Evidence map›Paper›PMID 33471151›Full record

ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2022

Impact of urgent coronary artery bypass grafting on acute kidney injury : A matched cohort study.

M Scherner, C Weber, H Schmidt, K Kuhr, S Hamacher, A Sabashnikov, K Eghbalzadeh, N Mader, T Wahlers, J Wippermann

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In one paragraph

Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. 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

10 authors at 3 institutions in 1 country.

M SchernerDept. of Cardiothoracic Surgery, University of Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany. maximilian.scherner@med.ovgu.de.
C WeberDepartment of Cardiothoracic Surgery, University of Cologne, Cologne, Germany.
H SchmidtDepartement of Cardiology, Klinikum Magdeburg, Magdeburg, Germany.
K KuhrFaculty of Medicine, University of Halle, Halle, Germany.
S HamacherFaculty of Medicine, University of Halle, Halle, Germany.
A SabashnikovDepartment of Cardiothoracic Surgery, University of Cologne, Cologne, Germany.
K EghbalzadehDepartment of Cardiothoracic Surgery, University of Cologne, Cologne, Germany.
N MaderDepartment of Cardiothoracic Surgery, University of Cologne, Cologne, Germany.
T WahlersDepartment of Cardiothoracic Surgery, University of Cologne, Cologne, Germany.
J WippermannDept. of Cardiothoracic Surgery, University of Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Germany.
University of Cologne · DEUniversity Hospital Magdeburg · DEKlinikum Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere is limited knowledge regarding the specific interrelationships between urgent coronary artery bypass graft (U-CABG) surgery and postoperative acute kidney injury (AKI). We aimed to (1) analyze the impact of urgent CABG (U-CABG) on the incidence and severity of postoperative AKI, (2) estimate the influence of AKI after U‑CABG or elective CABG (E-CABG) on mortality and (3) identify risk factors for AKI depending on the urgency of operation.

resultsU‑CABG patients showed a higher incidence of AKI (49.8% vs. E‑CABG: 39.7%; p = 0.026), especially for higher AKI stages 2 + 3. In-hospital mortality was higher in U‑CABG patients (12.6%) compared to E‑CABG patients (2.3%; p < 0.001). The impact of AKI on mortality did not differ, but showed a strong coherency between higher AKI stages (2 + 3) and mortality (stage 1: OR 2.409, 95% CI 1.017-5.706; p = 0.046 vs. stage 2 + 3: OR 5.577; 95% CI 2.033-15.3; p = 0.001). Univariate logistic regression analysis revealed that preoperative renal impairment, peripheral vascular disease and transfusion of more than two red blood cell concentrates were predictors for postoperative AKI in both groups.

conclusionsU‑CABG is a risk factor for postoperative AKI and even "mild" AKI leads to a significantly higher mortality. Hence, the prevention of modifiable risk factors might reduce the incidence of postoperative AKI and thus improve outcome.

Indexed as

Acute Kidney InjuryPostoperative ComplicationsCohort StudiesCoronary Artery BypassHumansRetrospective StudiesRisk FactorsCreatine kinaseIncidenceMortalityPeripheral vascular diseaseSerum creatinine

Identifiers

PMID33471151
OpenAlexW3123970266

What OpenQuestion holds

Textmetadata
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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.