Cochrane · systematic review · CD003590

Interventions for protecting renal function in the perioperative period

Zacharias, M, Mugawar, M, Herbison, GP, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

AnaesthesiaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Interventions in patients with pre‐existing renal dysfunction

Population: patients with pre‐existing renal impairment
2 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality in patients with pre‐existing renal impairment As reported in the included trials Folliow‐up: 7 days
OR 0.74 [0.36, 1.52]10 studies · 959 participantsVery low
Downgraded: inconsistency
Acute renal injury in patients with pre‐existing renal impairment As reported in the included trials
OR 0.4 [0.22, 0.76]11 studies · 979 participantsVery low
Downgraded: inconsistency

Interventions to protect the kidneys in the perioperative period in patients undergoing surgery: low ROB studies only

Population: patients undergoing surgery
2 questions
OutcomeEffectEvidenceStatus / GRADE
Reported mortality, low risk of bias studies only
OR 1.01 [0.52, 1.97]19 studies · 1604 participantsVery low
Downgraded: inconsistency
Acute renal injury, low‐risk studies only
OR 1.05 [0.55, 2.03]16 studies · 1550 participantsVery low
Downgraded: inconsistency