Predicting Adverse Kidney Events of Cardiac Surgery-Associated Acute Kidney Injury Using Novel Biomarkers

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorShanghai Zhongshan Hospital

About this trial

The aim of this study was to identify and validate novel biomarkers for predict acute kidney injury (AKI) subphenotype, major adverse kidney events and other poor outcomes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients undergoing cardiac surgery who experienced AKI within 48 hours of cardiac surgery were screened.

Disqualifiers

History of End Stage Renal Disease or on Dialysis;

prior kidney transplantation;

patients with a DNR order;

patients without written informed consent;

Trial population

Adult patients with age ≥ 18 years who experienced AKI within 48 hours of cardiac surgery were included in this study.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

AKI nonresolving subphenotype

The resolving subphenotype was defined by a decrease of 0.3 mg/dl or 25% in SCr from its maximum during the first 3 days of study enrollment. All subjects with AKI who did not meet this criterion were classified as having a nonresolving subphenotype

Time frame
7 days

Secondary outcomes

1

Major adverse kidney events at 30 days

Major adverse kidney events (MAKE) was defined as the composite of≥25% loss in estimated glomerular filtration rate (eGFR), dialysis, or death. Estimated GFR was calculated from serum creatinine using the MDRD equation.

Time frame
30 days
2

Major adverse kidney events at 90 days

MAKE was defined as the composite of≥25% loss in estimated glomerular filtration rate (eGFR), dialysis, or death. Estimated GFR was calculated from serum creatinine using the MDRD equation.

Time frame
90 days
3

Major adverse kidney events at 365 days

MAKE was defined as the composite of≥25% loss in estimated glomerular filtration rate (eGFR), dialysis, or death. Estimated GFR was calculated from serum creatinine using the modification of diet in renal disease (MDRD) equation.

Time frame
365 days
4

Mortality

Mortality at 30 days, 90 days and 365 days

Time frame
365 days

Other outcomes

Sponsors and contacts

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Shanghai Zhongshan Hospital

Lead sponsor

Zhongshan Hospital (Xiamen), Fudan University

Collaborator

Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University

Collaborator

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