Evidence map›Paper›PMID 31165612›Full record

ArticleBrazilian journal of cardiovascular surgery2019

Is Hypoalbuminemia a Predictor for Acute Kidney Injury after Coronary Bypass Grafting in Diabetes Mellitus Patients?

Rezan Aksoy, Taylan Adademir, Ekrem Yilmaz, Deniz Cevirme, Mehmet Sengor, Cengiz Koksal, Murat Bulent Rabus

Open access · diamondAbstract read
In one paragraph

Article in Brazilian journal of cardiovascular surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. Article
  5. Acute kidney injury in diabetes mellitus: Epidemiology, diagnostic, and therapeutic concepts.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2023
    Review
  6. Article
  7. Article
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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

7 authors at 2 institutions in 1 country.

Rezan AksoyUniversity of Health Sciences Kartal Kosuyolu Heart Education and Research Hospital Department of Cardiovascular Surgery Istanbul Turkey Department of Cardiovascular Surgery, University of Health Sciences, Kartal Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey.
Taylan AdademirUniversity of Health Sciences Kartal Kosuyolu Heart Education and Research Hospital Department of Cardiovascular Surgery Istanbul Turkey Department of Cardiovascular Surgery, University of Health Sciences, Kartal Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey.
Ekrem YilmazUniversity of Health Sciences Kartal Kosuyolu Heart Education and Research Hospital Department of Cardiovascular Surgery Istanbul Turkey Department of Cardiovascular Surgery, University of Health Sciences, Kartal Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey.
Deniz CevirmeUniversity of Health Sciences Kartal Kosuyolu Heart Education and Research Hospital Department of Cardiovascular Surgery Istanbul Turkey Department of Cardiovascular Surgery, University of Health Sciences, Kartal Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey.
Mehmet SengorUniversity of Health Sciences Kartal Kosuyolu Heart Education and Research Hospital Department of Cardiovascular Surgery Istanbul Turkey Department of Cardiovascular Surgery, University of Health Sciences, Kartal Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey.
Cengiz KoksalBezmialem Vakıf University Medical Faculty Department of Cardiovascular Surgery Istanbul Turkey Department of Cardiovascular Surgery, Bezmialem Vakıf University, Medical Faculty, Istanbul, Turkey.
Murat Bulent RabusUniversity of Health Sciences Kartal Kosuyolu Heart Education and Research Hospital Department of Cardiovascular Surgery Istanbul Turkey Department of Cardiovascular Surgery, University of Health Sciences, Kartal Kosuyolu Heart Education and Research Hospital, Istanbul, Turkey.
Sağlık Bilimleri Üniversitesi · TRBezmiâlem Vakıf Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAcute kidney injury (AKI) is one of the most important complications after coronary artery bypass grafting (CABG) procedure. Serum albumin, which is an acute phase reactant, is suggested to be associated with AKI development subsequent to various surgical procedures. In this study, we research the relation between preoperative serum albumin levels and postoperative AKI development in diabetes mellitus (DM) patients undergoing isolated CABG.

methodsWe included a total of 634 diabetic patients undergoing CABG (60.5±9.1 years, 65.1% male) into this study, which was performed between September 2009 and January 2014 in a single center. The relation between preoperative serum albumin levels and postoperative AKI development was observed. AKI was evaluated and diagnosed using the Kidney Disease: Improving Global Outcomes (KDIGO) classification.

resultsAKI was diagnosed in 230 (36.3%) patients. Multiple logistic regression analysis was performed to determine the independent predictors of AKI development. Proteinuria (odds ratio [OR] and 95% confidence interval [CI], 1.066 [1.002-1.135]; P=0.043) and low preoperative serum albumin levels (OR and 95% CI, 0.453 [0.216-0.947]; P=0.035) were found to be independent predictors of AKI. According to the receiver operating characteristic curve analysis, albumin level <3mg/dL (area under the curve: 0.621 [0.572-0.669], P<0.001) had 83% sensitivity and 10% specificity on predicting the development of AKI.

conclusionWe observed that a preoperative low serum albumin level was associated with postoperative AKI development in patients with DM who underwent isolated CABG procedure. We emphasize that this adjustable albumin level should be considered before the operation since it is an easy and clinically implementable management for the prevention of AKI development.

Indexed as

Acute Kidney InjuryAgedAnalysis of VarianceBlood GlucoseBody Mass IndexCoronary Artery BypassCreatinineDiabetes ComplicationsFemaleHumansHypoalbuminemiaLogistic ModelsMaleMiddle AgedPostoperative ComplicationsPreoperative PeriodBlood GlucoseCreatinineCoronary BypassDiabetes MellitusHypoalbuminemia

Identifiers

PMID31165612
PMCPMC6852450
OpenAlexW2967128408

What OpenQuestion holds

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Registered trials

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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.