Evidence map›Paper›PMID 33880935›Full record

ArticleJournal of the American Heart Association2021

Long-Term Outcomes of Acute Kidney Injury After Different Types of Cardiac Surgeries: A Population-Based Study.

Jia-Jin Chen, Chih-Hsiang Chang, Victor Chien-Chia Wu, Shang-Hung Chang, Kuo-Chun Hung, Pao-Hsien Chu, Shao-Wei Chen

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 36 citations in OpenAlex.

  1. Kidney Failure in Cardiogenic Shock.Circulation. Heart failure · 2026
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  20. Controversies in enhanced recovery after cardiac surgery.Perioperative medicine (London, England) · 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

7 authors at 2 institutions in 1 country.

Jia-Jin ChenDepartment of Nephrology Chang Gung Memorial Hospital, Linkou Medical center Taoyuan Taiwan.
Chih-Hsiang ChangDepartment of Nephrology Chang Gung Memorial Hospital, Linkou Medical center Taoyuan Taiwan.
Victor Chien-Chia WuDepartment of Cardiology Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Shang-Hung ChangDepartment of Cardiology Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Kuo-Chun HungDepartment of Cardiology Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Pao-Hsien ChuDepartment of Cardiology Chang Gung Memorial Hospital Linkou Medical Center Taoyuan City Taiwan.
Shao-Wei ChenDivision of Thoracic and Cardiovascular Surgery Department of Surgery Chang Gung Memorial Hospital Linkou Medical Center Chang Gung University Taoyuan City Taiwan.
Chang Gung Memorial Hospital · TWChang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Dialysis-requiring acute kidney injury (D-AKI) is a major complication of cardiovascular surgery that results in worse prognosis. However, the incidence and impacts of D-AKI in different types of cardiac surgeries have not been fully investigated. Methods and Results Patients admitted for cardiovascular surgery between July 1, 2004, and December 31, 2013, were identified from the National Health Insurance Research Database of Taiwan. The patients were grouped into D-AKI (n=3089) and non-D-AKI (n=42 151) groups. The outcome was all-cause mortality and major adverse kidney event. The long-term outcomes were worse in the D-AKI group than the non-D-AKI group (hazard ratio [HR], 3.89; 95% CI, 3.79-3.99 for major adverse kidney event; HR, 2.89; 95% CI, 2.81-2.98 for all-cause mortality). Patients who underwent aortic surgery had higher risk for D-AKI than other types of surgeries, but they were also more likely to recover. The long-term dialysis rate for the patients who recovered from D-AKI was also lowest in those who underwent aortic surgery. Among all types of cardiac surgeries with D-AKI, patients who had heart valve surgery exhibited the greatest risks of all-cause mortality (HR, 6.04; 95% CI, 5.78-6.32). Conclusions Compared with other heart surgeries, aortic surgery resulted in a higher incidence of D-AKI but better renal recovery, better short-term outcome, and lower incidences of long-term dialysis.

Indexed as

Acute Kidney InjuryCardiac Surgical ProceduresCardiovascular DiseasesCause of DeathFemaleFollow-Up StudiesHumansIncidenceMalePopulation SurveillancePostoperative ComplicationsPrognosisRenal DialysisRetrospective StudiesRisk FactorsSurvival Rateacute kidney injurycardiac surgerycardiovasculardialysisprognosis

Identifiers

PMID33880935
PMCPMC8200754
OpenAlexW3154659647

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.