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Assessment superseded

SGLT2 inhibitors linked to lower death and kidney injury after cardiac surgery

In a study of over 15,000 cardiac surgery patients, those taking SGLT2 inhibitors before surgery had lower death rates at 30 days, 90 days, and one year, plus lower acute kidney injury, compared to non-users.

Why it matters: These findings could influence perioperative management decisions for millions undergoing cardiac procedures, though current evidence is observational, not from clinical trials.

Keep in mind: This was an observational study matching patient groups by statistical methods; it cannot prove SGLT2 inhibitors caused the benefits, only that use was associated with them.

AI-assisted explanation based on the supplied abstract. Read the linked source for full context.

COHORTN=15,052Notable significance
Reporter brief

What this changes

The finding has not established an approved change to our evidence assessment.

Source date: Sep 2, 2026 · Discovered: Sep 15, 2026 · Assessed: — · Research update

What it does not prove

  • Limitations have not yet been verified. Read the primary source.

Extracted from supplied source material; model confidence is not a measured probability of correctness.

Design
Cohort
Sample size
15,052
Duration
12 months
Population
Adults (≥18 years) undergoing cardiac procedures, identified from the TriNetX U.S. Collaborative Network. Propensity score-matched cohorts with mean age 65.8 ± 10.6 years, 70.5% male, 29.5% female.
Primary outcome
All-cause mortality at 30 days, 90 days, and 1 year.
Effect size
All-cause mortality at 30 days: RR 0.566 [95% CI 0.443-0.722]; at 90 days: RR 0.643 [95% CI not fully specified]; at 1 year: RR 0.657 [95% CI not fully specified]. Acute kidney injury at 30 days: RR 0.870 [95% CI not fully specified]. Hospital admission rates: RR 1.111 [95% CI 1.089-1.133].
Significance
Significant
Journal
Journal of clinical medicine
Published
Sep 2, 2026

Funding: Not reported.

Conflicts: Not reported.

Assessment history

9/23/2026 · SUPERSEDED: Source updated; assessment withdrawn pending review.

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