Evidence map›Paper›PMID 29230707›Full record

ArticleInternational urology and nephrology2018

Acute kidney injury after abdominal aortic aneurysm repair: current epidemiology and potential prevention.

Liesa Zabrocki, Frank Marquardt, Klaus Albrecht, Stefan Herget-Rosenthal

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Article in International urology and nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Liesa ZabrockiDepartment of Medicine, Rotes Kreuz Krankenhaus, St.-Pauli-Deich 24, 28199, Bremen, Germany.
Frank MarquardtDepartment of Vascular Medicine, Rotes Kreuz Krankenhaus, Bremen, Germany.
Klaus AlbrechtControlling, Rotes Kreuz Krankenhaus, Bremen, Germany.
Stefan Herget-RosenthalDepartment of Medicine, Rotes Kreuz Krankenhaus, St.-Pauli-Deich 24, 28199, Bremen, Germany. herget-rosenthal.s@roteskreuzkrankenhaus.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute kidney injury (AKI) is a severe complication after infrarenal abdominal aortic aneurysm (iAAA) repair. Little data are available whether endovascular aneurysm (EVAR) or open aortic repair (OAR) differs with respect to AKI frequency and severity, consecutive development of chronic kidney disease (CKD) and potentially preventable and modifiable risk factors of AKI. PATIENTS AND

methodsWe assessed AKI rates, AKI stages and CKD applying current, complete definitions from the kidney disease improving global outcomes initiative in propensity-score-matched cohorts of all patients with elective and urgent iAAA repair at our institution from 2007 to 2011. Risk factors were analysed using multivariate logistic regression analyses.

resultsFrom 268 patients, we identified 91 matched pairs who had undergone either EVAR or OAR. The AKI rate was 13.2% with EVAR versus 41.8% with OAR (P < 0.001). AKI was significantly less severe in EVAR. OAR patients lost more glomerular filtration rate (- 11.3 vs. - 6.5%; P = 0.02) and developed more frequently CKD (14.3 vs. 3.2%; P < 0.001) 3 months after iAAA repair. EVAR, circulatory shock, radiocontrast media, rhabdomyolysis and sepsis were identified as potentially preventable or modifiable risk factors of AKI.

conclusionsAKI is significantly less frequent and severe in iAAA patients after EVAR as compared to OAR. Furthermore OAR patients demonstrate a higher CKD rate. The identified risk factors may be prevented or modified as a bundle of measures especially in patients with pre-existing CKD to reduce AKI and its severity after iAAA repair.

Indexed as

Acute Kidney InjuryAortic Aneurysm, AbdominalPostoperative ComplicationsAgedContrast MediaEffect Modifier, EpidemiologicEndovascular ProceduresFemaleGermanyGlomerular Filtration RateHumansMaleMiddle AgedRhabdomyolysisRisk FactorsSepsisContrast MediaAbdominal aortic aneurysmAcute kidney injuryChronic kidney diseaseEndovascular repairPreventionRisk factor

Identifiers

PMID29230707

What OpenQuestion holds

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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.