Cardiothoracic & vascular anesthesia

Comparison of various surrogate markers for venous congestion in predicting acute kidney injury following cardiac surgery: A cohort study

J Crit CarePublished Prospective cohort study

Main finding · AKIResult — go to the resultOdds ratio 2.27 95% CI 1.38–3.73

Authors' conclusion

Venous congestion is associated with AKI after cardiac surgery, but not necessarily with CRRT. Among the markers tested, IRVF exhibits the strongest correlation with AKI.

Study context

Population
Adults undergoing cardiac surgery
Participants
230 adults
Exposure
Venous congestion markers for predicting acute kidney injury (AKI)
Outcome
AKI

Main finding

As reported in the abstract

Odds ratio

2.27

95% CI 1.38–3.73

IRVF
OR 2.27 (95% CI 1.38–3.73)
AKI incidence
53 (23.0%)

Observational data: associations, not effects.

Further findings

Required continuous renal replacement therapy (CRRT)
11 (4.8%)
No association between markers and CRRT

Original publication

Comparison of various surrogate markers for venous congestion in predicting acute kidney injury following cardiac surgery: A cohort study. J Crit Care. Published 7 October 2023. doi:10.1016/j.jcrc.2023.154441

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