Evidence map›Paper›PMID 30810677›Full record

ArticleBrazilian journal of cardiovascular surgery

Risk Factors and Outcome of Acute Kidney Injury after Isolated CABG Surgery: a Prospective Cohort Study.

Shahram Amini, Mona Najaf Najafi, Seyedeh Parissa Karrari, Mohammadghasem Etemadi Mashhadi, Sahereh Mirzaei, Mohammad Abbasi Tashnizi, Ali Asghar Moeinipour, Hamid Hoseinikhah, Mathias Hossain Aazami, Mahdieh Jafari

Open access · diamondAbstract read
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. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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.

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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Perioperative glycemic control in patients undergoing cardiac surgery.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. ISCCM Guidelines on Acute Kidney Injury and Renal Replacement Therapy.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 1 institution in 1 country.

Shahram AminiDepartment of Anesthesiology and Critical Care, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID 0000-0002-2785-1812
Mona Najaf NajafiClinical Research Unit, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Seyedeh Parissa KarrariDepartment of Anesthesiology and Critical Care, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohammadghasem Etemadi MashhadiDepartment of Anesthesia, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Sahereh MirzaeiDepartment of Biobehavioral Sciences, College of Nursing, University of Illinois at Chicago, Chicago, USA.
Mohammad Abbasi TashniziDepartment of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
Ali Asghar MoeinipourDepartment of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
Hamid HoseinikhahDepartment of Cardiac Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.
Mathias Hossain AazamiDepartment of Anesthesia, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mahdieh JafariDepartment of Anesthesiology and Critical Care, Mashhad University of Medical Sciences, Mashhad, Iran.
Mashhad University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) is a frequent event after cardiac surgery with increased mortality and morbidity. We explored frequency, risk factors, and associated morbidity and mortality of AKI after isolated coronary artery bypass grafting (CABG) surgery at a single institution.

methodsAll consecutive adults undergoing CABG surgery from March 2013 to October 2016 were assessed for development and severity of AKI based on Acute Kidney Injury Network (AKIN) criteria. The patients were also investigated regarding their need for renal replacement therapy (RRT), predictive risk factors, and associated outcomes, including duration of mechanical ventilation, mortality, intensive care unit (ICU) and hospital length of stay.

resultsOf 1737 patients in the study, 275 (15.8%) developed AKI. Twenty-five (12.8%) cases required RRT. Patients with AKI had longer ventilation time, ICU and hospital length of stay (P<0.001). Mortality rates were 28 (10.2%) and 22 (1.5%) in patients with and without AKI, respectively (P<0.001). There was a strong association between advanced age (aOR=1.016, 95% CI=1.002-1.030, P=0.028), diabetes (aOR=1.36, 95% CI=1.022-1.809, P=0.035), on-pump surgery (aOR=2.63, 95% CI=1.543-4.483, P<0.001), transfusion of more than 1 unit of red blood cells (aOR=2.154, 95% CI=1.237-3.753, P=0.007), and prolonged mechanical ventilation and development of AKI (aOR=2.697, 95% CI=1.02407.071, P<0.001). AKI was seen less frequently in those with opium abuse (aOR=0.613, 95% CI=0.409-0.921, P=0.018).

conclusionWe demonstrated that advanced age, diabetes, on-pump surgery, red blood cell transfusion, and prolonged mechanical ventilation were independent positive risk factors for the development of AKI after isolated CABG while opium abuse was a protective factor.

Indexed as

Acute Kidney InjuryAgedCoronary Artery BypassFemaleHospital MortalityHumansIntensive Care UnitsLength of StayMaleMiddle AgedMultivariate AnalysisPregnancyProspective StudiesReference ValuesRespiration, ArtificialRisk Assessment

Identifiers

PMID30810677
PMCPMC6385837
OpenAlexW2913071778

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.