Evidence map›Paper›PMID 29223955›Full record

Trial reportJournal of the American Heart Association2017

High-Density Lipoprotein Cholesterol Concentration and Acute Kidney Injury After Cardiac Surgery.

Loren E Smith, Derek K Smith, Jeffrey D Blume, MacRae F Linton, Frederic T Billings

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00791648 (Short-term Atorvastatin's Effect on Acute Kidney Injury Following Cardiac Surgery), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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.

NCT00791648 nacompletednot on this map

Short-term Atorvastatin's Effect on Acute Kidney Injury Following Cardiac Surgery

TypeinterventionalSponsorVanderbilt University Medical CenterRan2009 to 2014Enrolled653ConditionsAcute Kidney Injury, Post-Operative Delirium, Icu Delirium, Acute Renal FailureArmsatorvastatin, placebo
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Contrast-Associated Acute Kidney Injury: Advances and Challenges.International journal of general medicine · 2022
    Review
  12. High-Density Lipoproteins in Kidney Disease.International journal of molecular sciences · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Kidney as modulator and target of "good/bad" HDL.Pediatric nephrology (Berlin, Germany) · 2019
    Review
  18. 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

5 authors at 1 institution in 1 country.

Loren E SmithDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN loren.e.smith@vanderbilt.edu.
Derek K SmithDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN.
Jeffrey D BlumeDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN.
MacRae F LintonDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Frederic T BillingsDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN.
Vanderbilt University Medical Center · US

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Non-coding RNA & Bioinformatics CoreP01HL116263 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LINTON, MACRAE F · 2014 to 2025
$24.7M
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
NCATS NIH HHS UL1 TR000445NCATS NIH HHS UL1 TR002243NHLBI NIH HHS P01 HL116263NIGMS NIH HHS K23 GM102676NIGMS NIH HHS R01 GM112871NIGMS NIH HHS T32 GM108554
6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) after cardiac surgery is associated with increased short- and long-term mortality. Inflammation, oxidative stress, and endothelial dysfunction and damage play important roles in the development of AKI. High-density lipoproteins (HDLs) have anti-inflammatory and antioxidant properties and improve endothelial function and repair. Statins enhance HDL's anti-inflammatory and antioxidant capacities. We hypothesized that a higher preoperative HDL cholesterol concentration is associated with decreased AKI after cardiac surgery and that perioperative statin exposure potentiates this association. METHODS AND

resultsWe tested our hypothesis in 391 subjects from a randomized clinical trial of perioperative atorvastatin to reduce AKI after cardiac surgery. A 2-component latent variable mixture model was used to assess the association between preoperative HDL cholesterol concentration and postoperative change in serum creatinine, adjusted for known AKI risk factors and suspected confounders. Interaction terms were used to examine the effects of preoperative statin use, preoperative statin dose, and perioperative atorvastatin treatment on the association between preoperative HDL and AKI. A higher preoperative HDL cholesterol concentration was independently associated with a decreased postoperative serum creatinine change (

conclusionsA higher preoperative HDL cholesterol concentration was associated with decreased AKI after cardiac surgery. Preoperative and perioperative statin treatment enhanced this association, demonstrating that pharmacological potentiation is possible during the perioperative period. CLINICAL

trial registrationURL: http://www.clinicaltrials.gov. Unique Identifier: NCT00791648.

Indexed as

Postoperative ComplicationsAcute Kidney InjuryAgedAged, 80 and overAtorvastatinCardiac Surgical ProceduresCholesterol, HDLCoronary Artery DiseaseDose-Response Relationship, DrugDouble-Blind MethodFemaleFollow-Up StudiesHumansHydroxymethylglutaryl-CoA Reductase InhibitorsKidney Function TestsMaleAtorvastatinCholesterol, HDLHydroxymethylglutaryl-CoA Reductase Inhibitorsacute kidney injurycardiac surgeryhigh‐density lipoproteinsrenal insufficiencystatin

Identifiers

PMID29223955
PMCPMC5779016
OpenAlexW2771115031

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.