Evidence map›Paper›PMID 39901806›Full record

SynthesisThe Journal of international medical research2025

Intravenous amino acids for kidney protection in patients undergoing cardiac surgery: A systematic review and meta-analysis of randomized controlled trials.

Malik Waleed Zeb Khan, Aizaz Ali, Amna Hussain, Aban Masaud Mian, Abdul Moeez, Waqas Inayat, Bushra Noor, Izhar Ali Shah, Muhammad Osama, Bushra Khan and 5 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The Journal of international medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

15 authors.

Malik Waleed Zeb KhanDepartment of Medicine, Yale University School of Medicine, New Haven, USA.
Aizaz AliDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.ORCID 0009-0006-2556-0743
Amna HussainDepartment of Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
Aban Masaud MianDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.ORCID 0009-0006-4378-0782
Abdul MoeezDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Waqas InayatDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Bushra NoorDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Izhar Ali ShahDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.ORCID 0009-0002-8562-0745
Muhammad OsamaDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Bushra KhanDepartment of Medicine, Bacha Khan Medical College, Mardan, Pakistan.
Muhammad SajidDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Touba AzeemDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Mohammad Ebad Ur RehmanDepartment of Medicine Rawalpindi Medical University, Rawalpindi, Pakistan.
Ashraf AliDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Ubaid Khan AfridiDivision of Cardiology, University of Maryland School of Medicine, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the efficacy of intravenous (IV) amino acids in preventing acute kidney injury (AKI) in patients undergoing cardiac surgery.

methodsPubMed, EMBASE, and Cochrane Library databases were systematically searched for all relevant randomised controlled trials (RCTs) published from inception to July 25, 2024. A random effects model was used to pool the risk ratios (RR) for dichotomous outcomes, and the combined data was visually represented using forest plots.

results3 studies involving 3646 patients were included in the meta-analysis. IV amino acids did not significantly lower the overall AKI incidence compared with control measures. However, they significantly reduced the risk of Stage 1 AKI and Stage 3 AKI. No differences were observed between intervention and control for Stage 2 AKI or need for kidney replacement therapy.

conclusionIV amino acids may offer protective benefits against severe AKI stages in cardiac surgery patients. Further studies are warranted to validate our findings.

Indexed as

Acute Kidney InjuryAmino AcidsCardiac Surgical ProceduresPostoperative ComplicationsAdministration, IntravenousHumansRandomized Controlled Trials as TopicAmino AcidsAcute kidney injuryCardiac surgeryIV Amino acidsKidney protectionMeta-analysis

Identifiers

PMID39901806
PMCPMC11792033

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.