Evidence map›Paper›PMID 33815931›Full record

ArticleAmerican journal of cardiovascular disease2021

Identification of risk factors for renal failure after cardiac surgery by RFILE classification.

Thomas Wittlinger, Martin Maus, Ingo Kutschka, Hassina Baraki, Martin G Friedrich

Open access · greenAbstract read
In one paragraph

Article in American journal of cardiovascular disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

5 authors at 3 institutions in 2 countries.

Thomas WittlingerDepartment of Cardiology, Asklepios Harzklinikum. Köslinerstr 12 38642 Goslar, Germany.
Martin MausDepartment Major Surgery, St. Elisabeth Hospital Bonn, Germany.
Ingo KutschkaDepartment of Cardio-Thoracic and Vascular Surgery, University Hospital Göttingen Germany.
Hassina BarakiDepartment of Cardio-Thoracic and Vascular Surgery, University Hospital Göttingen Germany.
Martin G FriedrichDepartment of Cardio-Thoracic and Vascular Surgery, University Hospital Göttingen Germany.
University of Göttingen · DEAsklepios Kliniken Hamburg · DESt. Elisabeth Hospital · CW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAcute kidney injury (AKI) is a major complication after cardiovascular surgery. The unclear etiology of this highly complex event challenges definition, diagnosis and prediction of AKI, and hence hampers adequate patient management. Identification of associated risk factors have the potential to overcome this limitation.

methodsThis retrospective study comprised 3574 patients who underwent cardiac surgery in a hospital in Germany. The patient cohort was interrogated for risk factors for AKI.

resultsThe analysis identified risk factors for AKI development, such as type of surgery (particularly bypass surgery) (P = 0.02), previous coronary surgeries (P < 0.01), the application of intra-aortic balloon pump in surgery (P < 0.01), and blood loss during surgery (P < 0.01). In addition, old age, duration of surgery as well as ischemia, perfusion and reperfusion times contributed to AKI development (P < 0.01). Further, perioperative hypothermia also appeared as putative risk factor in the analysis (P < 0.01).

conclusionsThis study identified several risk factors for the development of AKI after cardiac surgery. Further validation of these risk factors could allow the implementation of adequate patient management, and the appropriate implementation of risk-adverse interventions in cardiovascular surgery.

Indexed as

Acute kidney injuryAKIN categorycardiac surgerycontinuous veno-venous hemodialysisextracorporeal circulationKDIGO criteriaRIFLE classificationrisk factors

Identifiers

PMID33815931
PMCPMC8012284
OpenAlexW3151220164

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.