Impact of prognostic scores on acute kidney injury assessment in the postoperative period of myocardial revascularization.

Revista da Escola de Enfermagem da U S P Pub Date : 2025-04-14 eCollection Date: 2025-01-01 DOI:10.1590/1980-220X-REEUSP-2024-0410en

Abraão Alves Dos Reis, Tayse Tâmara da Paixão Duarte, Michelle Zampieri Ipolito, Kamilla Grasielle Nunes da Silva, Paulo Percio Mota Magro, Marcia Cristina da Silva Magro

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Abstract

Objective: To determine the impact of the Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment in assessing the severity of acute kidney injury in patients after cardiopulmonary bypass.

Method: A retrospective cohort study with a non-probabilistic sample. Inferential analysis was performed using Pearson's chi-square, Fisher's exact and Mann-Whitney tests, with a significance level of 5%.

Results: The prevalence of acute kidney injury was 31.4%. The Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment showed higher scores in patients with kidney injury (58 (48-64) versus 48 (37-57), p = 0.02; 7 (6-9) versus 6 (5-7), p = 0.003), in addition to a longer stay in intensive care, 8 (6-16) versus 6 (5-8) (p = 0.02) days, respectively.

Conclusion: Patients with acute kidney injury remained in intensive care longer, and the Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment showed good performance, evidencing greater severity among patients with acute kidney injury in the postoperative period of coronary artery bypass grafting.

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预后评分对心肌血运重建术后急性肾损伤评估的影响。

目的：探讨简化急性生理评分3和序贯脏器功能衰竭评价对体外循环术后急性肾损伤严重程度的影响。方法：采用非概率抽样的回顾性队列研究。采用Pearson卡方检验、Fisher精确检验和Mann-Whitney检验进行推理分析，显著性水平为5%。结果：急性肾损伤发生率为31.4%。简化急性生理评分3和序贯器官衰竭评估显示肾损伤患者得分更高(58（48-64）比48 (37-57),p = 0.02；7（6-9）对6 (5-7),p = 0.003)，此外，重症监护时间较长，分别为8（6-16）对6 (5-8)（p = 0.02）天。结论：急性肾损伤患者重症监护时间较长，简化急性生理评分3分和序贯脏器功能衰竭评分表现较好，表明冠状动脉搭桥术后急性肾损伤患者的严重程度较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista da Escola de Enfermagem da U S P

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