Cardiothoracic & vascular anesthesia

Cardiac surgery-associated acute kidney injury requiring haemofiltration: The immediate postoperative phase is critical to achieve equivalent long-term survival

J Crit CarePublished Retrospective cohort study

Authors' conclusion

Postoperative AKI requiring haemofiltration is associated with poor outcomes following cardiac surgery. However, in patients surviving the acute postoperative phase, there was no significant difference in long-term survival compared to those who did not require haemofiltration.

Study context

Population
Adults undergoing cardiac surgery 2015–2024, excluding preoperative RRTbefore matching
Participants
16,681 adults
Exposure
Group H vs Group C
  • Group Hn = 510
  • Group Cn = 1,020reference
Outcome
Hospital mortality
Methodological details1:2 propensity-score matched, single-centre
  • 1:2 propensity-score matched
  • Single-centre

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Long-term survival, up to 5 years1.81 (1.50–2.18)P < 0.001

Long-term survival, up to 5 years

Higher mortality up to five years in Group H

Long-term survival among patients surviving past hospital discharge (conditional survival analysis)

Long-term survival comparable between groups (HR)
1.23
95% CI
0.95-1.58
P
P = 0.115
  • Conditional survival analysis

Original publication

Cardiac surgery-associated acute kidney injury requiring haemofiltration: The immediate postoperative phase is critical to achieve equivalent long-term survival. J Crit Care. Published 1 February 2026. doi:10.1016/j.jcrc.2026.155474

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