ESPN 50th Annual Meeting

ESPN 2017


 
Postgraduate
ANASTASIIA SELIVERSTOVA 1 NADEZDA SAVENKOVA 1 SERGEY MARCHENKO 1

1- SAINT-PETERSBURG STATE PEDIATRIC MEDICAL UNIVERSITY, RUSSIAN FEDERATION
 
Introduction:

The aim of this study was to estimate the frequency of cardiac surgery-associated acute kidney injury (CS-AKI) according to the predictive Risk-Adjusted Congenital Heart Surgery system (RACHS) in newborns and infants.

Material and methods:

29 (44.62%) neonates and 36 newborns (55.38%) were operated on. AKIN criteria (2007) used to set up the diagnosis of AKI by serum creatinine level. The severity of cardiac surgery was distributed by categories of RACHS system.

Results:

72,1% of neonates and 41,67% of infants developed CS-AKI. Statistically significant differences in the incidence of AKI in newborns operated on with or without cardiopulmonary bypass were not found, but in infants there were differences with regard to using bypass for surgical correction (p<0.001). In the 3rd risk category AKI rate was increased in neonates (45.45%) comparing to infants (10%) (p=0.049). Statistically significant differences in the development of AKI in neonates and infants in categories 4 and 6 RACHS were not found (p>0.05). The high incidence of AKI in 4-6 categories was found both in neonates and infants (88,9% of neonates in 4th and 6th RACHS categories; 70% of infants in 4th category and 100% of 6th category). CS-AKI was established more often in neonates than in infants (р<0.05 ).

Conclusions:

The distribution of patients by RACHS categories allowed to predict the risk and severity of AKI in newborns and infants.