Thread by @OmarMKhateeb

I found that Cardiac Surgeons have high CABG readmission rates & hospitals lost millions due Acute Kidney Injury.

And it's worse now due t0 #COVID__19 3 Key Stats:

-1 in 5 pts who survive AKI complications is readmitted in next 30 days
#cardiotwitter #MedTwitter #meded

- 31.7% of CABG patients end up with Acute Kidney Injury. (Chang)

- Even the slightest kidney injury in cardiac surgery "had a 2.2x greater mortality, a 1.6x increase in ICU LOS and 1.6x increase in total postoperative costs compared to controls. (Dasta)

All the literature has shown that improved detection of AKI and reduced 30-day mortality in patients experiencing AKI, as well as less fluid overload for all patients.

Check the comments for the references. It's time to change this.

References
1. JLewington AJ, Cerdá J, Mehta RL. Raising Awareness of Acute Kidney Injury: A Global Perspective of a Silent Killer. Kidney international. 2013;84(3):457-467. Available at: ncbi.nlm.nih.gov/pc/articles/PM… Accessed August 24, 2017.

2. Glenn M. Chertow, Elisabeth Burdick, Melissa Honour, Joseph V. Bonventre and David W. Bates
JASN November 2005, 16 (11) 3365-3370; DOI: doi.org/10.1681/ASN.20…

3. Silver SA, Harel Z, McArthur E, et al. 30-Day readmissions after an acute kidney injury hospitalization. Am J Med 2017;130:163–72. 10.1016/j.amjmed.2016.09.016

4. Chang et al. JACC VOL. 64, NO. 10, 2014 Acute Kidney Injury After Revascularization

5. Dasta JF, Kane-Gill SL, Durtschi AJ, Pathak DS, Kellum JA. Costs and outcomes of acute kidney injury (AKI) following cardiac surgery. Nephrol Dial Transplant.2008;23(6):1970-1974.

6. Jin et al. Intensive Monitoring of Urine Output Is Associated With Increased Detection of Acute Kidney Injury and Improved Outcomes 2017 Nov;152(5):972-979. doi: 10.1016/j.chest.2017.05.011. Epub 2017 May 17.