ArticleCritical care (London, England)2016
Postoperative blood pressure deficit and acute kidney injury progression in vasopressor-dependent cardiovascular surgery patients.
Article in Critical care (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed, 86 citations in OpenAlex.
- Characterizing the molecular landscape of venous congestion.World journal of critical care medicine · 2026Article
- Positioning Statement on the Use of Point-of-Care Ultrasound in Cardiovascular Medicine - 2026.Arquivos brasileiros de cardiologia · 2026Article
- Postoperative diastolic perfusion pressure as a predictor of delirium after cardiac surgery.Frontiers in cardiovascular medicine · 2026Article
- Venous congestion in critical care: combining VExUS, lung ultrasound, and echocardiography.Annals of intensive care · 2026Article
- Mean arterial pressure at the initiation of continuous renal replacement therapy as a prognostic indicator in patients with acute kidney injury.Renal failure · 2025Observational
- Effect of intraoperative hypotension depth and duration on acute kidney injury after Type A acute aortic dissection repair: An observational cohort study based on early risk stratification models.Journal of anesthesia and translational medicine · 2025Article
- Association between renal mean perfusion pressure and prognosis in patients with sepsis-associated acute kidney injury: insights from the MIMIC IV database.Renal failure · 2025Article
- Redefining the modern paradigm of vasopressor therapy for vasodilatory shock.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025Review
- Renal perfusion pressure: role and implications in critical illness.Annals of intensive care · 2025Review
- Proactive Prescription-Based Fluid Management Versus Usual Care in Critically Ill Patients on Kidney Replacement Therapy (Probe-Fluid): A Pilot Clinical Trial Protocol.Canadian journal of kidney health and disease · 2025Article
- Association between the mean perfusion pressure and the risk of acute kidney injury in critically ill patients with sepsis: a retrospective cohort study.BMC infectious diseases · 2024Article
- Furosemide responsiveness test-is there any reason to be afraid of diuretic use after cardiac surgery?Journal of thoracic disease · 2024Article
- Serotonin regulation of mitochondria in kidney diseases.Pharmacological research · 2024Review
- Assessment of Individualized Mean Perfusion Pressure Targets for the Prevention of Cardiac Surgery-Associated Acute Kidney Injury-The PrevHemAKI Randomized Controlled Trial.Journal of clinical medicine · 2023Article
- Systemic Venous Congestion Reviewed.Cureus · 2023Review
- Intraoperative Hypertension Is Associated with Postoperative Acute Kidney Injury after Laparoscopic Surgery.Journal of personalized medicine · 2023Article
- The association of diastolic arterial pressure and heart rate with mortality in septic shock: a retrospective cohort study.European journal of medical research · 2022Article
- FUSIC HD. Comprehensive haemodynamic assessment with ultrasound.Journal of the Intensive Care Society · 2022Article
- Postoperative central venous pressure is associated with acute kidney injury in patients undergoing coronary artery bypass grafting.Frontiers in cardiovascular medicine · 2022Article
- The blood pressure targets in sepsis patients with acute kidney injury: An observational cohort study of multiple ICUs.Frontiers in immunology · 2022Observational
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn vasopressor-dependent patients who had undergone cardiovascular surgery, we examined whether those with progression of acute kidney injury (AKI) had a greater difference (deficit) between premorbid and within-ICU hemodynamic pressure-related parameters compared to those without AKI progression.
methodsWe assessed consecutive adults who underwent cardiovascular surgery and who stayed in our ICU for at least 48 hours and received vasopressor support for more than 4 hours. We obtained premorbid and vasopressor-associated, time-weighted average values for hemodynamic pressure-related parameters (systolic [SAP], diastolic [DAP], and mean arterial pressure [MAP]; central venous pressure [CVP], mean perfusion pressure [MPP], and diastolic perfusion pressure [DPP]) and calculated deficits in those values. We defined AKI progression as an increase of at least one Kidney Disease: Improving Global Outcomes stage.
resultsWe screened 159 patients who satisfied the inclusion criteria and identified 76 eligible patients. Thirty-six patients (47%) had AKI progression. All achieved pressure-related values were similar between patients with or without AKI progression. However, deficits in DAP (P = 0.027), MPP (P = 0.023), and DPP (P = 0.002) were significantly greater in patients with AKI progression.
conclusionsPatients with AKI progression had greater DAP, MPP, and DPP deficits compared to patients without AKI progression. Such deficits might be modifiable risk factors for the prevention of AKI progression.
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