Effect of Remote Ischemic Preconditioning on Acute Kidney Injury in Nondiabetic Patients Undergoing Coronary Artery Bypass Graft Surgery: A Secondary.

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Presentation transcript:

Effect of Remote Ischemic Preconditioning on Acute Kidney Injury in Nondiabetic Patients Undergoing Coronary Artery Bypass Graft Surgery: A Secondary Analysis of 2 Small Randomized Trials  Vinod Venugopal, MBBS, MRCP, MD, Chris M. Laing, MBChB, MRCP, Andrew Ludman, MBChB, MRCP, Derek M. Yellon, DSc, Derek Hausenloy, MBChB, MRCP, PhD  American Journal of Kidney Diseases  Volume 56, Issue 6, Pages 1043-1049 (December 2010) DOI: 10.1053/j.ajkd.2010.07.014 Copyright © 2010 National Kidney Foundation, Inc. Terms and Conditions

Figure 1 CONSORT (Consolidated Standards of Reporting Trials) flow diagram of patients included in the present study. Study 1 and study 2 refer to previously reported studies7,8 from which data were retrospectively analyzed for outcomes in the present study. Study 1 was registered at ClinicalTrials.gov as study number NCT00397163. Abbreviations: AKI, acute kidney injury; RIPC, remote ischemic preconditioning. American Journal of Kidney Diseases 2010 56, 1043-1049DOI: (10.1053/j.ajkd.2010.07.014) Copyright © 2010 National Kidney Foundation, Inc. Terms and Conditions

Figure 2 Graph shows trends in serum creatinine levels in the 2 groups at baseline and during 72 hours postoperatively. There was no significant difference between the 2 groups using analysis of variance with repeated measures. Note: Conversion factor for creatinine in mg/dL to μmol/L, ×88.4. Abbreviation: RIPC, remote ischemic preconditioning. American Journal of Kidney Diseases 2010 56, 1043-1049DOI: (10.1053/j.ajkd.2010.07.014) Copyright © 2010 National Kidney Foundation, Inc. Terms and Conditions

Figure 3 Graph shows serial inotrope scores during the 72-hour postoperative period (IScore followed by time in hours) in adult patients undergoing elective coronary artery bypass graft surgery. Compared with control, remote ischemic preconditioning (RIPC) has no effect on inotrope scores. Inotrope scores were calculated using the formula: Inotrope score = Dosages (in μg/kg/min) of Dopamine + Dobutamine + [(Adrenaline + Noradrenaline + Isoproterenol) × 100] + [Enoximone × 15], adapted from Ko et al.15 There was no significant difference between inotrope scores at different times using analysis of variance with repeated measures. Values presented as mean ± standard error of the mean. American Journal of Kidney Diseases 2010 56, 1043-1049DOI: (10.1053/j.ajkd.2010.07.014) Copyright © 2010 National Kidney Foundation, Inc. Terms and Conditions