Abstract | INTRODUCTION AND OBJECTIVES: METHODS: RESULTS: Of 1650 children undergoing cardiac surgery, 81 (4.9%) required continuous renal replacement therapy, 65 of whom (80.2%) presented multiple organ failure. The children who started continuous renal replacement therapy after cardiac surgery had lower mean arterial pressure, lower urea and creatinine levels, and higher mortality (43%) than the other children on continuous renal replacement therapy (29%) (P=.05). Factors associated with mortality in the univariate analysis were age less than 12 months, weight under 10 kg, higher pediatric risk of mortality score, hypotension, lower urea and creatinine levels when starting continuous renal replacement therapy, and the use of hemofiltration. In the multivariate analysis, hypotension when starting continuous renal replacement therapy, pediatric risk of mortality scores equal to or greater than 21, and hemofiltration were associated with mortality. CONCLUSIONS:
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Authors | Maria J Santiago, Jesús López-Herce, Javier Urbano, Maria José Solana, Jimena del Castillo, Amelia Sánchez, Jose M Bellón |
Journal | Revista espanola de cardiologia (English ed.)
(Rev Esp Cardiol (Engl Ed))
Vol. 65
Issue 9
Pg. 795-800
(Sep 2012)
ISSN: 1885-5857 [Electronic] Spain |
PMID | 22537666
(Publication Type: Journal Article)
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Copyright | Copyright © 2011 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved. |
Topics |
- Age Factors
- Cardiac Surgical Procedures
(mortality)
- Child
- Child, Preschool
- Humans
- Infant
- Infant, Newborn
- Multiple Organ Failure
(etiology, mortality)
- Prospective Studies
- Registries
- Regression Analysis
- Renal Replacement Therapy
(mortality)
- Risk Assessment
- Risk Factors
- Spain
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