Cardiothoracic & vascular anesthesia

Acute Kidney Injury After Heart Transplantation: Risk Factors and Clinical Outcomes

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Study context

Population
Patients who underwent heart transplantation (OHT) between 2012 and 2021 at a maximum-care university hospital189 analysed
Participants
264 patients
Exposure
Donor and recipient risk factors for renal-replacement therapy (RRT) after OHT
Outcome
Posttransplant AKI with RRT
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Acute kidney injury (AKI) with RRT, n (%)
123 (65.1%)
Preoperative BMI >25 kg/m², OR
4.74, p < 0.001
Preoperative creatinine, OR per mg/dL increase
3.44, p = 0.004
Intraoperative RBC units, OR
2.31, p = 0.041
Ischemia time, OR per hour increase
1.77, p = 0.004
Pretransplant renin-angiotensin-aldosterone system blockers, OR
0.36, p = 0.013

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Mortality, RRT vs no RRT6.9 (2.1–22.6)P = 0.001

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Acute Kidney Injury After Heart Transplantation: Risk Factors and Clinical Outcomes. J Cardiothorac Vasc Anesth. Published 26 January 2024. doi:10.1053/j.jvca.2024.01.024

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