Mohamed Mohamed

GPT Serum CIRP Increases the Risk of Acute Kidney Injury After Cardiac Surgery

This study explored the connection between elevated Cold-induced RNA-binding protein (CIRP) levels and the incidence of acute kidney injury (AKI) following cardiac surgery, focusing on surgeries involving cardiopulmonary bypass (CPB). It was discovered that higher CIRP levels, especially in surgeries with CPB, are independently associated with a higher risk of developing AKI, leading to worse postoperative outcomes, including a lower survival rate over two years.

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Machine Learning AKI

Serum CIRP Increases the Risk of Acute Kidney Injury After Cardiac Surgery

The study aimed to investigate the role of cold-induced RNA-binding protein (CIRP) in the development of acute kidney injury (AKI) following cardiac surgery. Elevated extracellular CIRP levels, particularly associated with prolonged cardiopulmonary bypass (CPB) time, were identified as independent risk factors for postoperative AKI, especially severe cases, highlighting its correlation with adverse in-hospital outcomes.

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Exploding Kidney

Relationship Between Difference of Preoperative and Cardiopulmonary Bypass Mean Arterial Pressure, and Acute Kidney Injury in Cardiac Surgical Patients Undergoing Valve Surgery

In a study of 112 high-risk cardiac surgery patients, it was found that the difference in pre-operative and on-bypass mean arterial pressure (MAP) and cardiopulmonary bypass (CPB) flows did not significantly predict early post-surgical acute kidney injury (CSA-AKI). However, baseline serum levels of Neutrophil gelatinase-associated lipocalin (NGAL) and its early post-surgical percent change were strong independent predictors of CSA-AKI development, suggesting its potential as a useful biomarker in identifying patients at risk.

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Collectrin

Urinary Collectrin as Promising Biomarker for Acute Kidney Injury in Patients Undergoing Cardiac Surgery

This study explores urinary collectrin as a potential biomarker for early detection of acute kidney injury (AKI) in patients undergoing cardiac surgery with cardiopulmonary bypass. It found significant perioperative changes in collectrin levels, particularly on postoperative day 1, indicating its promise for timely AKI diagnosis and intervention, though further research is needed for clinical validation.

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Machine Learning AKI

Incorporating Intraoperative Blood Pressure Time-Series Variables to Assist in Prediction of Acute Kidney Injury After Type A Acute Aortic Dissection Repair: An Interpretable Machine Learning Model

This study developed an XGBoost machine learning model using intraoperative blood pressure time-series data to predict the risk of acute kidney injury (AKI) after Type A acute aortic dissection repair. The model, which outperformed others in accuracy, identified factors like intraoperative urine output and the duration of mean arterial pressure below 65 mmHg as critical predictors for postoperative AKI.

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Meropenem Extraction by Ex Vivo Extracorporeal Life Support Circuits

The study investigates the impact of ECMO and CRRT circuits on meropenem pharmacokinetics, finding minimal extraction by ECMO components but rapid clearance during CRRT, indicating a need for adjusted meropenem dosing in critically ill patients on these therapies. Meropenem underwent significant degradation/metabolism in physiological conditions, informing clinicians on dosing strategies.

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