Evidence map›Paper›PMID 27275160›Full record

ArticleCardiorenal medicine2016

Risk Factors for Acute Kidney Injury after Cardiovascular Surgery: Evidence from 2,157 Cases and 49,777 Controls - A Meta-Analysis.

Qian Yi, Ke Li, Zhao Jian, Ying-Bin Xiao, Lin Chen, Yao Zhang, Rui-Yan Ma

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cardiorenal medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06091982 (The Need of Renal Replacement Therapy and In-Hospital Mortality Incidence In Patients With Cardiac Surgery Associated Acute Kidney Injury), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.8field-weighted citation impact, top 5% 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.

NCT06091982 completednot on this mapstarted 2023, after this paper: background citation

The Need of Renal Replacement Therapy and In-Hospital Mortality Incidence In Patients With Cardiac Surgery Associated Acute Kidney Injury: Retrospective Study

Typeobservational_patient_registrySponsorNational Cardiovascular Center Harapan Kita Hospital IndonesiaRan2023 to 2024Enrolled1,113ConditionsAcute Kidney InjuryArmsRenal Replacement Therapy (RRT)
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. Reflections on: Lactate dynamics in cardiac surgery.Journal of cardiovascular and thoracic research · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Observational
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Risk Factors for Acute Kidney Injury after Cardiopulmonary Bypass.The journal of extra-corporeal technology · 2018
    Article
  20. Article
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

7 authors at 2 institutions in 1 country.

Qian YiDepartment of Cardiovascular Surgery, Xinqiao Hospital, Chongqing, PR China.
Ke LiDepartment of Urologic Surgery, Daping Hospital, Chongqing, PR China.
Zhao JianDepartment of Cardiovascular Surgery, Xinqiao Hospital, Chongqing, PR China.
Ying-Bin XiaoDepartment of Cardiovascular Surgery, Xinqiao Hospital, Chongqing, PR China.
Lin ChenDepartment of Cardiovascular Surgery, Xinqiao Hospital, Chongqing, PR China.
Yao ZhangDepartment of Epidemiology, Third Military Medical University, Chongqing, PR China; Evidence-Based Medicine and Clinical Epidemiology Center, Third Military Medical University, Chongqing, PR China.
Rui-Yan MaDepartment of Cardiovascular Surgery, Xinqiao Hospital, Chongqing, PR China.
Xinqiao Hospital · CNDaping Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCardiovascular surgery-associated acute kidney injury (AKI-CS) contributes to mortality and morbidity. However, risk factors accelerating its development are unclear. We identified risk factors for AKI-CS in patients with cardiopulmonary bypass in the hospital surgical intensive care unit to predict and minimize renal complication in future cardiac surgery.

methodsWe analyzed data from 14 case-control studies published prior to June 2014 and indexed in Science Citation Index, PubMed, and other databases to determine the major risk factors for AKI-CS.

resultsAnalyzed risk factors were divided into three groups: preoperative, intraoperative and postoperative. Preoperative factors included: age (OR, 4.87; 95% CI, 3.50-6.24), NYHA class III/IV (OR, 2.53; 95% CI, 1.32-4.86), hypertension (OR, 1.68; 95% CI, 1.44-1.97), preoperative creatinine (OR, 0.66; 95% CI, 0.18-1.14), peripheral vascular disease (OR, 1.31 95% CI, 1.09-1.57), respiratory system disease (OR, 1.29; 95% CI, 1.10-1.50), diabetes mellitus (OR, 1.52; 95% CI, 1.07-2.16), and cerebrovascular disease (OR, 2.13; 95% CI, 1.11-4.09). Intraoperative factors were: cardiopulmonary bypass time (OR, 33.78; 95% CI, 23.15-44.41), aortic clamping time (OR, 13.24; 95% CI, 7.78-18.69), use of intra-aortic balloon pump (OR, 4.44; 95% CI, 2.37-8.30), and type of surgery (OR, 1.01; 95% CI, 0.43-2.39). Postoperative factors were: infection (OR, 3.58; 95% CI, 1.43-8.97), redo operation (OR, 2.57; 95% CI, 1.75-3.78), emergency surgery (OR, 4.76; 95% CI, 3.05-7.43), and low cardiac output (OR, 2.30; 95% CI, 1.05-5.04).

conclusionsOur results support that preoperative, intraoperative, and postoperative factors are associated with AKI-CS. Ejection fraction, BMI, acute myocardial infarction, type of surgery, and congestive heart failure were not absolutely associated with AKI.

Indexed as

Acute kidney injuryCardiopulmonary bypassCardiovascular surgeryMeta-analysisRisk factors

Identifiers

PMID27275160
PMCPMC4886037
OpenAlexW2331557411

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.