Hemodynamics, fluids & transfusion

Potential Predictors for Deterioration of Renal Function After Transfusion

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

Surprisingly, only the recipients' characteristics played a decisive role in AKI prediction.

Study context

Population
Transfusion episodes of packed red blood cells at a university hospital, October 31, 2016 to August 31, 2020
Participants
3,366 transfusion episodes
Outcome
Prediction of posttransfusion AKI (modified Kidney Disease Improving Global Outcomes (KDIGO) criterion)
Methodological detailsmachine learning (random forest), single-centre
  • Machine learning (random forest)
  • Single-centre

Main finding

As reported in the abstract

Prediction of posttransfusion AKI (modified KDIGO)

Area under the curve of the receiver operating characteristic (AUC-ROC)

0.73 ± 0.02

NPV

0.90 ± 0.02

PPV

0.32 ± 0.03

Observational data: associations, not effects.

Further findings

Predictors of posttransfusion acute kidney injury (AKI) (feature importance, relative risk)

Donor features far less important than recipient features

Original publication

Potential Predictors for Deterioration of Renal Function After Transfusion. Anesth Analg. Published 16 February 2024. doi:10.1213/ane.0000000000006720

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

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