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The Effect of Remote Ischemic Preconditioning on the Incidence of Acute Kidney Injury in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Randomized Controlled Trial | ||
Iranian Journal of Medical Sciences | ||
مقاله 3، دوره 43، شماره 6، بهمن 2018، صفحه 587-595 اصل مقاله (378.92 K) | ||
نوع مقاله: Original Article(s) | ||
شناسه دیجیتال (DOI): 10.30476/ijms.2018.40581 | ||
نویسندگان | ||
Sina Bagheri1؛ Shahrbanoo Shahbazi* 2؛ Masih Shafa3؛ Afshin Borhani-Haghighi4؛ Mahsa Kiani1؛ Mohammad Mahdi Sagheb1 | ||
1Shiraz Nephro-Urology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran | ||
2Anesthesiology and Critical Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran | ||
3Department of Cardiac Surgery, Shiraz University of Medical Sciences, Shiraz, Ira | ||
4Clinical Neurology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran | ||
چکیده | ||
Background: Remote ischemic preconditioning (RIPC) protects other organs from subsequent lethal ischemic injury, but uncertainty remains. We investigated if RIPC could prevent acute kidney injury (AKI) in patients undergoing coronary artery bypass graft (CABG) surgery.Methods: This parallel-group, double-blind, randomized, controlled trial was done on adults undergoing elective or urgent on-pump CABG surgery from 2013 to 2017 in Shiraz, Iran. Patients were allocated to RIPC or control groups through permuted blocking. The patients in the RIPC group received three cycles of 5 min ischemia and 5 min reperfusion in the upper arm after induction of anesthesia. We placed an uninflated cuff on the arm for 30 min in the control group. The study primary endpoint was an incidence of AKI. Secondary endpoints included short-term clinical outcomes. We compared categorical and continuous variables using Pearson χ2 and unpaired t tests, respectively. P | ||
کلیدواژهها | ||
schemic preconditioning؛ Reperfusion injury؛ Acute kidney injury؛ Coronary artery bypass | ||
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