From: Amino acids to prevent cardiac surgery-associated acute kidney injury: a randomized controlled trial
(a) | |||||
Control group | Intervention group | ||||
n = 32 | n = 33 | ||||
Age (y) | 71 [56, 75] | 72 [52, 77] | |||
Sex, male | 65.6 (21) | 48.5 (16) | |||
Body Mass Index (kg/m2) | 21.3 [19.0, 25.2] | 22.2 [20.4, 25.7] | |||
Baseline eGFR (ml/min/1.73m2) | 64 [45, 80] | 67 [56, 75] | |||
Baseline creatinine (mg/dL) | 0.87 [0.70, 1.14] | 0.79 [0.66, 0.93] | |||
Type of surgery | |||||
TAAR | 84.4 (27) | 84.8 (28) | |||
TAAAR | 15.6 (5) | 15.2 (5) | |||
Comorbidities | |||||
Hypertension | 65.6 (21) | 72.7 (24) | |||
Diabetes mellitus | 9.4 (3) | 12.1 (4) | |||
Dyslipidemia | 25.0 (8) | 33.3 (11) | |||
COPD | 12.5 (4) | 3.0 (1) | |||
History of thoracic surgery | 28.1 (9) | 30.3 (10) | |||
LVEF | 61 [59, 65] | 60 [60, 65] | |||
(b) | |||||
Control group | Intervention group | SMD | P value | ||
n = 32 | n = 33 | ||||
Dosage of amino acids from study drug (g/day) | 0.0 [0.0, 0.0] | 46.7 [40.0, 60.0] | 7.045 | < 0.001 | |
Total intake of amino acids (g/day) | 0.0 [0.0, 4.3] | 60.00 [53.3, 60.0] | 7.256 | < 0.001 | |
Operation time (minutes) | 499 [424, 599] | 439 [380, 578] | 0.33 | 0.084 | |
CPB time (minutes) | 287 [227, 338] | 242 [226, 275] | 0.484 | 0.484 | |
Cross-clamp time (minutes) | 167 [111, 230] | 134 [102, 182] | 0.235 | 0.158 | |
Use of DHCA | 78.1 (25) | 81.8 (27) | 0.092 | 0.71 | |
DHCA time (minutes) | 45 [33, 64] | 32 [27, 59] | 0.22 | 0.389 | |
Maximum creatinine (mg/dL) | 1.25 [0.82, 1.83] | 0.92 [0.83, 1.24] | 0.617 | 0.079 | |
mBP during CPB (mmHg) | 56.50 [52.50, 62.25] | 57.00 [53.00, 66.00] | 0.094 | 0.563 | |
mBP post CPB (mmHg) | 69.00 [67.00, 74.25] | 69.00 [65.00, 73.00] | 0.069 | 0.679 | |
VIS | 3.03 [2.38, 4.62] | 2.70 [2.03, 3.92] | 0.077 | 0.273 | |
Loop diuretics (mg/day) | 30.55 [5.32, 53.50] | 5.20 [0.00, 25.50] | 0.704 | 0.011 | |
Total fluid volume (mL) | |||||
Day 0 | 11,286 [9266, 13450] | 10,783 [8849, 15364] | 0.049 | 0.665 | |
Day 1 | 2929 [2346, 3798] | 3517 [3039, 4556] | 0.060 | 0.011 | |
Day 2 | 1346 [966, 2452] | 2150 [930, 2550] | 0.048 | 0.498 | |
RCC (mL) | |||||
Day 0 | 3861 [3053, 5043] | 3640 [2686, 5268] | 0.537 | 0.067 | |
Day 1 | 210 [0, 676] | 50 [0, 268] | 0.057 | 0.391 | |
Day 2 | 0 [0, 0] | 0 [0, 0] | 0.302 | 0.356 |