Evidence map›Paper›PMID 41048885›Full record

ArticleJournal of clinical and experimental hepatology

Early Prediction of Acute Kidney Injury Following Liver Transplantation: Development and Validation of a Clinical Risk Model.

Yuzhi Wei, Ziheng Qi, Wenyan Wu, Chunyu Feng, Bo Yang, Haolin Yin, Caiyun Zhang, Xiaoyan Gao, Haotian Wu, Shichao Sun and 2 more

Abstract read
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Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Yuzhi WeiDepartment of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China.
Ziheng QiDepartment of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China.
Wenyan WuDepartment of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China.
Chunyu FengDepartment of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China.
Bo YangDepartment of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China.
Haolin YinDepartment of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China.
Caiyun ZhangDepartment of Anesthesiology, Dongying People's Hospital of Shandong Provincial Hospital Group, Dongying 257091, China.
Xiaoyan GaoDepartment of Anesthesiology, Central People's Hospital of Zhanjiang, Zhanjiang 524045, China.
Haotian WuDepartment of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China.
Shichao SunDepartment of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China.
Wenfang ZhangDepartment of Cardiology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai 264100, China.
Huan ZhangDepartment of Anesthesiology, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing 102218, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The first 48 h following liver transplantation (LT) represent a critical therapeutic window. Early identification of patients who are at high risk of developing acute kidney injury (AKI) can optimize treatment strategies and improve patient outcomes. This study aimed to develop and validate a clinical risk prediction model for AKI within 48 h following LT by utilizing preoperative and intraoperative parameters. Methods: A total of 453 adult LT recipients treated at the Beijing Tsinghua Changgung Hospital between January 2018 and October 2022 were enrolled. Patients were randomly assigned to a development cohort and a validation cohort at a 6:4 ratio. AKI was diagnosed using the 2012 Kidney Disease Improving Global Outcomes (KDIGO) criteria. Univariate and multivariate logistic regression analyses identified clinical factors associated with early AKI. A predictive model was constructed and internally validated. Additionally, stages 2 and 3 AKI, as defined by the KDIGO criteria, were classified as severe AKI. Independent risk factors for severe AKI within 48 h following LT were similarly identified using logistic regression analyses. Results: At 48 h following LT, 125 (46%) patients developed AKI. Univariate analysis identified 17 potential predictive factors for AKI, including preoperative hepatic encephalopathy (HE), a history of alcohol-associated cirrhosis, body mass index ≥28 kg/m Conclusion: The proposed predictive model could promote the identification of high-risk LT recipients immediately following surgery, enabling clinicians to intervene early to mitigate the risk of developing AKI within 48 h postoperatively. This approach has the potential to improve patient prognosis by supporting timely and targeted management strategies.

Indexed as

acute kidney injuryliver transplantationprediction modelvalidation

Identifiers

PMID41048885
PMCPMC12493209

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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.