Evidence map›Paper›PMID 40537854›Full record

ReviewEuropean journal of medical research2025

Risk factors and prognosis of post-surgical acute kidney injury in elderly patients based on the MIMIC-IV database.

Mengxin Zhang, Jiangwei Zeng, Yanlei Ge, Weibin Chen, Kai Feng, Aibin Cheng, Yu Zhang, Baomin Wang, Jing Bai

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Association between Creatinine Trajectories and All-Cause Mortality in Elderly Patients after Cardiac Surgery: A Retrospective Cohort Study Based on MIMIC-IV.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2026
    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

9 authors.

Mengxin ZhangDepartment of Critical Care Medicine, Affiliated Hospital of North China University of Science and Technology, Tangshan, China.
Jiangwei ZengDepartment of Critical Care Medicine, Liuzhou People's Hospital, Liuzhou, China.
Yanlei GeDepartment of Respiratory Medicine, Affiliated Hospital of North China University of Science and Technology, Tangshan, China.
Weibin ChenImaging Center, Affiliated Hospital of North China University of Science and Technology, Tangshan, China.
Kai FengDepartment of Critical Care Medicine, Affiliated Hospital of North China University of Science and Technology, Tangshan, China.
Aibin ChengDepartment of Critical Care Medicine, Affiliated Hospital of North China University of Science and Technology, Tangshan, China.
Yu ZhangDepartment of Critical Care Medicine, Tangshan People's Hospital, Tangshan, China.
Baomin WangDepartment of Critical Care Medicine, Tangshan People's Hospital, Tangshan, China.
Jing BaiDepartment of Critical Care Medicine, Affiliated Hospital of North China University of Science and Technology, Tangshan, China. icubaijing@163.com.

Funding

The key science and technology research program of China's Hebei Provincial Health Commission. project number:20231803
6 · The paper itself

Abstract

objectiveTo investigate the risk factors and prognosis of acute kidney injury (AKI) in elderly patients after surgery based on the Medical Information Mart for Intensive Care IV (MIMIC-IV).

methodsA retrospective analysis was conducted using MIMIC-IV data pertaining to aged postoperative patients. By logistic regression analysis models, Kaplan-Meier survival curve and Cox proportional hazards regression model. To evaluate the independent risk variables and prognosis of postoperative AKI in elderly patients.

resultsA total of 1784 elderly patients who met the inclusion criteria were analyzed. Among them, 1423 developed AKI after surgery. The development of AKI was significantly associated with the use of vasoactive drugs, invasive mechanical ventilation, traumatic surgical procedures, and elevated serum creatinine (Scr) levels within 24 h of admission. Cardiac surgery was also highly correlated with postoperative AKI. Factors associated with 28-day mortality in elderly patients with AKI included age ≥ 75 years, higher Sequential Organ Failure Assessment (SOFA) scores, elevated blood urea nitrogen (BUN) levels, presence of cerebrovascular disease (CVD), invasive ventilation, neurosurgical procedures, and traumatic surgical procedures.

conclusionsAge, Gender, Intervention measures and laboratory indicators can affect the incidence and prognosis of elderly patients' postoperative AKI. Early identification and timely intervention in patients with these high-risk factors are of practical significance in preventing the occurrence and progression of AKI.

Indexed as

Acute Kidney InjuryPostoperative ComplicationsAgedAged, 80 and overDatabases, FactualFemaleHumansMalePrognosisRetrospective StudiesRisk FactorsAcute kidney injuryElderly patientsPerioperativePrognosisRisk factors

Identifiers

PMID40537854
PMCPMC12178035

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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.