Evidence map›Paper›PMID 27716701›Full record

ReviewAnnals of cardiac anaesthesia

Cardiac surgery-associated acute kidney injury.

Christian Ortega-Loubon, Manuel Fernández-Molina, Yolanda Carrascal-Hinojal, Enrique Fulquet-Carreras

4 registry-linked trialsAbstract readReview
In one paragraph

Review in Annals of cardiac anaesthesia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 112 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT03889730 completednot on this map

Impact of Intraoperative Hypotension on Risk of Acute Kidney Injury After Off-pump Coronary Artery Bypass Grafting Surgery: A Retrospective Cohort Study

TypeobservationalSponsorPeking University First HospitalRan2019 to 2019Enrolled821ConditionsCoronary Artery Bypass, Off-Pump, Intraoperative Hypotension, Acute Kidney Injury
NCT04125069 completednot on this map

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)
NCT05079724 unknown statusnot on this map

Acute Kidney Injury After Cardiac Surgery in Patients Without Chronic Kidney Disease.

TypeobservationalSponsorAssiut UniversityRan2021 to 2024Enrolled200ConditionsHeart Diseases, Heart Valve Diseases, Heart Shock, Cardiac DiseaseArmsCardiac Surgery
NCT05222074 completednot on this map

Venous Congestion Rather Than Intraoperative Hypotension is Associated With Acute Adverse Kidney Events After Cardiac Surgery

TypeobservationalSponsorNanjing First Hospital, Nanjing Medical UniversityRan2016 to 2021Enrolled5,127ConditionsAcute Kidney Injury, Acute Kidney DiseaseArmsVenous congestion, Introperation hypotension
3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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52 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

4 authors.

Christian Ortega-LoubonDepartment of Cardiac Surgery, Clinic University Hospital of Valladolid, Valladolid, Spain.
Manuel Fernández-MolinaDepartment of Cardiac Surgery, Clinic University Hospital of Valladolid, Valladolid, Spain.
Yolanda Carrascal-HinojalDepartment of Cardiac Surgery, Clinic University Hospital of Valladolid, Valladolid, Spain.
Enrique Fulquet-CarrerasDepartment of Cardiac Surgery, Clinic University Hospital of Valladolid, Valladolid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac surgery-associated acute kidney injury (CSA-AKI) is a well-recognized complication resulting with the higher morbid-mortality after cardiac surgery. In its most severe form, it increases the odds ratio of operative mortality 3-8-fold, length of stay in the Intensive Care Unit and hospital, and costs of care. Early diagnosis is critical for an optimal treatment of this complication. Just as the identification and correction of preoperative risk factors, the use of prophylactic measures during and after surgery to optimize renal function is essential to improve postoperative morbidity and mortality of these patients. Cardiopulmonary bypass produces an increased in tubular damage markers. Their measurement may be the most sensitive means of early detection of AKI because serum creatinine changes occur 48 h to 7 days after the original insult. Tissue inhibitor of metalloproteinase-2 and insulin-like growth factor-binding protein 7 are most promising as an early diagnostic tool. However, the ideal noninvasive, specific, sensitive, reproducible biomarker for the detection of AKI within 24 h is still not found. This article provides a review of the different perspectives of the CSA-AKI, including pathogenesis, risk factors, diagnosis, biomarkers, classification, postoperative management, and treatment. We searched the electronic databases, MEDLINE, PubMed, EMBASE using search terms relevant including pathogenesis, risk factors, diagnosis, biomarkers, classification, postoperative management, and treatment, in order to provide an exhaustive review of the different perspectives of the CSA-AKI.

Indexed as

Acute Kidney InjuryCardiac Surgical ProceduresHumansPostoperative ComplicationsRisk Factors

Identifiers

PMID27716701
PMCPMC5070330

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.