Multi-factor analysis of failure of renal replacement therapy in XXXX developed after cardiac surgery.

@entity1 @entity2661 @entity810 @entity1133
INTRODUCTION: @entity810 ( @entity810 ) is a rare (2-15%), but severe complication of cardiac surgery with overall mortality reaching 40-80%. In order to save @entity1 ' lives they are treated with renal replacement therapy (RRT). The aim of our study was to assess the impact of different perioperative factors on mortality among @entity1 treated with RRT because of @entity810 , which occurred as a complication of a heart surgery. MATERIAL AND METHODS: Retrospective analysis included 45 @entity1 , operated in the years 2009-2013, who underwent renal replacement therapy in order to treat postoperative @entity810 . The perioperative factors were analysed in two groups: group 1 - @entity1 who died before discharge; and group 2 - those who survived until hospital discharge. RESULTS: Forty-five of 3509 cardiac surgical @entity1 (1.25%) required RRT after the surgery. A total of 23 (51.11%) died before discharge (group 1). @entity1 in group 1 were characterised by older age (70.21 vs. 67 years), higher mean EuroSCORE value (9.28 vs. 7.15) (p < 0.05), higher percentage of concomitant surgery (63.63% vs. 28.57%) (p < 0.05) and of admission of @entity2661 in the postoperative period (100% vs. 68.42%) (p < 0.005), and higher mean @entity1133 blood level prior to RRT initiation (156.65 vs. 102.54 mg/dl) (p < 0.05). CONCLUSIONS: The statistically relevant death predictors proved to be: high EuroSCORE, concomitant surgery, and high @entity1133 level at RRT initiation and admission of @entity2661 in the postoperative period. After conformation in further studies, those factors may prove useful in stratification of death risk among surgical @entity1 requiring RRT.
