{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:50:35Z","timestamp":1771235435859,"version":"3.50.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2005,12,1]],"date-time":"2005-12-01T00:00:00Z","timestamp":1133395200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perfusion"],"published-print":{"date-parts":[[2005,12]]},"abstract":"<jats:p> Background: Acute renal failure (ARF) development after cardiac surgery carries high mortality and morbidity. <\/jats:p><jats:p> Methods: Out of 14 437 consecutive patients undergoing open-heart surgery between January 1991 and May 2001, 168 (1.16%) developed postoperative ARF mandating hemodialysis. Possible perioperative risk factors, and the prognosis of this dreadful, often fatal complication were investigated. <\/jats:p><jats:p> Results: The mortality rate in this group was 79.7% (134 patients). The risk factors associated with postoperative ARF were advanced age (p-0.000), diabetes mellitus (p-0.000), hypertension (p-0.000), high preoperative serum creatinine levels (p-0.004), impaired left ventricular function (p-0.002), urgent operation (p-0.000) or reoperation (p-0.007), prolonged cardiopulmonary bypass (CPB) (p-0.000) and aortic cross-clamp (ACC) (p-0.000) periods, level of hypothermia (p-0.000), concomitant procedures (p-0.000), low cardiac output state (p-0.000), re-exploration for bleeding or pericardial tamponade (p-0.000), and deep sternal or systemic infection (p-0.000). Of those who could be discharged from hospital, renal functions were restored in 21 patients (12.5%); however, eight patients (4.7%) became hemodialysis dependent. The mean follow-up period was 5.79\/3.2 years (range: 4 months to 13 years; a total of 195 patient-years), and 10-year survival was 58.69\/10.2% in the discharged patients. <\/jats:p><jats:p> Conclusions: ARF development after cardiac surgery often results in high morbidity and mortality. Recognizing risk factors permits the timely institution of proper treatment, which is the key to reducing untoward outcomes. <\/jats:p>","DOI":"10.1191\/0267659105pf829oa","type":"journal-article","created":{"date-parts":[[2005,11,11]],"date-time":"2005-11-11T23:26:51Z","timestamp":1131751611000},"page":"317-322","source":"Crossref","is-referenced-by-count":84,"title":["Acute renal failure following open heart surgery: risk factors and prognosis"],"prefix":"10.1177","volume":"20","author":[{"given":"Ilknur","family":"Bahar","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital,                         Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Akgul","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital,                         Ankara, Turkey,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Ali","family":"Ozatik","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital,                         Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerem M","family":"Vural","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital,                         Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali E","family":"Demirbag","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Turkiye Yuksek Ihtisas Hospital,                         Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mediha","family":"Boran","sequence":"additional","affiliation":[{"name":"Hemodialysis Unit, Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oguz","family":"Tasdemir","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Turkiye Yuksek Ihtisas Hospital,                         Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2005,12,1]]},"reference":[{"key":"atypb1","first-page":"207","volume-title":"Acute renal failure","author":"Brezis M","year":"1993"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2003.09.063"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1191\/0267659102pf571oa"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfg043"},{"key":"atypb5","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/S0002-9343(98)00058-8","volume":"104","author":"Chertow GM","year":"1998","journal-title":"Am J Med"},{"key":"atypb6","first-page":"358","volume":"19","author":"Kavgaci 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