Evidence map›Paper›PMID 34169747›Full record

SynthesisJournal of the American Heart Association2021

Tailored Versus Standard Hydration to Prevent Acute Kidney Injury After Percutaneous Coronary Intervention: Network Meta-Analysis.

Francesco Moroni, Luca Baldetti, Conrad Kabali, Carlo Briguori, Mauro Maioli, Anna Toso, Emmanouil S Brilakis, Hitinder S Gurm, Rodrigo Bagur, Lorenzo Azzalini

Registry-linked trialOpen access · goldAbstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis 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. It is linked to trial NCT07394959 (Clinical Study on Tailored Hydration by Remote Dielectric Sensing System to Prevent Acute Renal Injury in Elderly Patients With Renal Insufficiency After Coronary Angiography), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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.

NCT07394959 narecruitingnot on this mapstarted 2024, after this paper: background citation

Clinical Study on Tailored Hydration by Remote Dielectric Sensing System to Prevent Acute Renal Injury in Elderly Patients With Renal Insufficiency After Coronary Angiography

TypeinterventionalSponsorChinese PLA General HospitalRan2024 to 2026Enrolled320ConditionsCoronary Artery Disease, Chronic Kidney Disease, ElderlyArmsTailored hydration guided by ReDS system
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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 9 institutions in 3 countries.

Francesco MoroniDivision of Cardiology Virginia Commonwealth University Health Pauley Heart CenterVirginia Commonwealth University Richmond VA.
Luca BaldettiCoronary Intensive Care Unit IRCCS Ospedale San Raffaele Milan Italy.
Conrad KabaliDivision of Epidemiology Dalla Lana School of Public Health University of Toronto Ontario Canada.
Carlo BriguoriInterventional Cardiology Unit Mediterranea Cardiocentro Naples Italy.
Mauro MaioliDivision of Cardiology Santo Stefano Hospital Prato Italy.
Anna TosoDivision of Cardiology Santo Stefano Hospital Prato Italy.
Emmanouil S BrilakisMinneapolis Heart Institute and Minneapolis Heart Institute Foundation Minneapolis MN.
Hitinder S GurmDivision of Cardiovascular Medicine Department of Medicine University of Michigan Ann Arbor MI.
Rodrigo BagurLondon Health Science Centre Western University London Ontario Canada.
Lorenzo AzzaliniDivision of Cardiology Virginia Commonwealth University Health Pauley Heart CenterVirginia Commonwealth University Richmond VA.
Ospedale di Prato Santo Stefano · ITClinica Mediterranea · ITIRCCS Ospedale San Raffaele · ITMichigan Medicine · USMinneapolis Heart Institute Foundation · USUniversity of Toronto · CAVirginia Commonwealth University · USVita-Salute San Raffaele University · ITWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Contrast-induced acute kidney injury (CI-AKI) is a serious complication after percutaneous coronary intervention. The mainstay of CI-AKI prevention is represented by intravenous hydration. Tailoring infusion rate to patient volume status has emerged as advantageous over fixed infusion-rate hydration strategies. Methods and Results A systematic review and network meta-analysis with a frequentist approach were conducted. A total of 8 randomized controlled trials comprising 2312 patients comparing fixed versus tailored hydration strategies to prevent CI-AKI after percutaneous coronary intervention were included in the final analysis. Tailored hydration strategies included urine flow rate-guided, central venous pressure-guided, left ventricular end-diastolic pressure-guided, and bioimpedance vector analysis-guided hydration. Primary endpoint was CI-AKI incidence. Safety endpoint was incidence of pulmonary edema. Urine flow rate-guided and central venous pressure-guided hydration were associated with a lower incidence of CI-AKI compared with fixed-rate hydration (odds ratio [OR], 0.32 [95% CI, 0.19-0.54] and OR, 0.45 [95% CI, 0.21-0.97]). No significant difference in pulmonary edema incidence was observed between the different hydration strategies.

Indexed as

Fluid TherapyAcute Kidney InjuryContrast MediaHumansIncidenceInfusions, IntravenousPercutaneous Coronary InterventionRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeContrast Mediacontrast‐induced acute kidney injurycoronary angiographyhydrationpercutaneous coronary intervention

Identifiers

PMID34169747
PMCPMC8403299
OpenAlexW3174178518

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.