Evidence map›Paper›PMID 35094407›Full record

ArticleClinical cardiology2022

Improvement of cardiac function after coronary artery bypass grafting surgery reduces the risk of postoperative acute kidney injury.

Jiarui Xu, Xin Chen, Yeqing Xie, Jing Lin, Wuhua Jiang, Jiawei Yu, Yimei Wang, Zhe Luo, Chunsheng Wang, Xiaoqiang Ding and 2 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical cardiology, 2022. 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
0.7field-weighted citation impact, top 33% 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.

  1. Article
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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

12 authors at 2 institutions in 1 country.

Jiarui XuShanghai Key Laboratory of Kidney and Blood Purification, Department of Nephrology, Hemodialysis Quality of Control Center of Shanghai, Shanghai Institute for Kidney and Dialysis, Fudan University, Shanghai, China.
Xin ChenShanghai Key Laboratory of Kidney and Blood Purification, Department of Nephrology, Hemodialysis Quality of Control Center of Shanghai, Shanghai Institute for Kidney and Dialysis, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0001-7958-8107
Yeqing XieShanghai Key Laboratory of Kidney and Blood Purification, Department of Nephrology, Hemodialysis Quality of Control Center of Shanghai, Shanghai Institute for Kidney and Dialysis, Fudan University, Shanghai, China.
Jing LinShanghai Key Laboratory of Kidney and Blood Purification, Department of Nephrology, Hemodialysis Quality of Control Center of Shanghai, Shanghai Institute for Kidney and Dialysis, Fudan University, Shanghai, China.
Wuhua JiangShanghai Key Laboratory of Kidney and Blood Purification, Department of Nephrology, Hemodialysis Quality of Control Center of Shanghai, Shanghai Institute for Kidney and Dialysis, Fudan University, Shanghai, China.
Jiawei YuShanghai Key Laboratory of Kidney and Blood Purification, Department of Nephrology, Hemodialysis Quality of Control Center of Shanghai, Shanghai Institute for Kidney and Dialysis, Fudan University, Shanghai, China.
Yimei WangShanghai Key Laboratory of Kidney and Blood Purification, Department of Nephrology, Hemodialysis Quality of Control Center of Shanghai, Shanghai Institute for Kidney and Dialysis, Fudan University, Shanghai, China.
Zhe LuoDepartment of Critical Care Medicine, Fudan University, Shanghai, China.
Chunsheng WangDepartment of Cardiovascular Surgery, Fudan University, Shanghai, China.
Xiaoqiang DingShanghai Key Laboratory of Kidney and Blood Purification, Department of Nephrology, Hemodialysis Quality of Control Center of Shanghai, Shanghai Institute for Kidney and Dialysis, Fudan University, Shanghai, China.
Jie TengShanghai Key Laboratory of Kidney and Blood Purification, Department of Nephrology, Hemodialysis Quality of Control Center of Shanghai, Shanghai Institute for Kidney and Dialysis, Fudan University, Shanghai, China.
Bo ShenShanghai Key Laboratory of Kidney and Blood Purification, Department of Nephrology, Hemodialysis Quality of Control Center of Shanghai, Shanghai Institute for Kidney and Dialysis, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0003-0598-2149
Fudan University · CNXiamen University · CN

Funding

Dynamic Alert System for Acute Kidney Injury and Multidisciplinary standard 3502Z20199179National Natural Science Foundation of China 81901939Prevention and Intervention of Acute Kidney Injury after Coronary Artery Bypass Grafting 2016ZSLC02Shanghai Municipal Key Clinical Specialty shslczdzk02501
6 · The paper itself

Abstract

backgroundPre-existing renal dysfunction is an independent risk factor for cardiac surgery-associated acute kidney injury (AKI). We aimed to investigate whether the improvement of postoperative cardiac function after coronary artery bypass grafting (CABG) surgery would affect the risk of AKI in patients with different levels of baseline renal function.

methodsData were collected from patients who underwent CABG surgery from January 2018 to April 2019. Patients were divided into normal (GFR ≥ 90 ml/min/1.73 m

resultsA total of 1365 patients were enrolled, including 793 (58.1%) in the normal group, 476 (34.9%) in the non-CKD group, and 96 (7.0%) in the CKD group. The AKI incidence in the normal, non-CKD, and CKD groups was 22.2%, 28.4%, and 40.6%, respectively. Patients with improved cardiac function in the non-CKD and CKD groups had significantly lower AKI incidence than those without improved cardiac function (22.8% vs. 36.9%, p = .002% and 32.8% vs. 54.3%, p = .037, respectively). For non-CKD patients with improved cardiac function, the serum creatinine at discharge was significantly lower than its preoperative serum creatinine (0.8 ± 0.5 vs 1.2 ± 0.9 mg/dl, p = .002). Multivariate logistic regression analysis showed that the improvement in cardiac function could reduce the risk for postoperative AKI in non-CKD patients but not in CKD patients.

conclusionsFor patients with renal dysfunction and mildly reduced eGFR (60≤GFR < 90 ml/min/1.73 m

Indexed as

Acute Kidney InjuryPostoperative ComplicationsCoronary Artery BypassCreatinineHumansRetrospective StudiesRisk FactorsCreatinineacute kidney injurycardiac functioncoronary artery bypass grafting

Identifiers

PMID35094407
PMCPMC8860479
OpenAlexW4210794637

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.