Association of preoperative MELD-XI score with acute kidney injury in adult patients after cardiac surgery treated with veno-arterial extracorporeal membrane oxygenation
Ding Xiaochen
Xie Haixiu
Yang Feng
Hou Xiaotong
Abstract：Objective To retrospect the outcomes of postoperative adult patients in our center and to explore whether there was a correlation between the preoperative MELD-XI score and acute kidney injury (AKI) in adult patients treated with extracorporeal membrane oxygenation (ECMO) so as to determine the risk factors of AKI and the prognosis of those patients. Methods We reviewed181 cases of postoperative patients treated with ECMO from 2012 to 2015 in our center. The preoperative MELD-XI score and the morbidity of AKI after 24 h and 48 h of ECMO running were calculated to explore the possible association. Results There were statistical differences in baseline MELD-XI score, pre-ECMO serum lactic acid level, serum creatinine and urea nitrogen at 24 h and 48 h of ECMO running, RRT treatment and mortality between patients with AKI and patients without AKI, P ＜ 0.05. High MELD-XI score was a predictor of AKI after 48 h of ECMO running. Conclusion Preoperative baseline MELD-XI score can be used to predict the risk of AKI for postoperative patients treated with VA-ECMO. We can calculate the baseline MELD-XI score to evaluate their risk of AKI.
Keywords：Extracorporeal membrane oxygenationAcute kidney injuryMELD-XIRisk factorCardiac surgeryAdult
Publication Date：2019-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 8-12 )