Abstract
Objective: The study aimed to determine the comparison of the Cleveland Clinic Score, simplified renal index, and Mehta tool in predicting the need for renal replacement therapy in post-coronary artery bypass graft (CABG) patients in Makassar.
Design: This study employed an analytical observational methodology, utilizing a retrospective approach.
Setting: Medical record data for the period of January 2019-December 2023 at the Integrated Heart Center of Dr. Wahidin Sudirohusodo Central General Hospital, Makassar.
Patient and participants: Patients undergoing CABG surgical procedures.
Interventions: None.
Measurement and results: The data collected included demographic data (age, gender, body mass index [BMI], American Society of Anesthesiologists Physical Status [ASA PS]), the prevalence of renal replacement therapy and diagnostic testing, Cleveland Clinic Score, simplified renal index, and the Mehta tool with area under the curve (AUC). Cleveland Clinic score, simplified renal index, and Mehta tool have good discrimination in predicting post-CABG kidney replacement therapy in predicting post-CABG kidney replacement therapy, where the best discrimination is the Cleveland Clinic Score. Mehta tool obtained the best accuracy, reaching 85.95%.
Conclusions: The Cleveland Clinic Score, simplified renal index, and Mehta tool could be used to predict the need for post-CABG kidney replacement therapy. The Cleveland Clinic Score had the best discrimination, while the Mehta tool had the best diagnostic accuracy.
Gian Christian Kasim, Andi Adil, Muhammad Rum, Syafri Kamsul Arif, Alamsyah Ambo Ala Husain, Andi Alamsyah Irwan
