Cardiothoracic & vascular anesthesia

Vasopressin and Major Adverse Kidney Events in Patients Requiring Vasopressor Support After Cardiac Surgery: A Multicenter Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Main findingResult — go to the resultOdds ratio 1.02 95% CI 0.76–1.38

Authors' conclusion

Adjunctive vasopressin use was not associated with major adverse kidney events or mortality in patients requiring vasopressors after cardiac surgery.

Study context

Population
Adults requiring ≥6 consecutive hours of vasopressor support within the first 24 h after cardiac surgery (CABG, valve or combined), 4 ICUs in Queensland, Australia, 2015–2021; ECMO excluded
Participants
3,753 adults
Exposure
Vasopressin within 24 h of ICU admission vs no vasopressin
  • Vasopressinn = 603
Outcome
Major adverse kidney events:
  • Death
  • New RRT
  • Creatinine doubling
Follow-up
30 days
Methodological detailsmulticentre, inverse probability of treatment weighting with overlap weights
  • Multicentre
  • Inverse probability of treatment weighting with overlap weights

Main finding

As reported in the abstract

Odds ratio

1.02

95% CI 0.76–1.38

P = 0.88

Vasopressin vs No vasopressin
OR 1.02 (95% CI 0.76–1.38); P = 0.88

Observational data: associations, not effects.

Further findings

MAKE at 30 days by illness severity (subgroup)

Significant interaction for illness severity, with a trend toward benefit of vasopressin in the highest-severity tertile
  • Interaction p = 0.004

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Vasopressin and Major Adverse Kidney Events in Patients Requiring Vasopressor Support After Cardiac Surgery: A Multicenter Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 8 April 2026. doi:10.1053/j.jvca.2026.04.011

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