Evidence map›Paper›PMID 31096441›Full record

Observational studyMedicine2019

Impact of renal dysfunction on surgical outcomes in patients with aortic dissection.

Pei-Yi Fan, Chao-Yu Chen, Cheng-Chia Lee, Kuo-Sheng Liu, Victor Chien-Chia Wu, Pei-Chun Fan, Ming-Yang Chang, Jason Chih-Hsiang Chang, Ya-Chung Tian, Shao-Wei Chen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
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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

10 authors at 2 institutions in 1 country.

Pei-Yi FanKidney Research Center, Department of Critical Care Nephrology, Division of Nephrology, Chang Gung Memorial Hospital, Linkou Branch.
Chao-Yu ChenKidney Research Center, Department of Critical Care Nephrology, Division of Nephrology, Chang Gung Memorial Hospital, Linkou Branch.
Cheng-Chia LeeKidney Research Center, Department of Critical Care Nephrology, Division of Nephrology, Chang Gung Memorial Hospital, Linkou Branch.
Kuo-Sheng LiuDepartment of Cardiothoracic and Vascular Surgery, Chang Gung Memorial Hospital, Linkou Medical Center.
Victor Chien-Chia WuDepartment of Cardiology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.
Pei-Chun FanKidney Research Center, Department of Critical Care Nephrology, Division of Nephrology, Chang Gung Memorial Hospital, Linkou Branch.
Ming-Yang ChangKidney Research Center, Department of Critical Care Nephrology, Division of Nephrology, Chang Gung Memorial Hospital, Linkou Branch.
Jason Chih-Hsiang ChangKidney Research Center, Department of Critical Care Nephrology, Division of Nephrology, Chang Gung Memorial Hospital, Linkou Branch.
Ya-Chung TianKidney Research Center, Department of Critical Care Nephrology, Division of Nephrology, Chang Gung Memorial Hospital, Linkou Branch.
Shao-Wei ChenGraduate Institute of Clinical Medical Science, College of Medicine, Chang Gung University.
Chang Gung Memorial Hospital · TWChang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preoperative renal dysfunction is associated with mortality in patients who undergo coronary artery bypass graft and valve surgery. However, the role of preoperative renal dysfunction in type A aortic dissection (TAAD) remains unclear. This study aimed to evaluate the impact of preoperative renal dysfunction on the outcome of surgical intervention in patients with TAAD.We retrospectively studied the outcomes of 159 patients with TAAD who were treated at a tertiary referral hospital between 2005 and 2010. The demographics and surgical details of patients were analyzed according to their renal function. Risk factors for outcomes were analyzed using multivariable logistic regression. Thirty-two of the patients (20.1%) had preoperative serum creatinine of 1.5 mg/dL or more. The multivariable logistic regression model revealed independent risk factors of in-hospital mortality to be renal dysfunction (odds ratio [OR], 3.79; 95% confidence interval [CI], 1.64-8.77), preoperative shock (OR, 8.75; 95% CI, 2.83-27.02), and bypass time (OR, 1.008; 95% CI, 1.003-1.013). In addition, patients with renal dysfunction exhibited a lower 90-day survival rate than did patients without the condition (P of log-rank test = .005).Preoperative renal dysfunction may have a critical role in the surgical outcomes of patients with TAAD. Additional large-scale investigations are warranted.

Indexed as

AdultAgedAortic DissectionCoronary Artery BypassCreatinineFemaleHospital MortalityHumansKidneyKidney DiseasesMaleMiddle AgedPostoperative ComplicationsPreoperative PeriodPrognosisRetrospective StudiesCreatinine

Identifiers

PMID31096441
PMCPMC6531256
OpenAlexW2946616107

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.