Author(s):
1. Wardah Saleem:
Department of Cardiac Surgery, National Institute of Cardiovascular Diseases (NICVD), Karachi, Pakistan
2. Fayaz Iqbal:
Department of Surgery, Lady Reading Hospital, Peshawar, Pakistan
3. Fatima Saleem:
Rehman Medical Institute, Peshawar, Pakistan
Abstract:
Diabetes is a proven risk factor for the development of Acute Kidney Injury after CABG. Other multiple factors that are involved in causing AKI after CABG like pre-operative renal dysfunction, long CPB time, and low cardiac output syndrome. We controlled all the variables, to study the difference between age and HBA1c levels in predicting acute kidney injury after CABG. Objective: The purpose of the study is to take the diabetic population and control other variables involved in the causation of AKI after CABG and study the role of age versus HBA1c levels in predicting AKI after elective CABG. Methods: A total of 200 diabetic patients who underwent elective CABG were selected from May 2021 to May 2022 at NICVD Karachi. The KDIGO criteria for AKI was applied. Results: The incidence of AKI in our study was 36.5%. 52.7% patients developed AKI with HBA1c of 6.5 - 7.4%; 40% developed AKI with HBA1c levels of 7.5 - 8.4%, 16% AKI with HBA1c of 8.5 to 8.9%, 12% AKI in patients with HBA1c of 9 - 9.4%, 18% AKI with HBA1c of 9.5 - 9.9%, 20% for HBA1c of 10.01 - 10.04% and 83.3% for HBA1c > 10.04%. There was a 4.35% frequency of AKI for ages between 40 - 49 years; 26.8% frequency for ages between 50 - 59 years; 50.7% AKI for 60 -69 years and 84% for the population between 70 to 80 years. Conclusions: Increasing age is a better predictor of acute kidney injury following CABG than increasing HBA1c levels till the HBA1c level of 10.04% after which it becomes equivalent to the risk as present in diabetics above 70 years old.
Page(s):
258-262
Published:
Journal: Pakistan Journal of Health Sciences, Volume: 3, Issue: 5, Year: 2022
Keywords:
Diabetes
,
HbA1C
,
Age
,
CABG
,
Acute Kidney Injury
,
KDIGO
References:
References are not available for this document.
Citations
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