Özet:

Introduction and Target: Acute kidney failure (ABY) is a common condition in intensive care units, especially in critical patients. The prevalence of acute kidney insufficiency varies between 3-25% There is not enough in the literature of developing ABY patients in coronary intensive care units (KYBU). The predictors for the development of ABY in patients with massive pericardial effusion and heart tamponade are unknown. The aim of this study is to determine the prevalence and predictors of ABY in this group of patients. Method and Requirements: between October 2014 and January 2016 4829 patients were interned in the KYBU. 81 of these patients (1.67%) developed massive pericardial effusion or heart tamponade during the intervention period. All patient data are retrieved via the KYBU electronic data system. Patients are evaluated in terms of ABY prevalence and predictors. Patients are divided into two groups that do not develop ABY. Acute kidney failure was observed in 23 (28.4%) patients. Patients with ABY are older, but these patients have a more frequent history of chronic kidney failure and congestive heart failure. The arterial blood pressure of these patients is also lower. The left ventricular injection fractions of the two patient groups are similar. Basal creatine and blood urine nitrogen values are higher in developing patients with ABY. In the logistic regression analysis, the history of hypertension and the value of basal crete are determined as parameters predicting the development of ABY. The mortality in the hospital was identified in two groups of patients. CONTRIBUTION AND RESULT: Massive pericardal effusion or heart tamponade is a significant cause of ABY in patients with CYB. The history of hypertension and the values of basal creatine are the parameters predicting the development of ABY.

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