Acute kidney Injury: Incidence and Risk Factors among Patients Undergoing Open Heart Surgery

Document Type : Original Article

Authors

1 Clinical Preceptor in Critical Care and Emergency Nursing Department, Faculty of Nursing, Assiut University, Egypt

2 Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt

3 Professor of Cardio–Thoracic Surgery, Faculty of Medicine, Assiut University, Egypt

4 Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Assiut University, Egypt

Abstract

Background: Acute kidney injury frequently occurs as a complication in 20 30% following open heart surgery
patients; is associated with h igher mortality and prolonged hospital stay. It is typically diagnosed by elevated serum
creatinine or reduced urine output Aim: To explore the incidence and risk factors of acute kidney injury in patients undergoing open heart surgery. Research design: A correlational and prospective research design were patients patients. Setting: The study was conducted in the cardiothoracic surgical intensive care unit at Assiut University Hospital Hospital. Sample: A total of 120 adult patients undergoing open heart surgery were selecte d using a convenience sampling
Tools, Tool (I): Open heart surgery assessment tool, Tool (II): O ccurrence of acute kidney injury assessment tool,
Tool (III): Patient’s outcomes assessment tool of kidney injury in patients undergoing open heart surgery Results: Among the studied patients, 40% of them that developed Acute kidney injury was observed. Astrongly positive
correlation between acute kidney injury incidence and the was observed occurrence of complications with P value
at p < 0.05)). Conclusion: the Study shows that One of the major complications of open heart surgery is acute kidney
injury, which tends to affect men more commonly Recommendation: Strict hemodynamic monitoring and important
of renal function test and renal output should be emphasized i n patients undergoing open heart surgery.

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