Evidence map›Paper›PMID 20298543›Full record

ArticleCritical care (London, England)2010

Resuscitation with low volume hydroxyethylstarch 130 kDa/0.4 is not associated with acute kidney injury.

Nicolas Boussekey, Raphaël Darmon, Joachim Langlois, Serge Alfandari, Patrick Devos, Agnes Meybeck, Arnaud Chiche, Hugues Georges, Olivier Leroy

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Polymer therapeutics in surgery: the next frontier.Journal of interdisciplinary nanomedicine · 2016
    Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Concerns about renal safety of HES 130.Critical care (London, England) · 2013
    Article
  10. Sepsis: a review for the neurohospitalist.The Neurohospitalist · 2012
    Article
  11. Article
  12. Article
  13. Article
  14. To dose or not to dose: that is the (starch) question ...Critical care (London, England) · 2010
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Nicolas BoussekeyIntensive care and infectious disease unit, Tourcoing hospital, rue du Président Coty Tourcoing BP 619, France. nboussekey@ch-tourcoing.fr
Raphaël Darmon
Joachim Langlois
Serge Alfandari
Patrick Devos
Agnes Meybeck
Arnaud Chiche
Hugues Georges
Olivier Leroy
Centre Hospitalier de Tourcoing · FRUniversité de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute kidney injury (AKI) in the ICU is associated with poorer prognosis. Hydroxyethylstarch (HES) solutions are fluid resuscitation colloids frequently used in the ICU with controversial nephrotoxic adverse effects. Our study objective was to evaluate HES impact on renal function and organ failures.

methodsThis observational retrospective study included 363 patients hospitalized for more than 72 hours in our ICU. A hundred and sixty eight patients received HES during their stay and 195 did not. We recorded patients' baseline characteristics on admission and type and volume of fluid resuscitation during the first 3 weeks of ICU stay. We also noted the evolution of urine output, the risk of renal dysfunction, injury to the kidney, failure of kidney function, loss of kidney function and end-stage kidney disease (RIFLE) classification and sepsis related organ failure assessment (SOFA) score over 3 weeks.

resultsPatients in the HES group were more severely ill on admission but AKI incidence was similar, as well as ICU mortality. The evolution of urine output (P = 0.74), RIFLE classification (P = 0.44) and SOFA score (P = 0.23) was not different. However, HES volumes administered were low (763+/-593 ml during the first 48 hours).

conclusionsVolume expansion with low volume HES 130 kDa/0.4 was not associated with AKI.

Indexed as

Acute Kidney InjuryAdultAgedFemaleFluid TherapyHumansHydroxyethyl Starch DerivativesIntensive Care UnitsMaleMiddle AgedMultiple Organ FailureRetrospective StudiesRisk AssessmentHydroxyethyl Starch Derivatives

Identifiers

PMID20298543
PMCPMC2887149
OpenAlexW1978835103

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.