Evidence map›Paper›PMID 26457259›Full record

ArticleJournal of nephropathology2015

Postoperative blood transfusion is an independent predictor of acute kidney injury in cardiac surgery patients.

Kristofer Freeland, Alireza Hamidian Jahromi, Lucas Maier Duvall, Mary Catherine Mancini

Abstract read
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Article in Journal of nephropathology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

21 citing papers in PubMed.

  1. Article
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  10. Risk Factors Associated With Extended Length of Hospital Stay After Geriatric Hip Fracture.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021
    Article
  11. Article
  12. Review
  13. Renal Dysfunction After Liver Transplantation: Effect of Donor Type.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2020
    Article
  14. Predictors of Acute Kidney Injury After Hip Fracture in Older Adults.Geriatric orthopaedic surgery & rehabilitation · 2020
    Article
  15. Article
  16. Article
  17. Review
  18. Review
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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

4 authors.

Kristofer FreelandDepartment of Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Alireza Hamidian JahromiDepartment of Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Lucas Maier DuvallDepartment of Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Mary Catherine ManciniDepartment of Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) is a serious complication of cardiac surgery with cardiopulmonary bypass (CPB) which increases postoperative morbidity and mortality.

objectivesThe study was designed to assess the incidence of AKI and associated risk factors in patients undergoing CPB ancillary to coronary artery bypass grafting (CABG), valve surgery, and combined CABG and valve surgery. PATIENTS AND

methodsThis Intuitional Review Board (IRB) approved retrospective study included patients with normal preoperative kidney function (Serum creatinine [sCr] <2.0 mg/dl) who underwent cardiac surgery with CPB between 2012 and 2014. Patients were divided into 2 groups: group I: Patients with cardiac surgery associated AKI (CS-AKI) (postoperative sCr >2 mg/dl with a minimal doubling of baseline sCr) and group II: Patients with a normal postoperative kidney function. Demographic data, body mass index (BMI), co-morbidities, hematologic/biochemical profiles, preoperative ejection fraction (%EF), blood transfusion history, and operative data were compared between the groups. Mean arterial pressure (MAP) was recorded during the operation and in the postoperative period. Δ-MAP was defined as the difference between pre-CPB-MAP and the CPB-MAP.

results241 patients matched the inclusion criteria (CS-AKI incidence = 8.29%). Age, gender, BMI, %EF, and co-morbidities were not predictors of CS-AKI (P > 0.05). High preoperative sCr (P = 0.047), type of procedure (P = 0.04), clamp time (P = 0.003), pump time (P = 0.005) and history of blood transfusion within 14 days postsurgery (P = 0.0004) were associated with risk of CS-AKI. Pre-CPB-MAP, CPB-MAP, Δ-MAP, and ICU-MAP were not significantly different between the 2 groups. Male gender (OR: 5.53; P = 0.048), age>60 (OR: 4.54; P = 0.027) and blood transfusion after surgery (OR: 5.25; P = 0.0054) were independent predictors for postoperative AKI.

conclusionsAge, gender and blood transfusion were independent predictors of cardiac surgery associated AKI.

Indexed as

Acute kidney injuryCardiac surgeryComplicationCoronary artery bypass graftTransfusion

Identifiers

PMID26457259
PMCPMC4596296

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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.