Volume : V, Issue : I, January - 2021
Elderly patients undergoing cardiac surgery maybe at an increased risk of renal dysfunction postoperatively. In this retrospective study, we evaluated whether elderly age and on pump surgery affected postoperative glomerular filtration rate as compared to younger patients or off pump surgery.Methods: Data was collected from cardiac surgical patients operated between 2017-19 at our institution. Patients aged 66years and above were defined as elderly. Estimated glomerular rate was calculated using Cockroft-gault formula over the postoperative period and analysed.Results: Of the 273 patients, 53 patients were elderly with average age of 71yrs with higher incidence of diabetes and hypertension. 27 elderly and 80 younger patients amongst 220 underwent off pump surgery. Duration of bypass and clamp times were less in the elderly (p=.046 and p=.018 respectively). Creatinine clearance was lower in the elderly and in those undergoing on pump surgery though not statistically significant different compared to younger patients or those undergoing off pump surgery (p=.556 and p=.673 respectively). Elderly patients had increased postoperative bleeding on pump requiring more blood transfusions. Conclusion: Elderly age and on pump surgery do not affect the creatinine clearance compared to younger patients or those undergoing on pump surgery in our data analysis.
POSTOPERATIVE RENAL FUNCTION IN THE ELDERLY VERSUS YOUNGER PATIENTS UNDERGOING ON-PUMP VERSUS OFF-PUMP CARDIAC SURGERY- A RETROSPECTIVE STUDY, Dr Wali Murugesh R, Dr Shetty Shyam Prasad, Dr K Ramachandrappa Sujay, INTERNATIONAL JOURNAL OF ADVANCED MEDICINE : Volume-5 | Issue-1 | January-2021