Cardiothoracic & vascular anesthesia
Implementation of the Kidney Disease Improving Global Outcomes guidelines for the prevention of acute kidney injury after cardiac surgery: An international cohort survey
Authors' conclusion
Adherence with the KDIGO bundle was very low in cardiac surgery patients.
Study context
- Population
- Consecutive patients undergoing cardiac surgery in 6 international tertiary care centres, February–November 2021
- Participants
- 537 patients · 6 centres
- Outcome
- Proportion of patients receiving fully compliant care with the Kidney Disease Improving Global Outcomes (KDIGO) bundle
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Fully compliant care (full KDIGO bundle applied)
Full care bundle applied
0.4%
Observational data: associations, not effects.
Secondary outcomes
Implementation of individual bundle measures
- Avoidance of nephrotoxic drugs
- 15.6%
- Avoidance of radiocontrast agents
- 95.3%
- Avoidance of hyperglycaemia
- 39.6%
- Close monitoring of urine output and serum creatinine
- 6.3%
- Optimisation of volume and haemodynamic status
- 57.4%
- Functional haemodynamic monitoring
- 43.9%
Acute kidney injury (AKI) · within 72 h after surgery
- Developed AKI
- 27.2%
Number of implemented measures
- Average number of implemented measures (mean ± SD)
- 2.6 ± 1.0
- Did not differ between AKI and non-AKI patients
- P = 0.854
Original publication
Implementation of the Kidney Disease Improving Global Outcomes guidelines for the prevention of acute kidney injury after cardiac surgery: An international cohort survey. Eur J Anaesthesiol. Published 12 April 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →