Cardiothoracic & vascular anesthesia

Prebypass Critical Closing Pressure Predicts Acute Kidney Injury After Cardiopulmonary Bypass

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main finding · Prebypass PcritResult — go to the resultIncreased risk of AKI 16%

Authors' conclusion

A higher prebypass Pcrit is associated with a significantly higher incidence of postoperative AKI.

Study context

Population
Adult cardiac surgery patients undergoing cardiopulmonary bypass (CPB) at a single tertiary care hospital
Participants
1,038 patients
Exposure
Acute kidney injury (AKI) vs no AKI by prebypass critical closing pressure
  • AKIn = 50
Outcome
AKI
Methodological detailssingle-centre
  • Single-centre

Main finding

Prebypass Pcrit

Increased risk of AKI

16%

P = 0.011

By group

As reported in the abstract

Observational data: associations, not effects.

Further findings

AKI incidence
5% · 50

Preoperative risk factors and operative times

AKI patients had more severe CKD, higher STS risk score, longer operative and cross-clamp times
P < 0.01
All patients maintained at similar MAP on CPB

Original publication

Prebypass Critical Closing Pressure Predicts Acute Kidney Injury After Cardiopulmonary Bypass. J Cardiothorac Vasc Anesth. Published 12 November 2024. doi:10.1053/j.jvca.2024.11.010

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

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