TABLE 1.
Basic characteristics of included trials.
| Author | Country | Number of patients | Male,% | Age | Weight (kg) | Surgical procedures | Dexmedetomidine infusion method |
CPB time (min) | Aortic clamping time (min) | Method of AKI assessment |
| Jo et al. (18) | Korea | 29 | 62.1 | 1–6 years | 11.45 | Repair of ASD or VSD |
Loading dose: 0.5 μg/kg was infused over 10 min from anesthesia induction Maintaining dose: 0.5 μg/kg/h to the end of CPB |
106.5 | 68 | AKIN |
| Kim et al. (19) | Korea | 139 | 62.6 | < 7 years | 10.05 | Cardiac surgery with CPB |
Loading dose: 1 μg/kg over 10 min after the induction of anesthesia Maintaining dose: 1.5 μg/kg/h during surgery, and 1 μg/kg after CPB initiation |
145.1 | 87.8 | KDIGO |
| Kwiatkowski et al. (20) | United States | 204 | 57 | < 18 years | 7 | Cardiac surgery with CPB | Infusion initiated on any dose or duration within 24 h after surgery | 121 | 58.5 | KDIGO |
| Ming et al. (21) | China | 90 | 57.8 | 1–6 years | 12.7 | Repair of ASD or VSD | From the onset of anesthesia until the end of the operation: 1) 0.2μg/kg/h; 2) 0.4μg/kg/h |
74.6 | 37.7 | KDIGO |
| Xie et al. (22) | China | 168 | 48.8 | 1–6 years | _ | Repair of ASD or VSD |
Loading dose: 0.1μg/kg at 15 min before anesthesia induction Maintaining dose: 0.5 μg/kg/h until 12 h after operation |
107.02 | 67.35 | KDIGO |
ASD, atrial septal defect; VSD, ventricular septal defect; CPB, cardiopulmonary bypass; AKI, acute kidney injury; AKIN, acute kidney injury network; KDIGO, Kidney Disease Improving Global Outcomes.