Evidence map›Paper›PMID 31161519›Full record

ArticleInternational urology and nephrology2019

Prediction model for acute kidney injury after coronary artery bypass grafting: a retrospective study.

Zhou Yue, Guan Yan-Meng, Lou Ji-Zhuang

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Article in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

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

  1. Pooled it
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  7. Acute Kidney Injury after Isolated Coronary Bypass Surgery.The International journal of angiology : official publication of the International College of Angiology, Inc · 2025
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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

3 authors.

Zhou YueDepartment of Blood Purification Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, Jiangsu, China.
Guan Yan-MengDepartment of Hemodialysis, Weifang People's Hospital, Weifang, 261000, Shandong, China.
Lou Ji-ZhuangDepartment of Blood Purification Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, Jiangsu, China. jizhuang650@yahoo.com.ORCID http://orcid.org/0000-0002-9815-2058

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) after coronary artery bypass grafting (CABG) is associated with a less favorable outcome. The aim of this study is to investigate the incidence, mortality and risk factors of AKI after CABG, and to establish a risk prediction model.

methodsFrom January 2016 to June 2018, 541 patients who underwent CABG were enrolled. The clinical characteristics were collected to calculate the incidence and mortality of AKI after CABG. Patients were divided into AKI group and non-AKI group according to the statistical data. The differences of preoperative, intraoperative and postoperative variables between the two groups were comparatively analysed. The risk factors of AKI were obtained by binary logistic stepwise regression analyses using related factors as independent variables.

resultsThe incidence of postoperative AKI in 541 patients was 27.9% (151 cases). The in-hospital mortality in AKI group was higher than that in non-AKI group (5.30% vs 0.00%, P < 0.001). Single factor analysis showed that the risk factors for postoperative AKI including age, BMI, hypertension, cardiac insufficiency, eGFR, serum uric acid level, CABG combined valve operation, cardiopulmonary bypass (CPB), operation time, aortic cross-clamping time, CPB time, mechanical ventilation time and postoperative low cardiac output syndrome. Multivariate regression analysis suggested that age (P = 0.006, OR 2.323), BMI (P = 0.004, OR 2.495), hypertension (P = 0.032, OR 1.712), eGFR (P = 0.002, OR 3.054), CPB time (P = 0.024, OR 1.007) and postoperative low cardiac output syndrome (P = 0.010, OR 2.640) were independent risk factors for AKI.

conclusionsAKI is a common complication after CABG and is related to multiple perioperative factors. It is suggested that early recognition of these risk factors and interventions should be carried out in clinical practice. The risk prediction model can be used as a simple tool for predicting postoperative AKI.

Indexed as

Coronary Artery BypassModels, TheoreticalAcute Kidney InjuryAgedFemaleHumansIncidenceMaleMiddle AgedPostoperative ComplicationsPrognosisRetrospective StudiesRisk FactorsAcute kidney injuryCoronary artery bypass graftingPrognosisRisk factor

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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.