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Risk factors forrenal dysfunction in children undergoing cardiac surgery / Hythem Mahmoud Nawaytou ; Supervised Zainab Salah Eldin Selim , Fatma Alzahraa Mostafa , Ahmed Mohammed Mahmoud Badr

By: Contributor(s): Material type: TextTextLanguage: English Publication details: Cairo : Hythem Mahmoud Nawaytou , 2015Description: 70 P. : charts ; 30cmOther title:
  • عوامل الخطر في اختلال وظائف الكلى في الاطفال بعد جراحة القلب [Added title page title]
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  • Issued also as CD
Dissertation note: Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics Summary: Background: Acute kidney injury (AKI) is a serious postoperative complication after cardiac surgery and is a major contributor to patient outcome. This study aims to identify the predictors of early AKI in children undergoing cardiac surgery in limited resource setting.Materials and Methods: 49 children undergoing cardiac surgery for congenital heart disease were included. Plasma creatinine and urine output were recorded to identify AKI based on the pRIFLE and AKIN criteria. The patients{u2019} demographic data, type of surgery, medications and hemodynamic parameters were analyzed for predictors of AKI. Results:AKI occurred in 73.4% of children ages 24{uF0B1} 30.7 months. Low cardiac output state, cardiopulmonary arrest, average daily inotropic score, average daily dose of furosemide and fluid overload in the postoperative period were associated with development of AKI. There was increase in the duration of mechanical ventilation and mortality in patients who developed AKI stage III. Conclusion:AKI is common among children undergoing moderate complexity cardiac surgery for congenital heart disease in a limited resource health care setting. AKI is associated with significantly higher morbidity, mortality, healthcare utilization and costs
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Item type Current library Home library Call number Copy number Status Date due Barcode
Thesis Thesis قاعة الرسائل الجامعية - الدور الاول المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.28.Ph.D.2015.Hy.R (Browse shelf(Opens below)) Not for loan 01010110068149000
CD - Rom CD - Rom مخـــزن الرســائل الجـــامعية - البدروم المكتبة المركزبة الجديدة - جامعة القاهرة Cai01.11.28.Ph.D.2015.Hy.R (Browse shelf(Opens below)) 68149.CD Not for loan 01020110068149000

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics

Background: Acute kidney injury (AKI) is a serious postoperative complication after cardiac surgery and is a major contributor to patient outcome. This study aims to identify the predictors of early AKI in children undergoing cardiac surgery in limited resource setting.Materials and Methods: 49 children undergoing cardiac surgery for congenital heart disease were included. Plasma creatinine and urine output were recorded to identify AKI based on the pRIFLE and AKIN criteria. The patients{u2019} demographic data, type of surgery, medications and hemodynamic parameters were analyzed for predictors of AKI. Results:AKI occurred in 73.4% of children ages 24{uF0B1} 30.7 months. Low cardiac output state, cardiopulmonary arrest, average daily inotropic score, average daily dose of furosemide and fluid overload in the postoperative period were associated with development of AKI. There was increase in the duration of mechanical ventilation and mortality in patients who developed AKI stage III. Conclusion:AKI is common among children undergoing moderate complexity cardiac surgery for congenital heart disease in a limited resource health care setting. AKI is associated with significantly higher morbidity, mortality, healthcare utilization and costs

Issued also as CD

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