Perioperative medicine & outcomes

Amino Acid Infusion for Perioperative Functional Renal Protection: A Meta-analysis

J Cardiothorac Vasc AnesthPublished Systematic review and meta-analysis of controlled studies

Pooled resultResult — go to the resultRelative risk 0.66 95% CI 0.47–0.94

Authors' conclusion

This meta-analysis suggests that AA administration likely decreased the perioperative incidence of AKI.

Study context

Population
Perioperative patients
Participants
4,544 patients · 15 studies
Comparison
Intravenous amino acid infusion vs any comparator
Outcome
AKI
Follow-up
Longest
Methodological detailsrandom effects, Bayesian analysis
  • Random effects
  • Bayesian analysis

Pooled result

As reported in the abstract

Relative risk

0.66

95% CI 0.47–0.94

P = 0.02

Events by group

AA vs Controls
RR 0.66 (95% CI 0.47–0.94); P = 0.02
Probability of acute kidney injury (AKI) reduction with amino acids (AA) (Bayesian)
99.1%

Further pooled results

AA decreased serum creatinine and hospital LOS and increased eGFR

Original publication

Amino Acid Infusion for Perioperative Functional Renal Protection: A Meta-analysis. J Cardiothorac Vasc Anesth. Published 22 August 2024. doi:10.1053/j.jvca.2024.08.033

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