CLINICAL-EPIDEMIOLOGICAL PROFILE AND ACUTE KIDNEY INJURY IN PATIENT UNDERGOING CARDIAC SURGERY

Abstract

This retrospective study analyzed the clinical-epidemiological profile, mortality rate, and factors associated with acute kidney injury (AKI) in patients undergoing cardiac surgeries at São Lucas Hospital/FAG in Cascavel, Paraná. After examining 144 medical records from June 2022 to April 2023, the mortality rate was 11.8%, and myocardial revascularization and valve replacement surgeries were the most prevalent procedures. Patient risk factors as age, and the type of surgery were crucial variables, emphasizing the need for a personalized approach. The average CPB time was 80.7 minutes, varying across different surgical groups. Prolonged cardiopulmonary bypass was associated with complications, particularly in more complex procedures. Additionally, the profile of patients who developed AKI was presented, revealing a high percentage of post-cardiac surgery patients experiencing this complication, with a significantly elevated mortality rate compared to those who did not develop AKI.