Cardiothoracic & vascular anesthesia

Mean Arterial Pressure During the First 24 Hours After Cardiac Surgery and Acute Kidney Injury: An Observational Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

This study was unable to demonstrate an association between increasing time spent in any MAP range band during the first 24 hours postoperatively and AKI.

Study context

Population
Adults undergoing cardiac surgery, single academic medical center, October 2020 to September 2022
Participants
1,368 adults
Exposure
Time spent in each mean arterial pressure (MAP) range band vs reference band 65–69 mmHg during first 24 h postoperatively
Outcome
AKI
Follow-up
Between 24 h and 7 days postoperatively
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Per 15 minutes
Each group vs 65-69Odds ratio (95% CI)
60-64
0.98(0.88–1.08)
55-59
1.03(0.93–1.13)
Acute kidney injury (AKI) incidence after prespecified exclusions
190 patients (15.3%)

Observational data: associations, not effects.

Original publication

Mean Arterial Pressure During the First 24 Hours After Cardiac Surgery and Acute Kidney Injury: An Observational Cohort Study. J Cardiothorac Vasc Anesth. Published 22 May 2026. doi:10.1053/j.jvca.2026.05.035

Composed by AI from the published abstract and checked against it. How Briefs are made →

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