Objectives: To evaluate the impact of acute kidney injury on transition to chronic kidney disease (CKD) after cardiac surgery and to determine frequency of incident CKD in these patients. Design: A systematic review and meta-analysis of observational studies. Setting: Electronic databases Medline and Embase were systematically searched from 1974 to February 6, 2023. Participants: Eligible studies were original observational studies on adult cardiac surgery patients, written in the English language, and with clear kidney disease definitions. Exclusion criteria were studies with previously transplanted populations, populations with preoperative kidney impairment, ventricular assist device procedures, endovascular procedures, a kidney follow-up period of <90 days, and studies not presenting necessary data for effect size calculations. Interventions: Patients developing postoperative acute kidney injury after cardiac surgery were compared with patients who did not develop acute kidney injury. Measurements and Main Results: The search identified 4,329 unique studies, 87 underwent full-text review, and 12 were included for analysis. Mean acute kidney injury occurrence across studies was 16% (minimum-maximum: 8-50), while mean occurrence of CKD was 24% (minimum-maximum: 3-35), with high variability depending on definitions and follow-up time. Acute kidney injury was associated with increased odds of CKD in all individual studies. The pooled odds ratio across studies was 5.67 (95% confidence interval, 3.34-9.64; p < 0.0001). Conclusions: Acute kidney injury after cardiac surgery was associated with a more than 5-fold increased odds of developing CKD. New-onset CKD occurred in almost 1 in 4 patients in the years after surgery.
机构:
Southern Med Univ, Nanfang Hosp, Dept Anesthesiol, Guangzhou, Peoples R ChinaSouthern Med Univ, Nanfang Hosp, Dept Anesthesiol, Guangzhou, Peoples R China
Lei, Shao-Hui
Guo, Gao-Feng
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Zhengzhou Univ, Peoples Hosp, Henan Prov Peoples Hosp, Dept Anesthesiol & Perioperat Med, Zhengzhou, Peoples R ChinaSouthern Med Univ, Nanfang Hosp, Dept Anesthesiol, Guangzhou, Peoples R China
Guo, Gao-Feng
Yan, Ting
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机构:
Fujian Med Univ, Union Hosp, Dept Anesthesiol, Fuzhou, Peoples R ChinaSouthern Med Univ, Nanfang Hosp, Dept Anesthesiol, Guangzhou, Peoples R China
Yan, Ting
Zhao, Bing-Cheng
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机构:
Southern Med Univ, Nanfang Hosp, Dept Anesthesiol, Guangzhou, Peoples R ChinaSouthern Med Univ, Nanfang Hosp, Dept Anesthesiol, Guangzhou, Peoples R China
Zhao, Bing-Cheng
Qiu, Shi-Da
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h-index: 0
机构:
Southern Med Univ, Nanfang Hosp, Dept Anesthesiol, Guangzhou, Peoples R ChinaSouthern Med Univ, Nanfang Hosp, Dept Anesthesiol, Guangzhou, Peoples R China
Qiu, Shi-Da
Liu, Ke-Xuan
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Southern Med Univ, Nanfang Hosp, Dept Anesthesiol, Guangzhou, Peoples R China
Southern Med Univ, Nanfang Hosp, Dept Anesthesiol, 1838 Guangzhou Ave N, Guangzhou 510515, Peoples R ChinaSouthern Med Univ, Nanfang Hosp, Dept Anesthesiol, Guangzhou, Peoples R China
机构:
St Georges Hosp NHS Fdn Trust, Cardiothorac Intens Care Unit, Blackshaw Rd, London SW17 0QT, EnglandSt Georges Hosp NHS Fdn Trust, Cardiothorac Intens Care Unit, Blackshaw Rd, London SW17 0QT, England
Corredor, Carlos
Thomson, Rebekah
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机构:
St Georges Hosp NHS Fdn Trust, Cardiothorac Intens Care Unit, Blackshaw Rd, London SW17 0QT, EnglandSt Georges Hosp NHS Fdn Trust, Cardiothorac Intens Care Unit, Blackshaw Rd, London SW17 0QT, England
Thomson, Rebekah
Al-Subaie, Nawaf
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St Georges Hosp NHS Fdn Trust, Cardiothorac Intens Care Unit, Blackshaw Rd, London SW17 0QT, EnglandSt Georges Hosp NHS Fdn Trust, Cardiothorac Intens Care Unit, Blackshaw Rd, London SW17 0QT, England
机构:
Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South Korea
Choe, Suk Hyung
Cho, Hyeyeon
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Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South Korea
Cho, Hyeyeon
Bae, Jinyoung
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Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South Korea
Bae, Jinyoung
Ji, Sang-Hwan
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Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South Korea
Ji, Sang-Hwan
Yoon, Hyun-Kyu
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Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South Korea
Yoon, Hyun-Kyu
Lee, Ho-Jin
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Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South Korea
Lee, Ho-Jin
Lee, Ji-Hyun
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Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South Korea
Lee, Ji-Hyun
Kim, Jin-Tae
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机构:
Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South Korea
Kim, Jin-Tae
Kim, Won Ho
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Seoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South KoreaSeoul Natl Univ, Seoul Natl Univ Hosp, Dept Anesthesiol & Pain, Coll Med, 101 Daehak Ro, Seoul 03080, South Korea
机构:
Fudan Univ, Zhongshan Hosp, Dept Nephrol, Xiamen Branch, Xiamen, Peoples R China
Fudan Univ, Zhongshan Hosp, Dept Nephrol, Shanghai, Peoples R ChinaFudan Univ, Zhongshan Hosp, Dept Nephrol, Xiamen Branch, Xiamen, Peoples R China
Zhang, Dong
Teng, Jie
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机构:
Fudan Univ, Zhongshan Hosp, Dept Nephrol, Xiamen Branch, Xiamen, Peoples R China
Fudan Univ, Zhongshan Hosp, Dept Nephrol, Shanghai, Peoples R China
Shanghai Key Lab Kidney & Blood Purificat, Shanghai, Peoples R ChinaFudan Univ, Zhongshan Hosp, Dept Nephrol, Xiamen Branch, Xiamen, Peoples R China
Teng, Jie
Luo, Zhe
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机构:
Fudan Univ, Zhongshan Hosp, Shanghai Med Coll, Dept Cardiac Surg Intens Care Unit, Shanghai, Peoples R ChinaFudan Univ, Zhongshan Hosp, Dept Nephrol, Xiamen Branch, Xiamen, Peoples R China
Luo, Zhe
Ding, Xiaoqiang
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机构:
Fudan Univ, Zhongshan Hosp, Dept Nephrol, Xiamen Branch, Xiamen, Peoples R China
Fudan Univ, Zhongshan Hosp, Dept Nephrol, Shanghai, Peoples R China
Shanghai Key Lab Kidney & Blood Purificat, Shanghai, Peoples R ChinaFudan Univ, Zhongshan Hosp, Dept Nephrol, Xiamen Branch, Xiamen, Peoples R China
Ding, Xiaoqiang
Jiang, Wuhua
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机构:
Fudan Univ, Zhongshan Hosp, Dept Nephrol, Xiamen Branch, Xiamen, Peoples R China
Fudan Univ, Zhongshan Hosp, Dept Nephrol, Shanghai, Peoples R China
Shanghai Key Lab Kidney & Blood Purificat, Shanghai, Peoples R ChinaFudan Univ, Zhongshan Hosp, Dept Nephrol, Xiamen Branch, Xiamen, Peoples R China
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Southwest Med Univ, Affiliated Hosp, Dept Anesthesiol, Luzhou 646000, Peoples R ChinaSouthwest Med Univ, Affiliated Hosp, Dept Anesthesiol, Luzhou 646000, Peoples R China
Liu, Xing
Hu, Qinxue
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Southwest Med Univ, Affiliated Hosp, Dept Crit Care Med, Luzhou, Peoples R ChinaSouthwest Med Univ, Affiliated Hosp, Dept Anesthesiol, Luzhou 646000, Peoples R China
Hu, Qinxue
Chen, Qianxiu
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Southwest Med Univ, Affiliated Hosp, Dept Anesthesiol, Luzhou 646000, Peoples R ChinaSouthwest Med Univ, Affiliated Hosp, Dept Anesthesiol, Luzhou 646000, Peoples R China
Chen, Qianxiu
Jia, Jing
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Southwest Med Univ, Affiliated Hosp, Lab Anesthesiol, Luzhou, Peoples R ChinaSouthwest Med Univ, Affiliated Hosp, Dept Anesthesiol, Luzhou 646000, Peoples R China
Jia, Jing
Liao, Yong-Hong
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Southwest Med Univ, Affiliated Hosp, Dept Anesthesiol, Luzhou 646000, Peoples R ChinaSouthwest Med Univ, Affiliated Hosp, Dept Anesthesiol, Luzhou 646000, Peoples R China