Correlation between cerebral-renal near-infrared spectroscopy and ipsilateral renal perfusion parameters as clinical outcome predictors after open heart surgery in neonates and infants

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dc.authorid0000-0001-7478-6235
dc.authorid0000-0002-0799-4875
dc.authorid0000-0003-4856-0974
dc.contributor.authorÖrmeci?, Tu?rul
dc.contributor.authorAlkan-Bozkaya, Tijen
dc.contributor.authorÖzyüksel, Arda
dc.contributor.authorErsoy, Cihangir
dc.contributor.authorÜndar, Akif
dc.contributor.authorAkçevin, Atıf
dc.contributor.authorTürko?lu, Halil
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:37:21Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:37:21Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractThe objective of this clinical study is to determine whether correlation exists among cerebral and renal near-infrared spectroscopy (NIRS) measurements, renal Doppler ultrasonography parameters (resistive index, peak systolic velocity), and early postoperative clinical outcomes following cardiac surgery in neonates and infants. Thirty-seven patients undergoing surgery for congenital heart defects with an age of less than 3 months, all of whom were in the high-risk group according to Aristotle Basic Complexity risk stratification score, were enrolled in our study. Cerebral, renal NIRS values and renal Doppler ultrasonography measurements were recorded for each patient at the 4th postoperative hour. The renal resistive indices were calculated for each case, and the patients were divided into two groups according to renal resistive index (RI) values. Group I included the patients with a RI of greater than 0.8 (n=25) and Group II included the patients with a RI of less than 0.8 (n=12). The postoperative outcome parameters were compared in between two groups. Group I (RI >0.8) had lower postoperative mean urine output than Group II (RI <0.8) (P=0.041). The lactate levels were significantly higher in Group I (P=0.049), as well. The postoperative intensive care unit and hospital stay of Group I was significantly higher than Group II (P=0.048). Both cerebral and renal NIRS values and the assessment of renal RI as well as peak systolic values can be used in order to predict the early clinical outcome in cardiac surgery patients in early infantile and neonatal period. © 2015 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.
dc.identifier.citationÖrmeci?, T., Alkan-Bozkaya, T., Özyüksel, A., Ersoy, C., Ündar, A., Akçevin, A. ve Türko?lu, H. (2015). Correlation between cerebral-renal near-infrared spectroscopy and ipsilateral renal perfusion parameters as clinical outcome predictors after open heart surgery in neonates and infants. Artificial Organs, 39(1), 53-58. https://dx.doi.org/10.1111/aor.12455
dc.identifier.doi10.1111/aor.12455
dc.identifier.endpage58
dc.identifier.issn0160-564X
dc.identifier.issn1525-1594
dc.identifier.issue1
dc.identifier.scopusqualityQ2
dc.identifier.startpage53
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1387
dc.identifier.urihttps://dx.doi.org/10.1111/aor.12455
dc.identifier.volume39
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBlackwell Publishing
dc.relation.ispartofArtificial Organsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectCardiopulmonary Bypass
dc.subjectDoppler Ultrasonography
dc.subjectInfant
dc.subjectNear-Infrared Spectroscopy
dc.subjectNear
dc.subjectInfrared Spectroscopy
dc.subjectDoppler Ultrasonography
dc.titleCorrelation between cerebral-renal near-infrared spectroscopy and ipsilateral renal perfusion parameters as clinical outcome predictors after open heart surgery in neonates and infants
dc.typeArticle

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