Table 1.
Inclusion criteria | Exclusion criteria |
---|---|
≥18 years of age undergoing CPB surgerya | Emergency cardiac surgery |
eGFR ≥20 and <30 ml/min per 1.73 m2 | AKI or significant renal impairment within 24 hours of surgery: a diagnosis of AKI as defined by KDIGO criteria or |
eGFR ≥30 and <60 ml/min per 1.73 m2 and one additional risk factor from Table 2 (other than age ≥75 years) or | eGFR <20 ml/min per 1.73 m2 or |
eGFR ≥60 ml/min per 1.73 m2 and two additional risk factors from Table 2 | An acute rise in SCr >0.3 mg/dl or |
50% increase in SCr between the time of screening visit and pre-surgery | |
Patients receiving iodinated contrast material within 24 hours of surgery | |
Active sepsis or current active infection requiring antibiotic treatment | |
Treatment with cytochrome P450 1A2 (CYP1A2) inhibitors; | |
HIV seropositivity | |
Active malignancy or history within the previous 5 years before screening visit | |
Cardiogenic shock or hemodynamic instability within 24 hours before randomization | |
Use of a pacemaker, mechanical ventilation, any form of mechanical circulatory support, or cardiopulmonary resuscitation 7 days before surgery | |
Clinical or laboratory diagnosis of shock liver | |
BMI >40 kg/m2 at screening |
AKI, acute kidney injury; BMI, body mass index; CPB, cardiopulmonary bypass; eGFR, estimated glomerular filtration rate; KDIGO, Kidney Disease: Improving Global Outcomes; SCr, serum creatinine.
Age ≥75 years can be considered an additional risk factor only for patients with eGFR ≥60 ml/min per 1.73 m2.