ArticleJournal of cardiothoracic and vascular anesthesia2020
Transesophageal Echocardiography, Acute Kidney Injury, and Length of Hospitalization Among Adults Undergoing Coronary Artery Bypass Graft Surgery.
Article in Journal of cardiothoracic and vascular anesthesia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Transesophageal echocardiography and pulmonary artery catheter use and short-term outcomes in patients undergoing coronary artery bypass surgery: A multi-center retrospective study.BMC cardiovascular disorders · 2026Article
- The Relationship between Intraoperative Respiratory Variability of the Inferior Vena Cava Diameter on Transesophageal Echocardiography and Acute Kidney Injury in Patients Undergoing Coronary Artery Bypass Grafting Surgery: A Prospective Multicenter Cohort Study.Annals of cardiac anaesthesia · 2026Article
- Surgical Volume and Outcomes of Intraoperative Transesophageal Echocardiography in Coronary Artery Bypass Graft.JAMA network open · 2025Article
- Acute Kidney Injury after Isolated Coronary Bypass Surgery.The International journal of angiology : official publication of the International College of Angiology, Inc · 2025Article
- Observational
- The Utility of Routine Intraoperative Transesophageal Echocardiography During Coronary Artery Bypass Graft Surgery: An Unexpected Reminder.Annals of cardiac anaesthesia · 2024Article
- Article
- Article
- Ultrasonic Image Features under the Intelligent Algorithm in the Diagnosis of Severe Sepsis Complicated with Renal Injury.Computational and mathematical methods in medicine · 2022Article
- Transesophageal Echocardiography in Patients Undergoing Coronary Artery Bypass Graft Surgery.Journal of the American College of Cardiology · 2021Article
- Commentary: Carbon dioxide embolism during vein harvesting-Directed transesophageal echocardiography for diagnosis and hemodynamic rescue.JTCVS techniques · 2020Article
- Transesophageal Echocardiography, Mortality, and Length of Hospitalization after Cardiac Valve Surgery.Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography · 2020Observational
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8 authors.
Funding
Abstract
objectiveTo test the association between transesophageal echocardiography (TEE) and incidence of acute kidney injury and length of hospitalization among United States adults undergoing isolated coronary artery bypass graft (CABG) surgery.
designThis was an observational, retrospective cohort analysis.
settingThis study used a multicenter claims dataset from a commercially insured population undergoing CABG surgery in the United States between 2004 and 2016.
participantsAdults aged 18 years or older with continuous insurance enrollment and an absence of renal-related diagnoses before the index CABG surgery.
interventionsReceipt of TEE within 1 calendar day of the index CABG surgery date. MEASUREMENTS AND MAIN
resultsOf 51,487 CABG surgeries, 5,361 (10.4%; [95% confidence interval [CI]: 10.1-10.7%]) developed acute kidney injury and the mean length of hospitalization was 8.8 days (95% CI: 8.7-8.8). The TEE group demonstrated a greater absolute risk difference (RD) for acute kidney injury by multiple linear regression, overall, (RD=+1.0; [95% CI: 0.4-1.5%]; p < 0.001) and among a low-risk subgroup (RD=+1.0; [95% CI: 0.4-1.6; p = 0.002), but not by instrumental variable analysis (RD=+0.9 [95% CI: -1.1 to 2.9%]; p = 0.362). The TEE group demonstrated a longer length of hospitalization by multiple linear regression, overall (+2.0%; [95% CI: 1.1-2.9%]; p < 0.001), among a low-risk subgroup (+2.2%; [95% CI: 1.2-3.2%]; p < 0.001), and by instrumental variable analysis (+10.3%; [95% CI: 7.0-13.7%]; p < 0.001).
conclusionsTEE monitoring in CABG surgery was not associated with a lower incidence of acute kidney injury or decreased length of hospitalization. These findings highlight the importance of additional work to study the clinical effectiveness of TEE in CABG surgery.
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