Renal Replacement Therapy and In-Hospital Mortality Incidence in Cardiac Surgery Associated Acute Kidney Injury

N/ACompletedNCT06091982

National Cardiovascular Center Harapan Kita Hospital Indonesia1,113 enrolled

Overview

The goal of this study is to analyse the relation of severe acute kidney injury post cardiac surgery which characterised by the need of renal replacement therapy, with in-hospital postoperative mortality incidence. The main question it aims to answer: To compare between patients complicated with acute kidney injury and exposure of renal replacement therapy (AKI-RRT) and patients complicated with acute kidney injury which does not require renal replacement therapy, in associated with in-hospital postoperative mortality.

Type of study: observational study Participant population: Post cardiac surgery patients with condition of acute kidney injury postoperative, will be assigned into 2 groups, based on their exposure to renal replacement therapy. Those groups are: Group AKI-RRT : patients with AKI postoperative with exposure of renal replacement therapy Group AKI non RRT : patients with AKI postoperative, with no exposure to renal replacement therapy Researchers will compare group AKI-RRT and AKI non RRT to analyse the association to postoperative mortality, and other factors that related to mortality variable.

Study Type

OBSERVATIONAL

Enrollment

1,113

Conditions

Acute Kidney Injury

Interventions

Renal Replacement Therapy (RRT)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 85 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients who are at least 18 years old, underwent cardiac surgery in Harapan Kita National Cardiovascular Center from January 2020 to December 2022. 2. Patients with condition was complicated with Acute Kidney Injury (AKI) which was characterised by an increase in serum creatinine \> 0.3 mg/dL or \> 150% of the preoperative serum creatinine value, which was checked within 12 hours post-operative. 3. All patients' data is recorded in the medical records unit. Exclusion Criteria: 1. Patients with previous history of dialysis or renal failure in dialysis. 2. Incomplete or loss of patients' data.

Outcomes

Primary Outcomes

Mortality

Number of participants who died of any cause during postoperative care in hospital

Time frame: From ICU admission postoperative until the death date during hospital care, assessed up to 3 months

Secondary Outcomes

ICU Stay Over 5 Days

Number of participants which the postoperative ICU length of stay more than 5 days

Time frame: Time of ICU length of stay measured with days, up to 4 weeks

Mechanical Ventilation > 48 Hours

Number of participants which the postoperative usage of mechanical ventilation (breathing ventilator) more than 48 hours

Time frame: Time of ventilator usage measure with hours, up to 4 weeks