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AKI(Acute Kidney Injury) is a common complication after cardiac surgery which is associated with increased mortality and morbidity. Collecting perioperative biosignal data and studying their association with renal outcomes can help improve kidney injury, mortality, and morbidity in cardiac surgical patients. Furthermore, the occurrence of AKI, length of hospital stay, and recovery of renal function after discharge are closely associated with the development of chronic kidney disease (CKD). Therefore, regular monitoring of renal function and related indicators in cardiac surgical patients can help improve long-term outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| anesthesia for cardiovascular surgery using cardiopulmonary bypass | patients scheduled for cardiovascular surgery with CPB which requires anesthesia in the operating room |
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| Measure | Description | Time Frame |
|---|---|---|
| post-operative AKI incidence within 1 week after cardiac surgery with CPB | The definition of AKI refers to Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. | within first 7 days after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| MAKE 30 (Major adverse kidney event within 30 days) | death, starting dialysis, or decrease in eGFR of 25 % or more within 30 days after surgery | within 30 days after surgery |
| MAKE 90 (Major Adverse kidney event within 90 days) |
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Inclusion Criteria:
Exclusion Criteria:
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Patients aged 19 year and older admitted to Severance cardiovascular hospital for cardiac surgery using CPB (Cardiopulmonary bypass).
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Severance Hospital | Seoul | South Korea |
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| ID | Term |
|---|---|
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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death, starting dialysis, or decrease in eGFR of 25 % or more within 90 days after surgery
| within 90 days after surgery |
| incidence of CKD (chronic kidney disease) within 1 year | at least one of the following criteria is met, with structural or functional abnormalities of the kidney persisting for at least 3 months within 1 year
| within 1 year after surgery |
| 1 year mortality | death due to any cause within 1 year | within 1 year after surgery |
| in-hospital mortality | death which occurs during the hospitalization | from day of hospitalization for surgery until discharge after surgery 1year |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |