Evidence map›Paper›PMID 27373799›Full record

ReviewCritical care (London, England)2016

Acute kidney injury following cardiac surgery: current understanding and future directions.

Jason B O'Neal, Andrew D Shaw, Frederic T Billings

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 246 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
246citing papers in PubMed, 8 pooled it
36.0field-weighted citation impact, top 1% 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.

NCT04125069 completednot on this mapstarted 2019, after this paper: background citation

Role of Mitochondrial Dysfunction in the Occurrence of Acute Kidney Injury(AKI) in Postoperative Cardiac Surgery

TypeobservationalSponsorUniversity Hospital Center of MartiniqueRan2019 to 2022Enrolled27ConditionsPatients Undergoing Coronary Artery Bypass Graft (CABG) Surgery Requiring Extracorporeal CirculationArmsCoronary Artery Bypass Graft (CABG)
NCT07085286 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Prognostic Value of Continuous Intra-abdominal Pressure (CIAP) and Continuous Abdominal Perfusion Pressure (CAPP) Monitoring for Acute Kidney Injury (AKI) Prediuction in Patients Undergoing Coronary Artery Bypass Graft (CABG) Surgery

Typeobservational_patient_registrySponsorMedical University of LublinRan2026 to 2026Enrolled45ConditionsAKI - Acute Kidney Injury, CABGArmsContinous IAP measurement
3 · Its place in the literature

Who cites it

246 citing papers in PubMed, 8 syntheses or guidelines pooled it, 546 citations in OpenAlex.

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  17. Urinary UDP-sugars provide actionable prediction of acute kidney injury in cardiac surgery patients.American journal of physiology. Heart and circulatory physiology · 2026
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186 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

Jason B O'NealDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA. jason.b.oneal@vanderbilt.edu.
Andrew D ShawDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Frederic T BillingsDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Vanderbilt University Medical Center · US

Funding

TIPS: Training in Perioperative ScienceT32GM108554 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Eric J Delpire · 2014 to 2026
$3.7M
Hyper-oxygenation, oxidative stress, and kidney injury following cardiac surgeryR01GM112871 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BILLINGS, FREDERIC TREMAINE · 2015 to 2019
$1.8M
Mitochondrial dysfunction, oxidative stress, and surgical acute kidney injuryK23GM102676 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BILLINGS, FREDERIC TREMAINE · 2012 to 2016
$808k
NIGMS NIH HHS K23 GM102676NIGMS NIH HHS R01 GM112871NIGMS NIH HHS T32 GM108554
6 · The paper itself

Abstract

Acute kidney injury (AKI) complicates recovery from cardiac surgery in up to 30 % of patients, injures and impairs the function of the brain, lungs, and gut, and places patients at a 5-fold increased risk of death during hospitalization. Renal ischemia, reperfusion, inflammation, hemolysis, oxidative stress, cholesterol emboli, and toxins contribute to the development and progression of AKI. Preventive strategies are limited, but current evidence supports maintenance of renal perfusion and intravascular volume while avoiding venous congestion, administration of balanced salt as opposed to high-chloride intravenous fluids, and the avoidance or limitation of cardiopulmonary bypass exposure. AKI that requires renal replacement therapy occurs in 2-5 % of patients following cardiac surgery and is associated with 50 % mortality. For those who recover from renal replacement therapy or even mild AKI, progression to chronic kidney disease in the ensuing months and years is more likely than for those who do not develop AKI. Cardiac surgery continues to be a popular clinical model to evaluate novel therapeutics, off-label use of existing medications, and nonpharmacologic treatments for AKI, since cardiac surgery is fairly common, typically elective, provides a relatively standardized insult, and patients remain hospitalized and monitored following surgery. More efficient and time-sensitive methods to diagnose AKI are imperative to reduce this negative outcome. The discovery and validation of renal damage biomarkers should in time supplant creatinine-based criteria for the clinical diagnosis of AKI.

Indexed as

Acute Kidney InjuryAntihypertensive AgentsBiomarkersCardiac Surgical ProceduresCreatinineFenoldopamHepatitis A Virus Cellular Receptor 1HumansInterleukin-18Lipocalin-2Neoplasm ProteinsPostoperative ComplicationsRenal Replacement TherapyRisk FactorsAntihypertensive AgentsBiomarkersCreatinineFenoldopamHAVCR1 protein, humanHepatitis A Virus Cellular Receptor 1IL18 protein, humanInterleukin-18LCN2 protein, humanLipocalin-2NBAS protein, humanNeoplasm ProteinsAcute kidney injuryCardiac surgeryCardiopulmonary bypassExtracorporeal circulationHypoperfusionInflammationIntravenous fluid managementPigment nephropathyRenal failure

Identifiers

PMID27373799
PMCPMC4931708
OpenAlexW2430394288

What OpenQuestion holds

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LicenceCC BY
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.