Evidence map›Paper›PMID 33564427›Full record

ArticleClinical kidney journal2021

Acute kidney injury may impede results after transcatheter aortic valve implantation.

Anja Haase-Fielitz, Fiona Altendeitering, Ragna Iwers, Veronika Sliziuk, Sophie Barabasch, Marwin Bannehr, Valentin Hähnel, Michael Neuss, Michael Haase, Christian Apfelbacher and 1 more

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.5field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. End-stage renal disease, calcification patterns and clinical outcomes after TAVI.Clinical research in cardiology : official journal of the German Cardiac Society · 2022
    Article
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

11 authors at 2 institutions in 1 country.

Anja Haase-FielitzDepartment of Cardiology, Heart Center Brandenburg Bernau & Faculty of Health Sciences Brandenburg, Brandenburg Medical School (MHB), Neuruppin, Germany.
Fiona AltendeiteringDepartment of Cardiology, Heart Center Brandenburg Bernau & Faculty of Health Sciences Brandenburg, Brandenburg Medical School (MHB), Neuruppin, Germany.
Ragna IwersDepartment of Cardiology, Heart Center Brandenburg Bernau & Faculty of Health Sciences Brandenburg, Brandenburg Medical School (MHB), Neuruppin, Germany.
Veronika SliziukDepartment of Cardiology, Heart Center Brandenburg Bernau & Faculty of Health Sciences Brandenburg, Brandenburg Medical School (MHB), Neuruppin, Germany.
Sophie BarabaschDepartment of Cardiology, Heart Center Brandenburg Bernau & Faculty of Health Sciences Brandenburg, Brandenburg Medical School (MHB), Neuruppin, Germany.
Marwin BannehrDepartment of Cardiology, Heart Center Brandenburg Bernau & Faculty of Health Sciences Brandenburg, Brandenburg Medical School (MHB), Neuruppin, Germany.
Valentin HähnelDepartment of Cardiology, Heart Center Brandenburg Bernau & Faculty of Health Sciences Brandenburg, Brandenburg Medical School (MHB), Neuruppin, Germany.
Michael NeussDepartment of Cardiology, Heart Center Brandenburg Bernau & Faculty of Health Sciences Brandenburg, Brandenburg Medical School (MHB), Neuruppin, Germany.
Michael HaaseMVZ Diaverum, Diaverum, Germany.
Christian ApfelbacherInstitute of Social Medicine and Health Economics, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Christian ButterDepartment of Cardiology, Heart Center Brandenburg Bernau & Faculty of Health Sciences Brandenburg, Brandenburg Medical School (MHB), Neuruppin, Germany.
Medizinische Hochschule Brandenburg Theodor Fontane · DEOtto-von-Guericke University Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSevere complications after transcatheter aortic valve implantation (TAVI) are rare due to increasing procedural safety. However, TAVI procedure-related haemodynamic instability and increased risk of infection may affect renal functional reserve with subsequent renal acidosis and hyperkalaemia.

objectiveIn this study, we investigated incidence, modifiable risk factors and prognosis of acute kidney injury (AKI) and AKI complicated by hyperkalaemia, pulmonary oedema or metabolic acidosis after TAVI.

methodsIn a retrospective single-centre study, 804 consecutive patients hospitalized during 2017 and 2018 for elective TAVI were included. AKI was defined according to the

resultsIncidence of AKI was 13.8% (111/804); in-hospital mortality after TAVI was 2.3%. AKI was an independent risk factor for in-hospital mortality, odds ratio (OR) 10.3 (3.4-31.6), P < 0.001, further increasing to OR = 21.8 (6.6-71.5), P < 0.001 in patients with AKI complicated by hyperkalaemia, pulmonary oedema or metabolic acidosis,

conclusionsAKI is common and may impede patient outcome after TAVI with acute complications such as hyperkalaemia or metabolic acidosis and adverse renal function until 6 months after intervention. Our study findings may contribute to refinement of allocation of appropriate level of care in and out of hospital after TAVI.

Indexed as

acute kidney injuryincidencerenal complicationrenal non-recoveryrisk factorsTAVI

Identifiers

PMID33564427
PMCPMC7857802
OpenAlexW3096144123

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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.