Evidence map›Paper›PMID 38420533›Full record

ArticleJTCVS open2024

Acute kidney injury and renal recovery following Fontan surgery.

Anna Marosi, Jennifer Conway, Catherine Morgan, Maryna Yaskina, Rae Foshaug, Alyssa Chappell, Lindsay Ryerson, Billie-Jean Martin, Alanna Ash, Mohammed Al-Aklabi and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JTCVS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

Anna MarosiFaculty of Science, University of Alberta, Edmonton, Alberta, Canada.
Jennifer ConwayDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Catherine MorganDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Maryna YaskinaWomen and Children's Health Research Institute, University of Alberta, Edmonton, Alberta, Canada.
Rae FoshaugDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Alyssa ChappellDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Lindsay RyersonDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Billie-Jean MartinDepartment of Cardiothoracic Surgery, Stanford University, Stanford, Calif.
Alanna AshStollery Children's Hospital, Edmonton, Alberta, Canada.
Mohammed Al-AklabiDivision of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Kim MyersDepartment of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
Andrew S MackieDepartment of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Acute kidney injury has been described after Fontan surgery, but the duration and outcomes are unknown. We sought to describe the incidence of and risk factors for acute kidney injury and the phenotype of renal recovery, and evaluate the impact of renal recovery phenotype on outcomes. Methods: All children who underwent a Fontan operation at a single center between 2009 and 2022 were included. Data collected included Fontan characteristics, vasopressor use, all measures of creatinine, and postoperative outcomes. Logistic regression models were used to assess predictors of acute kidney injury and the association between acute kidney injury and outcomes. Results: We enrolled 141 children (45% female). Acute kidney injury occurred in 100 patients (71%). Acute kidney injury duration was transient (<48 hours) in 77 patients (55%), persistent (2-7 days) in 15 patients (11%), more than 7 days in 4 patients (3%), and unknown in 4 patients (3%). Risk factors for acute kidney injury included higher preoperative indexed pulmonary vascular resistance (odds ratio, 3.90; Conclusions: Acute kidney injury after the Fontan operation is common. The occurrence and duration of acute kidney injury have significant implications for postoperative outcomes.

Indexed as

acute kidney injuryFontan surgeryrenal recoveryuniventricular heart

Identifiers

PMID38420533
PMCPMC10897650

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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 Socratic graph.