Evidence map›Paper›PMID 34579622›Full record

ArticleRenal failure2021

The effects of acute kidney injury in a multicenter cohort of high-risk surgical patients.

Henrique Tadashi Katayama, Brenno Cardoso Gomes, Suzana Margareth Ajeje Lobo, Renato Carneiro de Freitas Chaves, Thiago Domingos Corrêa, Murillo Santucci Cesar Assunção, Ary Serpa Neto, Luiz Marcelo Sá Malbouisson, João Manoel Silva-Jr, BraSIS study group Investigators

Abstract readMulticenter Study
In one paragraph

Article in Renal failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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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.

Henrique Tadashi KatayamaFaculdade de Medicina, Hospital das Clínicas, Universidade de São Paulo, São Paulo, Brazil.
Brenno Cardoso GomesUniversidade Federal do Paraná, Curitiba, Brazil.
Suzana Margareth Ajeje LoboFaculdade de Medicina de São José do Rio Preto, Hospital de Base, São José do Rio Preto, Brazil.
Renato Carneiro de Freitas ChavesHospital Israelita Albert Einstein, São Paulo, Brazil.
Thiago Domingos CorrêaHospital Israelita Albert Einstein, São Paulo, Brazil.
Murillo Santucci Cesar AssunçãoHospital Israelita Albert Einstein, São Paulo, Brazil.
Ary Serpa NetoHospital Israelita Albert Einstein, São Paulo, Brazil.
Luiz Marcelo Sá MalbouissonFaculdade de Medicina, Hospital das Clínicas, Universidade de São Paulo, São Paulo, Brazil.
João Manoel Silva-JrFaculdade de Medicina, Hospital das Clínicas, Universidade de São Paulo, São Paulo, Brazil.
BraSIS study group Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesPatients who develop post-operative acute kidney injury (AKI) have a poor prognosis, especially when undergoing high-risk surgery. Therefore, the objective of this study was to evaluate the outcome of patients with AKI acquired after non-cardiac surgery and the possible risk factors for this complication.

methodsA multicenter, prospective cohort study with patients admitted to intensive care units (ICUs) after non-cardiac surgery was conducted to assess whether they developed AKI. The patients who developed AKI were then compared to non-AKI patients.

resultsA total of 29 ICUs participated, of which 904 high-risk surgical patients were involved in the study. The occurrence of AKI in the post-operative period was 15.8%, and the mortality rate of post-operative AKI patients at 28 days was 27.6%. AKI was strongly associated with 28-day mortality (OR = 2.91; 95% CI 1.51-5.62;

conclusionAKI was associated with the risk of death in surgical patients and those with anemia before surgery, who had a higher SAPS 3, needed a post-operative vasopressor, or had a post-operative infection or needed reoperation were more likely to develop AKI post-operatively.

Indexed as

Elective Surgical ProceduresAcute Kidney InjuryAgedBrazilFemaleHumansIncidenceIntensive Care UnitsLength of StayLogistic ModelsMaleMiddle AgedPostoperative ComplicationsProspective StudiesReoperationRisk FactorsAcute kidney injuryhigh riskintensive care unitperioperativerisk factorssurgery

Identifiers

PMID34579622
PMCPMC8477947

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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.