Hogue Renal injury is associated with operative mortality after cardiac surgery for women and men J. Thorac. Cardiovasc. Surg., December 1, 2010; 140(6): 1367 - 1373. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Zavada, E. Hoste, R. Cartin-Ceba, P. Calzavacca, O. Gajic, G. Clermont, R. Bellomo, J. A. Kellum, and for the AKI6 investigators A comparison of three methods to estimate baseline creatinine for RIFLE classification Nephrol. Dial. Transplant., December 1, 2010; 25(12): 3911 - 3918. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Skott, R. Norregaard, H. B. Sorensen, T.-H. Kwon, J. Frokiaer, and S. Nielsen Pre-existing renal failure worsens the outcome after intestinal ischaemia and reperfusion in rats Nephrol. Dial. Transplant., November 1, 2010; 25(11): 3509 - 3517. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. B. Rahmanian, D. H. Adams, J. G. Castillo, A. Carpentier, and F. Filsoufi Predicting Hospital Mortality and Analysis of Long-Term Survival After Major Noncardiac Complications in Cardiac Surgery Patients Ann. Thorac. Surg., October 1, 2010; 90(4): 1221 - 1229. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. R. Akram, A. Singanayagam, G. Choudhury, P. Mandal, J. D. Chalmers, and A. T. Hill Incidence and Prognostic Implications of Acute Kidney Injury on Admission in Patients With Community-Acquired Pneumonia Chest, October 1, 2010; 138(4): 825 - 832. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Romano, C. Mastroianni, C. Bancone, A. Della Corte, N. Galdieri, G. Nappi, and L. S. De Santo Leukoreduction program for red blood cell transfusions in coronary surgery: Association with reduced acute kidney injury and in-hospital mortality J. Thorac. Cardiovasc. Surg., July 1, 2010; 140(1): 188 - 195. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. R. Parikh, J. C. Lu, S. G. Coca, and P. Devarajan Tubular proteinuria in acute kidney injury: a critical evaluation of current status and future promise Ann Clin Biochem, July 1, 2010; 47(4): 301 - 312. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Brochard, F. Abroug, M. Brenner, A. F. Broccard, R. L. Danner, M. Ferrer, F. Laghi, S. Magder, L. Papazian, P. Pelosi, et al. An Official ATS/ERS/ESICM/SCCM/SRLF Statement: Prevention and Management of Acute Renal Failure in the ICU Patient: An International Consensus Conference in Intensive Care Medicine Am. J. Respir. Crit. Care Med., May 15, 2010; 181(10): 1128 - 1155. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Ristikankare, R. Poyhia, A. Kuitunen, M. Skrifvars, P. Hammainen, M. Salmenpera, and R. Suojaranta-Ylinen Serum Cystatin C in Elderly Cardiac Surgery Patients Ann. Thorac. Surg., March 1, 2010; 89(3): 689 - 694. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Herget-Rosenthal, H. Jakob, and P. Massoudy Risk Factors of Acute Kidney Injury in Chronic Kidney Disease Ann. Thorac. Surg., February 1, 2010; 89(2): 673 - 673. [Full Text] [PDF]
|
|
|
|
|
|
X. Yan, S. Jia, X. Meng, P. Dong, M. Jia, J. Wan, and X. Hou Acute kidney injury in adult postcardiotomy patients with extracorporeal membrane oxygenation: evaluation of the RIFLE classification and the Acute Kidney Injury Network criteria Eur J Cardiothorac Surg, February 1, 2010; 37(2): 334 - 338. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Haase, R. Bellomo, G. Matalanis, P. Calzavacca, D. Dragun, and A. Haase-Fielitz A comparison of the RIFLE and Acute Kidney Injury Network classifications for cardiac surgery-associated acute kidney injury: A prospective cohort study J. Thorac. Cardiovasc. Surg., December 1, 2009; 138(6): 1370 - 1376. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. De Santo, G. Romano, A. Della Corte, V. de Simone, F. Grimaldi, M. Cotrufo, and M. de Feo Preoperative anemia in patients undergoing coronary artery bypass grafting predicts acute kidney injury J. Thorac. Cardiovasc. Surg., October 1, 2009; 138(4): 965 - 970. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Chen, X. Ding, and B. Chen Value of the RIFLE classification for acute kidney injury in diffuse proliferative lupus nephritis Nephrol. Dial. Transplant., October 1, 2009; 24(10): 3115 - 3120. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. F. L. Later, J. J. Maas, F. H. M. Engbers, M. I. M. Versteegh, E. F. Bruggemans, R. A. E. Dion, and R. J. M. Klautz Tranexamic acid and aprotinin in low- and intermediate-risk cardiac surgery: a non-sponsored, double-blind, randomised, placebo-controlled trial Eur J Cardiothorac Surg, August 1, 2009; 36(2): 322 - 329. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. B. Albacker, R. Chaturvedi, A. H. Al Kindi, H. Al-Habib, T. Al-Atassi, B. de Varennes, and K. Lachapelle The effect of using microplegia on perioperative morbidity and mortality in elderly patients undergoing cardiac surgery Interact CardioVasc Thorac Surg, July 1, 2009; 9(1): 56 - 60. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Haase-Fielitz, M. Haase, R. Bellomo, G. Lambert, G. Matalanis, D. Story, L. Doolan, B. Buxton, G. Gutteridge, F. C. Luft, et al. Decreased Catecholamine Degradation Associates with Shock and Kidney Injury after Cardiac Surgery J. Am. Soc. Nephrol., June 1, 2009; 20(6): 1393 - 1403. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. E. Hobson, S. Yavas, M. S. Segal, J. D. Schold, C. G. Tribble, A. J. Layon, and A. Bihorac Acute Kidney Injury Is Associated With Increased Long-Term Mortality After Cardiothoracic Surgery Circulation, May 12, 2009; 119(18): 2444 - 2453. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Vanek, J. Snircova, J. Spegar, Z. Straka, J. Horak, and M. Maly Increase in plasma free haemoglobin during cardiopulmonary bypass in heart valve surgery: assessment of renal dysfunction by RIFLE classification Perfusion, May 1, 2009; 24(3): 179 - 183. [Abstract] [PDF]
|
|
|
|
|
|
K. Karkouti, D. N. Wijeysundera, T. M. Yau, J. L. Callum, D. C. Cheng, M. Crowther, J.-Y. Dupuis, S. E. Fremes, B. Kent, C. Laflamme, et al. Acute Kidney Injury After Cardiac Surgery: Focus on Modifiable Risk Factors Circulation, February 3, 2009; 119(4): 495 - 502. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Massoudy, S. Wagner, M. Thielmann, U. Herold, E. Kottenberg-Assenmacher, G. Marggraf, A. Kribben, T. Philipp, H. Jakob, and S. Herget-Rosenthal Coronary artery bypass surgery and acute kidney injury--impact of the off-pump technique Nephrol. Dial. Transplant., September 1, 2008; 23(9): 2853 - 2860. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Zappitelli, C. R. Parikh, A. Akcan-Arikan, K. K. Washburn, B. S. Moffett, and S. L. Goldstein Ascertainment and Epidemiology of Acute Kidney Injury Varies with Definition Interpretation Clin. J. Am. Soc. Nephrol., July 1, 2008; 3(4): 948 - 954. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. F. Dasta, S. L. Kane-Gill, A. J. Durtschi, D. S. Pathak, and J. A. Kellum Costs and outcomes of acute kidney injury (AKI) following cardiac surgery Nephrol. Dial. Transplant., June 1, 2008; 23(6): 1970 - 1974. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. M. Bagshaw, C. George, R. Bellomo, and for the ANZICS Database Management Committe A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patients Nephrol. Dial. Transplant., May 1, 2008; 23(5): 1569 - 1574. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. S. Waikar, K. D. Liu, and G. M. Chertow Diagnosis, Epidemiology and Outcomes of Acute Kidney Injury Clin. J. Am. Soc. Nephrol., May 1, 2008; 3(3): 844 - 861. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. M. Bagshaw, C. George, I. Dinu, and R. Bellomo A multi-centre evaluation of the RIFLE criteria for early acute kidney injury in critically ill patients Nephrol. Dial. Transplant., April 1, 2008; 23(4): 1203 - 1210. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Pagano, N. J. Howell, N. Freemantle, D. Cunningham, R. S. Bonser, T. R. Graham, J. Mascaro, S. J. Rooney, I. C. Wilson, R. Cramb, et al. Bleeding in cardiac surgery: The use of aprotinin does not affect survival J. Thorac. Cardiovasc. Surg., March 1, 2008; 135(3): 495 - 502. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Schetz, I. Vanhorebeek, P. J. Wouters, A. Wilmer, and G. Van den Berghe Tight Blood Glucose Control Is Renoprotective in Critically Ill Patients J. Am. Soc. Nephrol., March 1, 2008; 19(3): 571 - 578. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. J. Arnaoutakis, A. Bihorac, T. D. Martin, P. J. Hess Jr, C. T. Klodell, A. A. Ejaz, C. Garvan, C. G. Tribble, and T. M. Beaver RIFLE criteria for acute kidney injury in aortic arch surgery. J. Thorac. Cardiovasc. Surg., December 1, 2007; 134(6): 1554 - 1561. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C.-Y. Lin, F.-C. Tsai, Y.-C. Tian, C.-C. Jenq, Y.-C. Chen, J.-T. Fang, and C.-W. Yang Evaluation of Outcome Scoring Systems for Patients on Extracorporeal Membrane Oxygenation Ann. Thorac. Surg., October 1, 2007; 84(4): 1256 - 1262. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Venkataraman and J. A. Kellum Defining Acute Renal Failure: The RIFLE Criteria J Intensive Care Med, July 1, 2007; 22(4): 187 - 193. [Abstract] [PDF]
|
|
|
|
|
|
D. N. Cruz, I. Bolgan, M. A. Perazella, M. Bonello, M. de Cal, V. Corradi, N. Polanco, C. Ocampo, F. Nalesso, P. Piccinni, et al. North East Italian Prospective Hospital Renal Outcome Survey on Acute Kidney Injury (NEiPHROS-AKI): Targeting the Problem with the RIFLE Criteria Clin. J. Am. Soc. Nephrol., May 1, 2007; 2(3): 418 - 425. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Shehabi, A. Ristikankare, T. Kuitunen, A. Kuitunen, L. Uotila, A. Vento, R. Suojaranta-Ylinen, M. Salmenpera, and R. Poyhia Renal protection by N-acetylcysteine Br. J. Anaesth., February 1, 2007; 98(2): 270 - 271. [Full Text] [PDF]
|
|
|
|
|
|
J. A. Lopes, S. Jorge, F. C. Neves, M. Caneira, A. G. da Costa, A. C. Ferreira, and M. M. Prata An assessment of the rifle criteria for acute renal failure in severely burned patients Nephrol. Dial. Transplant., January 1, 2007; 22(1): 285 - 285. [Full Text] [PDF]
|
|
|
|
|
|
W. Van Biesen, R. Vanholder, and N. Lameire Defining Acute Renal Failure: RIFLE and Beyond Clin. J. Am. Soc. Nephrol., November 1, 2006; 1(6): 1314 - 1319. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
