Status:

COMPLETED

Effect of CVP and IOH on AKI and AKD

Lead Sponsor:

Nanjing First Hospital, Nanjing Medical University

Conditions:

Acute Kidney Injury

Acute Kidney Disease

Eligibility:

All Genders

18-90 years

Brief Summary

This study was aimed to explore the effect of intraoperative venous congestion and intraoperative hypotension (IOH) on acute adverse kidney events, defined as acute kidney injury (AKI) and acute kidne...

Detailed Description

Venous congestion and IOH were primary exposures and quantified as area under the curve (AUC) of central venous pressure ≥12, 16 or 20 mmHg or mean arterial pressure ≤55, 65, 75 mmHg. The primary outc...

Eligibility Criteria

Inclusion

  • Patients aged 18 years and older,
  • Patients underwent cardiac surgery (coronary artery bypass grafting, heart valve surgery, heart transplant or surgical excision of intracardiac myxoma)
  • Patients receiving invasive intraoperative BP monitoring during surgery
  • Patients underwent cardiopulmonary bypass (CPB) during surgery

Exclusion

  • Pre-existing renal insufficiency defined by presence of abnormal preoperative serum creatinine ≥ 133 μmol/L and/or preoperative diagnosis of renal insufficiency within 6 months'preoperative period.
  • Patients with preoperative dialysis dependence within 60 days before the index surgical procedure,
  • Surgical duration less than 30 minutes
  • Surgery on the aorta
  • Insufficient hemodynamic and laboratory data for outcomes and/or exposure ascertainment

Key Trial Info

Start Date :

June 1 2016

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

August 1 2021

Estimated Enrollment :

5127 Patients enrolled

Trial Details

Trial ID

NCT05222074

Start Date

June 1 2016

End Date

August 1 2021

Last Update

February 3 2022

Active Locations (1)

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Nanjing First Hospital

Nanjing, Jiangsu, China, 210006