Evidence map›Paper›PMID 25755241›Full record

ArticlePediatrics2015

Cardiac biomarkers and acute kidney injury after cardiac surgery.

Emily M Bucholz, Richard P Whitlock, Michael Zappitelli, Prasad Devarajan, John Eikelboom, Amit X Garg, Heather Thiessen Philbrook, Philip J Devereaux, Catherine D Krawczeski, Peter Kavsak and 3 more

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 2 countries.

Emily M BucholzSchool of Medicine, and Department of Chronic Disease Epidemiology, School of Public Health, Yale University, New Haven, Connecticut;
Richard P WhitlockDivision of Cardiac Surgery, Population Health Research Institute, and.
Michael ZappitelliDivision of Nephrology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada;
Prasad DevarajanDepartment of Nephrology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio;
John EikelboomDivision of Cardiac Surgery, Population Health Research Institute, and Medicine, and.
Amit X GargDivision of Nephrology, Department of Medicine, and Department of Epidemiology and Biostatistics, University of Western Ontario, London, Canada;
Heather Thiessen PhilbrookDivision of Nephrology, Department of Medicine, and.
Philip J DevereauxDepartments of Clinical Epidemiology and Biostatistics.
Catherine D KrawczeskiDivision of Pediatric Cardiology, Lucile Packard Children's Hospital, Stanford University School of Medicine, Palo Alto, California; and.
Peter KavsakPathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada;
Colleen ShorttPathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada;
Chirag R ParikhDepartment of Internal Medicine, Clinical Epidemiology Research Center, Veterans Affairs Connecticut Healthcare System, West Haven, Connecticut chirag.parikh@yale.edu.
TRIBE-AKI Consortium
McMaster University · CAPopulation Health Research Institute · CACancer Research And Biostatistics · USCincinnati Children's Hospital Medical Center · USMontreal Children's Hospital · CAStanford University · USVA Connecticut Healthcare System · USWestern University · CAYale University · US

Funding

Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI ARONSON, PETER S. · 2008 to 2022
$16.8M
Novel Biomarkers in Cardiac Surgery to Detect Acute Kidney InjuryR01HL085757 · NHLBI · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2007 to 2019
$10.3M
Proteomics CoreP50DK096418 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI DEVARAJAN, PRASAD · 2012 to 2021
$8.4M
Progression of Acute Kidney Injury to Chronic Kidney DiseaseU01DK082185 · NIDDK · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2008 to 2017
$5.1M
Mentoring Program for Translational and Patient Oriented Research in AKIK24DK090203 · NIDDK · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2012 to 2016
$896k
NHLBI NIH HHS R01 HL085757NHLBI NIH HHS R01HL085757NIDDK NIH HHS K24 DK090203NIDDK NIH HHS K24DK090203NIDDK NIH HHS P30 DK079310NIDDK NIH HHS P30DK079310NIDDK NIH HHS P50 DK096418NIDDK NIH HHS U01 DK082185NIDDK NIH HHS U01DK082185
6 · The paper itself

Abstract

objectivesTo examine the relationship of cardiac biomarkers with postoperative acute kidney injury (AKI) among pediatric patients undergoing cardiac surgery.

methodsData from TRIBE-AKI, a prospective study of children undergoing cardiac surgery, were used to examine the association of cardiac biomarkers (N-type pro-B-type natriuretic peptide, creatine kinase-MB [CK-MB], heart-type fatty acid binding protein [h-FABP], and troponins I and T) with the development of postoperative AKI. Cardiac biomarkers were collected before and 0 to 6 hours after surgery. AKI was defined as a ≥ 50% or 0.3 mg/dL increase in serum creatinine, within 7 days of surgery.

resultsOf the 106 patients included in this study, 55 (52%) developed AKI after cardiac surgery. Patients who developed AKI had higher median levels of pre- and postoperative cardiac biomarkers compared with patients without AKI (all P < .01). Preoperatively, higher levels of CK-MB and h-FABP were associated with increased odds of developing AKI (CK-MB: adjusted odds ratio 4.58, 95% confidence interval [CI] 1.56-13.41; h-FABP: adjusted odds ratio 2.76, 95% CI 1.27-6.03). When combined with clinical models, both preoperative CK-MB and h-FABP provided good discrimination (area under the curve 0.77, 95% CI 0.68-0.87, and 0.78, 95% CI 0.68-0.87, respectively) and improved reclassification indices. Cardiac biomarkers collected postoperatively did not significantly improve the prediction of AKI beyond clinical models.

conclusionsPreoperative CK-MB and h-FABP are associated with increased risk of postoperative AKI and provide good discrimination of patients who develop AKI. These biomarkers may be useful for risk stratifying patients undergoing cardiac surgery.

Indexed as

Acute Kidney InjuryBiomarkersCardio-Renal SyndromeChildChild, PreschoolCohort StudiesFemaleFollow-Up StudiesHeart Defects, CongenitalHospital MortalityHumansInfantIntensive Care Units, PediatricLength of StayMalePostoperative ComplicationsBiomarkersacute kidney injurybiological markersbrain natriuretic peptidecreatine kinasefatty acid-binding proteinspediatricspostoperative complicationsthoracic surgerytroponin

Identifiers

PMID25755241
PMCPMC4379461
OpenAlexW2074531756

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.