Introducing the BARTAAAKI (Barts Thoracoabdominal Aortic Acute Kidney Injury) Bundle: Renal Recovery Following Thoracoabdominal Aortic Repair
Main finding · Severe AKI (KDIGO stage 2-3)Result — go to the resultAbsolute risk difference −25 percentage points 95% CI −44 to −5Authors' conclusion
Implementation of the BARTAAAKI bundle was associated with greater renal recovery and less severe AKI after open TAAA repair.
Study context
- Population
- Consecutive patients undergoing open thoracoabdominal aortic aneurysm (TAAA) repair, tertiary cardiovascular referral centre, September 2017–August 2023; preoperative dialysis or death within 72 hours excludedconsecutive
- Participants
- 113 patients
- Exposure
- BARTAAAKI renal protection bundle vs prebundle care
- BARTAAAKIn = 27
- Prebundlen = 86reference
- Outcome
- Severe acute kidney injury (AKI) (KDIGO stage 2-3)
- Follow-up
- 72 hours
Methodological detailssingle-centre, unadjusted
- Single-centre
- Unadjusted
Main finding
As reported in the abstract
Absolute risk difference
−25 percentage points
95% CI −44 to −5
P = 0.02
By group
BARTAAAKI vs Prebundle
absolute risk difference −25 percentage points (95% CI −44 to −5); P = 0.02
Observational data: associations, not effects.
Further findings
| Outcome | BARTAAAKI | Prebundle | Absolute risk difference (percentage points) (95% CI) | P value | |
|---|---|---|---|---|---|
| RRT requiredUnadjusted | 41% | 52% | −12 (−31 to +10) | P = 0.38 | |
| −40−20020Difference, percentage points (linear scale) |
Custodiol (histidine-tryptophan-ketoglutarate) use
- Rate of Custodiol use in the 2 groups, 58% vs 89%
- P = 0.02
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Introducing the BARTAAAKI (Barts Thoracoabdominal Aortic Acute Kidney Injury) Bundle: Renal Recovery Following Thoracoabdominal Aortic Repair. J Cardiothorac Vasc Anesth. Published 20 August 2026. doi:10. 1053/ j. jvca. 2026. 08. 137
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