Evidence map›Paper›PMID 38513672›Full record

Trial reportPerfusion2025

Plasma hyperosmolality during cardiopulmonary bypass is a risk factor for postoperative acute kidney injury: Results from double blind randomised controlled trial.

Staffan Svenmarker, Helena Claesson Lingehall, Gunnar Malmqvist, Micael Appelblad

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Perfusion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 11% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Diuretics for preventing and treating acute kidney injury.The Cochrane database of systematic reviews · 2025
    Pooled it
  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

4 authors at 1 institution in 1 country.

Staffan SvenmarkerDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.ORCID 0000-0001-9296-0479
Helena Claesson LingehallDepartment of Nursing, Umeå University, Umeå, Sweden.ORCID 0000-0002-9785-9166
Gunnar MalmqvistDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.ORCID 0000-0003-4100-0456
Micael AppelbladDepartment of Public Health and Clinical Medicine, Heart Centre, Umeå University, Umeå, Sweden.ORCID 0000-0002-8171-7227
Umeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe study objective was to investigate whether a Ringer's acetate based priming solution with addition of Mannitol and sodium concentrate increases the risk of cardiac surgery associated kidney injury (CSA-AKI).

methodsThis is a double blind, prospective randomized controlled trial from a single tertiary teaching hospital in Sweden including patients aged ≥65 years (

resultsThe overall incidence of CSA-AKI (KDIGO stage 1) was 2.6% on day 1 in the ICU and 5.6% on day 3, postoperatively. The serum creatinine level did not show any postoperative intergroup differences, when compared to baseline preoperative values. Six patients in the Ringer and five patients in the Mannitol group developed CSA-AKI (KDIGO 1-3), all with glomerular filtration rates <60 mL/min/1.73 m

conclusionsThe use of a hyperosmolar prime solution did not increase the incidence of postoperative CSA-AKI in this study, while high plasma osmolality alone increased the associated risk by 30%. The data suggests further examination of plasma hyperosmolality as a relative risk factor of CSA-AKI.

Indexed as

Acute Kidney InjuryCardiopulmonary BypassPostoperative ComplicationsAgedDouble-Blind MethodFemaleHumansIsotonic SolutionsMaleMannitolOsmolar ConcentrationProspective StudiesRisk FactorsIsotonic SolutionsMannitolRinger's acetateacute kidney injurycardiac surgerycardiopulmonary bypassheart-lung machineosmolar concentrationpriming solution

Identifiers

PMID38513672
PMCPMC11849253
OpenAlexW4393057955

What Socratic 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 Socratic graph.