This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (36)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Ronald M. Abel, MD; Clyde H. Beck, Jr, MD; Mortimer J. Buckley, MD; W. Gerald Austen, MD

AMA Arch Surg. 1974;108(2):175-177.

Abstract
The clinical records from 507 adult patients surviving open-heart operations were reviewed to determine the incidence of renal dysfunction. Three hundred nine patients (61%) were considered to have maintained normal renal function throughout the postoperative period compared to 198 patients who developed a blood urea nitrogen (BUN) level of greater than 50 mg/100 ml or a serum creatinine level of greater than 2.0 mg/100 ml. The mortality in the former group was only 1.6% compared to 30.3% in the patients having abnormal renal function. Age and the mean preoperative BUN and creatinine values were substantially greater in the "abnormal" patients than in the "normal" patients. Although a cause and effect relationship between renal dysfunction and mortality cannot be made on the basis of the present study, the data suggest the prevalence of renal failure in the postoperative period and the potentially serious nature of this complication.

Author Affiliations
Jennifer Wick; Boston

From the Hyperalimentation and Cardiovascular Units, General Surgical Services, and the Renal Unit, Medical Service, Harvard Medical School and the Massachusetts General Hospital, Boston.

Footnotes
Accepted for publication Oct 9, 1973.

Reprint requests to Hyperalimentation Unit, Massachusetts General Hospital, Fruit St, Boston 02114 (Dr. Abel).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The association of lowest hematocrit during cardiopulmonary bypass with acute renal injury after coronary artery bypass surgery
Swaminathan et al.
Ann. Thorac. Surg. 2003;76:784-791.
ABSTRACT | FULL TEXT  

Low-Dose Dopamine in Coronary Artery Bypass Patients with Preoperative Renal Dysfunction
Chaiyaroj and Tatoulis
Asian Cardiovasc. Thorac. Ann. 1999;7:9-12.
ABSTRACT | FULL TEXT  

Renal Failure After Open Heart Surgery
BHAT et al.
ANN INTERN MED 1976;84:677-682.
ABSTRACT