Research Article

Urinary Matrix Metalloproteinase-7 and Prediction of AKI Progression Post Cardiac Surgery

Table 1

Preoperative characteristics of patients with and without AKI progressiona.

VariablesAKI progression
Yes ()No ()

Age (y)0.42
Male, (%)20 (71.4)44 (47.3)0.03
Diabetes, (%)2 (7.1)7 (7.5)0.99
Hypertension, (%)8 (28.6)22 (23.7)0.62
Congestive heart failure, (%)10 (35.7)50 (53.8)0.13
Preoperative NYHA class III or IV5 (17.9)21 (22.6)0.78
Preoperative creatinine (μmol/L)<0.001
Preoperative eGFR (mL/min/1.73 m2)b0.02
Preoperative medication, (%)
 RAS inhibitors12 (42.9)23 (24.7)0.09
 Diuretics25 (89.3)89 (95.7)0.35
Operative variables
 CABG alone, (%)1 (3.5)2 (2.1)0.55
 Valve alone, (%)20 (71.4)66 (70.9)0.99
 CABG and valve surgery, (%)2 (7.1)5 (5.3)0.66
 CPB time (min)0.006
 Cross clamp time (min)0.59

aAKI progression is defined as worsening of the AKI stage (stage 1 to either stage 2 or stage 3 or from stage 2 to stage 3). bCalculated by CKD-Epidemiology Collaboration equation 2009. Abbreviation: NYHA: New York Heart Association; eGFR: estimated glomerular filtration rate; RAS: renin-angiotensin system; CABG: coronary artery bypass grafting; CPB: cardiopulmonary bypass.