{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T11:19:33Z","timestamp":1773832773947,"version":"3.50.1"},"reference-count":19,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiorenal Med"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background\/Aims:&lt;\/i&gt;&lt;\/b&gt; We evaluated the potential preventive effect of Nephrology On-Site (i.e. nephrologists integrated into the postoperative cardiac intensive care unit, ICU, team) versus Nephrology On-Demand (i.e. nephrology consultation depending on intensivist criteria) in the ICU on in-hospital outcomes. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; This was a retrospective cohort study comparing outcomes during 2 consecutive time periods: from March 1, 2009 to February 28, 2010 with Nephrology On-Demand, and from March 1, 2010 to February 28, 2011 with Nephrology On-Site. Adult patients admitted to the postoperative cardiac ICU in an academic hospital in Mexico City were eligible. Patients with chronic kidney disease stage 5 or minimally invasive procedures were excluded. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; We analyzed 1,096 patients, 558 and 538 in the respective periods. The patients were 52.4 \u00b1 16.2 years old, 56.1% were males, 17.2% had diabetes and 37.6% had hypertension. Further, the patients' median Euroscore was 5 (3-5) and their median Thakar score was 3 (2-4). With Nephrology On-Site, we observed a lower incidence of acute kidney injury [AKI; 25.7 vs. 31.9%, p = 0.02; adjusted OR 0.71 (0.53-0.95), p = 0.02], lower in-hospital mortality among patients with severe AKI [34.1 vs. 55.9%, p = 0.06; adjusted OR 0.33 (0.12-0.95), p = 0.04] and higher renal recovery [61.0 vs. 35.3%, p = 0.03; adjusted OR 3.57 (1.27-10.11), p = 0.02]. No differences were found in the length of stay at the ICU and mechanical ventilation. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; Integrating nephrologists into the postoperative cardiac ICU team was associated with a lower incidence of AKI. Patients who developed severe AKI had lower in-hospital mortality and higher renal recovery.<\/jats:p>","DOI":"10.1159\/000350545","type":"journal-article","created":{"date-parts":[[2013,4,9]],"date-time":"2013-04-09T08:33:03Z","timestamp":1365496383000},"page":"79-88","source":"Crossref","is-referenced-by-count":14,"title":["The Impact of Integrating Nephrologists into the Postoperative Cardiac Intensive Care Unit: A Cohort Study"],"prefix":"10.1159","volume":"3","author":[{"given":"Cesar","family":"Flores-Gama","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maribel","family":"Merino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Baranda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dinna N.","family":"Cruz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Ronco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armando","family":"Vazquez-Rangel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2013,4,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1186%2Fcc2872"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1186%2Fcc5713"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.athoracsur.2010.08.018"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1159%2F000321171"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097%2F01.ASN.0000130340.93930.DD"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.ejcts.2005.01.057"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1161%2FCIRCULATIONAHA.108.786913"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093%2Fndt%2Fgfq653"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016%2FS0002-9343%2802%2901230-5"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1186%2F1471-2369-8-14"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1053%2Fj.ajkd.2010.08.026"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.7326%2F0003-4819-150-9-200905050-00006"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1681%2FASN.2004040331"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1186%2Fcc10061"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1161%2FCIRCULATIONAHA.108.800011"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1186%2Fcc9960"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1097%2F01.CCM.0000297887.84347.85"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1001%2Fjama.288.17.2151"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1093%2Foxfordjournals.ndt.a027816"}],"container-title":["Cardiorenal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/350545","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/350545","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T18:18:59Z","timestamp":1745432339000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000350545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2013,4,1]]},"published-print":{"date-parts":[[2013,4,26]]}},"URL":"https:\/\/doi.org\/10.1159\/000350545","archive":["Portico"],"relation":{},"ISSN":["1664-3828","1664-5502"],"issn-type":[{"value":"1664-3828","type":"print"},{"value":"1664-5502","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013]]}}}