Risk factors related to acute renal failure after cardiac surgery for congenital heart disease in low body weight infants
LEI Li-ming
ZHUANG Jian
CHEN Ji-mei
ZHU Wei-zhong
摘要：Background Acute renal failure (ARF) is a common complication and a very important cause of postoperative death in children with congenital heart disease. Large cohort investigation of the morbidity and related risk factors for ARF in very young and low-body-weight children in China is still absent. Methods Data of 518 infants after cardiac surgery were analyzed retrospectively. The correlation between multivariate risk factors and ARF after cardiac surgery was analyzed by logistic regression. Results The incidence of postoperative ARF within 30 days was 6.9% (n = 36).High RACHS-1 Score, long duration of CPB, rethoracotomy exploration and postoperative low cardiac output were independent risk factors of ARF. There were statistical significances in intensive care unit staying [(21.73 ± 7.28)days vs (7.41 ± 3.76) days], P < 0.001] and mortality (27.8% vs 7.5%, P < 0.001) between the patients with or without ARF. Conclusions Acute renal failure is a key negative factor for the survivors after cardiac surgery for congenital heart disease in very young patients with low body weight. High RACHS-1 Score, long duration of CPB,rethoracotomy exploration and postoperative low cardiac output are independent risk factors for development of ARF.
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分类号：R5(内科学)
论文发表日期：2010-10-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
英文信息