Clinical trial NCT06484907: ACTA-PORT Score as a Predictor of Acute Kidney Injury in Addition to Blood Transfusion in Cardiac Surgery: Extending Its Clinical Utility
Official title: ACTA-PORT Score as a Predictor of Acute Kidney Injury in Addition to Blood Transfusion in Cardiac Surgery: Extending Its Clinical Utility
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Cardiac Disease
Blood Transfusion
Acute Kidney Injury
Keywords: Cardiopulmonary Bypass
Cardiac Surgery
Transfusion
Acute Kidney Injury
ACTA PORT
Lead sponsor: Ankara City Hospital Bilkent
Sponsor class: OTHER
First posted: 2024-07-03
Enrollment: 467
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients having open heart surgery by using cardiopulmonary bypass pump in Ankara Bilkent City Hospital between 01 July 2024 - 01 November 2024.

Brief summary: In the scope of this study, it will be determined whether the ACTA-PORT (Association of Cardiothoracic Anesthetists perioperative risk of blood transfusion) scoring system can predict the incidence of events in other organ systems, and the feasibility of conducting multiple assessments using a single simple score will be investigated.

Detailed description: ACTA-PORT (Association of Cardiothoracic Anesthetists perioperative risk of blood transfusion) score is a simple, reliable, and validated tool used to predict the risk of transfusion in patients undergoing heart surgery. In calculating ACTA-PORT score, age, gender, hemoglobin, body surface area, EuroSCORE, creatinine, and type of operation are used.

In this study, it will be determined whether the ACTA-PORT (Association of Cardiothoracic Anesthetists perioperative risk of blood transfusion) scoring system can predict the incidence of events in other organ systems, and the feasibility of conducting multiple assessments using a single simple score will be investigated.

The files of patients undergoing open heart surgery in the cardiovascular surgical operating rooms of Ankara Bilkent City Hospital, along with anesthesia records, transfusion records, and test results identified through the Hospital Information Management System, will be prospectively evaluated. Data will be collected after patients are admitted to the intraoperative and postoperative intensive care unit.

Eligibility criteria: Inclusion Criteria:

* Patients over 18 years old
* Patients having open heart surgery
* Patients undergoing surgery by using cardiopulmonary bypass pump

Exclusion Criteria:

* Patients under 18 years old
* Patients diagnosed with kidney disease

Primary outcomes:
measure: KDIGO AKI Staging
timeFrame: Preoperative (last week before operation) and daily after the operation for 7 days
Secondary outcomes:
measure: Mechanical Ventilation Duration
timeFrame: the duration after surgery up to a month
measure: Intensive Care Duration
timeFrame: the duration after surgery up to a month
measure: Hospital Stay Duration
timeFrame: the duration after surgery up to a month
measure: Mortality
timeFrame: the duration after surgery up to a month
measure: Complications
timeFrame: the duration after surgery up to a month
measure: Reoperation Necessity
timeFrame: the duration after surgery up to a month
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Ankara Bilkent City Hospital
Study officials:
affiliation: Ankara City Hospital Bilkent
name: Zeliha Asli DEMIR, Ph.D
role: PRINCIPAL_INVESTIGATOR
References: