Role of ankle brachial index measured by simple automatic sphygmomanometers in predicting postoperative kidney function in patients undergoing major cardiac surgery

dc.authorid0000-0003-1185-9737
dc.contributor.authorŞumnu, Abdullah
dc.contributor.authorÖztürk, Savaş
dc.contributor.authorÇavdar, Eyüp
dc.contributor.authorİlal Mert, Fatma Tuba
dc.contributor.authorCebeci, Egemen
dc.contributor.authorKaraali, Zeynep
dc.contributor.authorŞahin, Mazlum
dc.date.accessioned2021-10-07T05:35:33Z
dc.date.available2021-10-07T05:35:33Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description.abstractIntroduction: Ankle-brachial pressure index is an objective, noninvasive test for predicting subclinical atherosclerotic diseases. We investigated the role of ankle-brachial pressure index measured with automated sphygmomanometer devices in the prediction of the development of acute kidney injury in patients undergoing major cardiac surgery. Methods: This single-centered, cross-sectional, and observational study was performed on 80 (66 males and 14 females, 58 +/- 10 years) patients undergone cardiac surgery. Complete anamnesis, laboratory tests, intravenous fluids, medications, blood products, and all perioperative procedures were recorded in all patients before the surgery. Two automated sphygmomanometer devices giving equivalent results were used for measuring Ankle-brachial pressure index. The data in the first two days after the surgery were used for analysis. The criteria of AKIN were used in the diagnosis of acute kidney injury. Results: Twenty-one (23%) patients developed acute kidney injury in the postoperative period. None of the patients needed renal replacement therapy or died. There was no significant difference between mean ankle-brachial pressure index levels of patients with and without acute kidney injury (1.04 +/- 0.17 and 1.06 +/- 0.19, respectively, p=0.554). The mean ankle-brachial pressure index was significantly lower in patients with perioperative complications that cause hemodynamic instability (1.07 +/- 0.14, 0.96 +/- 0.13, p=0.016). On the multivariate analysis model, only perioperative hemodynamic complication development was found to be related to postoperative acute kidney injury. Conclusion: Anklebrachial pressure index may have a role in predicting perioperative hemodynamic complications, which may cause acute kidney injury in patients undergoing major surgery. Simple automatic blood pressure devices can be used in daily practice for ankle-brachial pressure index measurement instead of complex and expensive doppler devices.
dc.identifier.citationŞumnu, A., Öztürk, S., Çavdar, E., İlal Mert, F. T., Cebeci, E., Karaali, Z. ... Şahin, M. (2021). Role of ankle brachial index measured by simple automatic sphygmomanometers in predicting postoperative kidney function in patients undergoing major cardiac surgery. Revista de Nefrologia, Dialisis y Trasplante, 41(3), 192-201.
dc.identifier.endpage201
dc.identifier.issn0326-3428
dc.identifier.issn2346-8548
dc.identifier.issue3
dc.identifier.scopusqualityQ4
dc.identifier.startpage192
dc.identifier.urihttps://hdl.handle.net/20.500.12511/8378
dc.identifier.volume41
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherAsociación Regional de Diálisis y Trasplantes Renales
dc.relation.ispartofRevista de Nefrologia, Dialisis y Trasplanteen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnkle-Brachial Index
dc.subjectAcute Kidney Injury
dc.subjectAutomated Sphygmomanometer Devices
dc.subjectCardiovascular Surgery
dc.subjectCoronary Artery Bypass Grafting
dc.subjectPerioperative Renal Functions
dc.subjectPostoperative Renal Function
dc.titleRole of ankle brachial index measured by simple automatic sphygmomanometers in predicting postoperative kidney function in patients undergoing major cardiac surgery
dc.title.alternativeEl papel del índice tobillo-brazo medido mediante un esfigmomanómetro automático para pronosticar la función renal posoperatoria en pacientes que se sometieron a una cirugía cardíaca mayor
dc.typeArticle

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