Alvaro Lucas
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Research Subjects
Alvaro Lucas has a total of 12 co-authors. Here are the top co-authors by number of shared publications:
- Alícia Molina-Andújar
Nephrology and Kidney Transplantation Department, Hospital Clinic, 08036 Barcelona, Spain
1 shared publication - Cristina Ibañez
Anesthesiology Department, Hospital Clinic, IDIBAPS, University of Barcelona, 08036 Barcelona, Spain
1 shared publication - Eduard Quintana
Department of Cardiovascular Surgery, Departament de Cirurgia I EspecialitatsMedicoquirúrgiques, Facultat de Medicina I Ciències de La Salut, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain
1 shared publication - Elena Sandoval
Department of Cardiovascular Surgery, Hospital Clínic de Barcelona, 08036 Barcelona, Spain
1 shared publication - Esteban Poch
Servicio de Nefrología Hospital Clínic de Barcelona, IDIBAPS. Universidad de Barcelona, Barcelona, Spain
1 shared publication - Gaston Julio Piñeiro
Nephrology and Kidney Transplantation Department, Hospital Clinic, 08036 Barcelona, Spain
1 shared publication
Latest Publications
- Open Access
- 9 February 2022
- Published by MDPI AG in Journal of Clinical Medicine
- Vol. 11 (4) , 904
Risk Factors for Acute Kidney Injury Following Cardiac Surgery and Performance of Leicester Score in a Spanish Cohort
The incidence of acute kidney injury following cardiac surgery (CSA-AKI) is up to 30%, and it places patients at an increased risk of death. The Leicester score (LS) is a new score that predicts CSA-AKI of any stage with better discrimination compared to previous scores. The aim of this study was to identify risk factors for CSA-AKI and to assess the performance of LS. A unicentric retrospective study of patients that required cardiac surgery with cardio-pulmonary bypass (CPB) in 2015 was performed. The inclusion criteria were patients over 18 years old who were operated on for cardiac surgery (valve substitution (VS), Coronary Artery Bypass Graft (CABG), or a combination of both procedures and requiring CPB). CSA-AKI was defined with the Kidney Disease Improving Global Outcomes (KDIGO) criteria. In the multivariate analysis, hypertension (odds ratio 1.883), estimated glomerular filtration rate (EGFR) <60 mL/min (2.365), and peripheral vascular disease (4.66) were associated with the outcome. Both discrimination and calibration were better when the LS was used compared to the Cleveland Clinic Score and Euroscore II, with an area under the curve (AUC) of 0.721. In conclusion, preoperative hypertension in patients with CKD with or without peripheral vasculopathy can identify patients who are at risk of CSA-AKI. The LS was proven to be a valid score that could be used to identify patients who are at risk and who could benefit from intervention studies.
- 9 February 2022
- Published by MDPI AG in Journal of Clinical Medicine
- Vol. 11 (4) , 904
Open AccessRisk Factors for Acute Kidney Injury Following Cardiac Surgery and Performance of Leicester Score in a Spanish Cohort
The incidence of acute kidney injury following cardiac surgery (CSA-AKI) is up to 30%, and it places patients at an increased risk of death. The Leicester score (LS) is a new score that predicts CSA-AKI of any stage with better discrimination compared to previous scores. The aim of this study was to identify risk factors for CSA-AKI and to assess the performance of LS. A unicentric retrospective study of patients that required cardiac surgery with cardio-pulmonary bypass (CPB) in 2015 was performed. The inclusion criteria were patients over 18 years old who were operated on for cardiac surgery (valve substitution (VS), Coronary Artery Bypass Graft (CABG), or a combination of both procedures and requiring CPB). CSA-AKI was defined with the Kidney Disease Improving Global Outcomes (KDIGO) criteria. In the multivariate analysis, hypertension (odds ratio 1.883), estimated glomerular filtration rate (EGFR) <60 mL/min (2.365), and peripheral vascular disease (4.66) were associated with the outcome. Both discrimination and calibration were better when the LS was used compared to the Cleveland Clinic Score and Euroscore II, with an area under the curve (AUC) of 0.721. In conclusion, preoperative hypertension in patients with CKD with or without peripheral vasculopathy can identify patients who are at risk of CSA-AKI. The LS was proven to be a valid score that could be used to identify patients who are at risk and who could benefit from intervention studies.