Evidence map›Paper›PMID 29267610›Full record

ArticleBrazilian journal of cardiovascular surgery

Validation of Four Prediction Scores for Cardiac Surgery-Associated Acute Kidney Injury in Chinese Patients.

Wuhua Jiang, Jiarui Xu, Bo Shen, Chunsheng Wang, Jie Teng, Xiaoqiang Ding

Registry-linked trialAbstract readValidation Study
In one paragraph

Article in Brazilian journal of cardiovascular surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05079724 (Acute Kidney Injury After Cardiac Surgery in Patients Without Chronic Kidney Disease.), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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.

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
3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

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  18. Observational
  19. Pre-, Intra-, and Post-Operative Factors for Kidney Injury of Patients Underwent Cardiac Surgery: A Retrospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Observational
  20. Risk factors for postoperative acute kidney injury after cardiac surgery.Archivos peruanos de cardiologia y cirugia cardiovascular
    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

6 authors.

Wuhua JiangDepartment of Nephrology of Zhongshan Hospital of Fudan University Shanghai Medical College, Shanghai, China.
Jiarui XuDepartment of Nephrology of Zhongshan Hospital of Fudan University Shanghai Medical College, Shanghai, China.
Bo ShenDepartment of Nephrology of Zhongshan Hospital of Fudan University Shanghai Medical College, Shanghai, China.
Chunsheng WangDepartment of Cardiovascular Surgery of Zhongshan Hospital of Fudan University Shanghai Medical College, Shanghai, China.
Jie TengDepartment of Nephrology of Zhongshan Hospital of Fudan University Shanghai Medical College, Shanghai, China.
Xiaoqiang DingDepartment of Nephrology of Zhongshan Hospital of Fudan University Shanghai Medical College, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the clinical value of four models for the prediction of cardiac surgery-associated acute kidney injury (CSA-AKI) and severe AKI which renal replacement therapy was needed (RRT-AKI) in Chinese patients.

methods1587 patients who underwent cardiac surgery in the department of cardiac surgery in the Zhongshan Hospital, Fudan University, between January 2013 and December 2013 were enrolled in this research. Evaluating the predicting value for cardiac surgery-associated AKI (AKICS score) and RRT-AKI (Cleveland score, SRI and Mehta score) by Hosmer-Lemeshow goodness-of-fit test for the calibration and area under receiver operating characteristic curve (AUROC) for the discrimination.

resultsBased on 2012 KDIGO (Kidney Disease: Improving Global Outcomes) AKI definition, the incidence of AKI and RRT-AKI was 37.4% (594/1587) and 1.1% (18/1587), respectively. The mortality of AKI and RRT-AKI was 6.1% (36/594) and 66.7% (12/18), respectively, while the total mortality was 2.8% (44/1587). The discrimination (AUROC=0.610) for the prediction of CSA-AKI of AKICS was low, while the calibration (x2=7.55, P=0.109) was fair. For the prediction of RRT-AKI, the discrimination of Cleveland score (AUROC=0.684), Mehta score (AUROC=0.708) and SRI (AUROC=0.622) were not good; while the calibration of them were fair (Cleveland score x2=1.918, P=0.166; Mehta score x2=9.209, P=0.238; SRI x2=2.976, P=0.271).

conclusionIn our single-center study, based upon valve surgery dominant and less diabetes mellitus patients, according to KDIGO AKI definition, the predictive value of the four models, combining discrimination and calibration, for respective primary event, were not convincible.

Indexed as

Acute Kidney InjuryCardiac Surgical ProceduresChinaFemaleHumansIncidenceMaleMiddle AgedPostoperative ComplicationsPredictive Value of TestsRenal Replacement TherapyRetrospective StudiesRisk FactorsROC Curve

Identifiers

PMID29267610
PMCPMC5731314

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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.