Goal Direct Therapy to Prevent Acute Kidney Injury After Cardiac Surgery
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Acute Kidney Injury
- Sponsor
- University of Sao Paulo
- Enrollment
- 214
- Primary Endpoint
- Acute Kidney Injury
- Last Updated
- 11 years ago
Overview
Brief Summary
This is an randomised controlled trial to investigate an strategy based in a protocol in prevention of acute kidney injury after cardiac surgery.
Detailed Description
This is a prospective, randomized controlled trial to assess the influence of use of angiotensin-converting enzyme inhibitors (ACEI) and angiotensin receptor blockers (ARB) in the development of the Acute Kidney Injury in the postoperative period of cardiac surgery. Patients undergoing cardiac surgery at the Heart Institute (InCor) - Brazil, will be randomized and in accordance with a list of random numbers, generated by a computer program, will be allocated in one of the groups (GDT or standard).
Investigators
Eduesley Santana Santos
RN, Ph.D
University of Sao Paulo
Eligibility Criteria
Inclusion Criteria
- •Cardiac surgery with Cardiopulmonary Bypass (CPB); Age greater than 18 years; Chronic kidney disease stages 3 and 4 (GFR less than 60 mL/min and greater than 15 mL/min); Sign the informed consent form.
Exclusion Criteria
- •Chronic renal insufficiency (GFR less than 15 mL/min); Heart surgery without CPB; Aortic procedures; Heart transplant or congenital heart disease; Prior use of Intra-Aortic Balloon Pump; Decompensated heart failure; Participation in other research protocol.
Outcomes
Primary Outcomes
Acute Kidney Injury
Time Frame: Within 48h after cardiac surgery
Development of acute kidney injury according to AKIN (Acute Kidney Injury Network) criterion.
Secondary Outcomes
- Serious clinical complications(For 28 days)