The purpose of this study is to determine if Acetylcysteine is effective in preventing renal failure associated with cardiac surgery
Postoperative renal dysfunction is a predictor of significant morbidity and mortality among patients undergoing cardiac surgery. The mortality associated with coronary artery by-pass surgery increases from 2% to almost 19% in patients with renal failure and approaches 60% in patients who require hemodialysis. Patients with preoperative renal dysfunction referred for coronary artery by pass surgery have an extraordinarily high risk of requiring postoperative dialysis. For example, among those patients with preoperative creatinine \>2.5 mg/dL, almost 50% require hemodialysis. Comparison: N-Acetylcysteine is superior to placebo in preventing renal failure after cardiac surgery
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
102
Veterans Affairs Medical Center
Minneapolis, Minnesota, United States
Rise in creatinine above baseline
Time frame: 7 days postoperatively
Creatinine increase >25% or =/> 0.5 mg/dl above baseline
Time frame: Postoperative days 5, 7 and 30
Length of stay in the ICU and the hospital
Operative mortality
Time frame: 30-day
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