Acute renal failure and cardiac surgery: marching in place or moving ahead?

RL Mehta - Journal of the American Society of Nephrology, 2005 - journals.lww.com
Acute renal failure (ARF) after cardiac surgery is a well recognized complication that
generally occurs in 1 to 10% of patients (1–4). Patients who develop ARF have higher rates
of mortality and resource utilization, with the worst values seen in dialyzed patients (5, 6).
Emerging evidence suggests that even small changes in creatinine after cardiac surgery are
associated with significant effects on mortality (7, 8). Whether ARF directly causes adverse
outcomes is not entirely clear; however, an increase in infection and new-onset sepsis …