Evidence map›Paper›PMID 26134154›Full record

ArticleJournal of the American Society of Nephrology : JASN2016

Elevated BP after AKI.

Chi-yuan Hsu, Raymond K Hsu, Jingrong Yang, Juan D Ordonez, Sijie Zheng, Alan S Go

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 3 pooled it
10.8field-weighted citation impact, top 1% 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

86 citing papers in PubMed, 3 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
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  6. Article
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  12. Article
  13. Long-Term Kidney Outcomes after Pediatric Acute Kidney Injury.Journal of the American Society of Nephrology : JASN · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. The AKI-to-CKD Transition: The Role of Uremic Toxins.International journal of molecular sciences · 2023
    Review
  19. Review
  20. Article

26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Chi-yuan HsuDepartments of Medicine and Division of Research, Kaiser Permanente Northern California, Oakland, California; hsuchi@medicine.ucsf.edu.
Raymond K HsuDepartments of Medicine and.
Jingrong YangDivision of Research, Kaiser Permanente Northern California, Oakland, California;
Juan D OrdonezDivision of Nephrology, Kaiser Permanente Oakland Medical Center, Oakland, California; and.
Sijie ZhengDivision of Nephrology, Kaiser Permanente Oakland Medical Center, Oakland, California; and.
Alan S GoDivision of Research, Kaiser Permanente Northern California, Oakland, California; Department of Health Research and Policy, Stanford University School of Medicine, Stanford, California Epidemiology and Biostatistics, University of California-San Francisco, San Francisco, California;
Kaiser Permanente Oakland Medical Center · USUniversity of California, San Francisco · USKaiser Permanente · US

Funding

Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
Prospective Evaluation of Acute Kidney Injury (PEAK) CohotU01DK082223 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI GO, ALAN S · 2008 to 2018
$4.0M
Identifying opportunities to lower rates of AKI and improve outcomesR01DK101507 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GO, ALAN S, HSU, CHI-YUAN · 2014 to 2017
$2.1M
Acute Kidney Injury: A Novel Risk Factor for Cardiovascular EventsR01DK098233 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LIU, KATHLEEN D · 2014 to 2017
$1.9M
Patient Oriented Research in Kidney DiseaseK24DK092291 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HSU, CHI-YUAN · 2011 to 2020
$1.2M
Enhancing appreciation of the clinical significance of acute kidney injuryK23DK100468 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HSU, RAYMOND · 2013 to 2017
$892k
NCATS NIH HHS KL2 TR000143NCATS NIH HHS KL2-TR000143NIDDK NIH HHS K23 DK100468NIDDK NIH HHS K23-DK100468NIDDK NIH HHS K24 DK092291NIDDK NIH HHS K24-DK092291NIDDK NIH HHS R01 DK098233NIDDK NIH HHS R01 DK101507NIDDK NIH HHS U01 DK082223NIDDK NIH HHS U01-DK082223
6 · The paper itself

Abstract

The connection between AKI and BP elevation is unclear. We conducted a retrospective cohort study to evaluate whether AKI in the hospital is independently associated with BP elevation during the first 2 years after discharge among previously normotensive adults. We studied adult members of Kaiser Permanente Northern California, a large integrated health care delivery system, who were hospitalized between 2008 and 2011, had available preadmission serum creatinine and BP measures, and were not known to be hypertensive or have BP>140/90 mmHg. Among 43,611 eligible patients, 2451 experienced AKI defined using observed changes in serum creatinine concentration measured during hospitalization. Survivors of AKI were more likely than those without AKI to have elevated BP--defined as documented BP>140/90 mmHg measured during an ambulatory, nonemergency department visit--during follow-up (46.1% versus 41.2% at 730 days; P<0.001). This difference was evident within the first 180 days (30.6% versus 23.1%; P<0.001). In multivariable models, AKI was independently associated with a 22% (95% confidence interval, 12% to 33%) increase in the odds of developing elevated BP during follow-up, with higher adjusted odds with more severe AKI. Results were similar in sensitivity analyses when elevated BP was defined as having at least two BP readings of >140/90 mmHg or those with evidence of CKD were excluded. We conclude that AKI is an independent risk factor for subsequent development of elevated BP. Preventing AKI during a hospitalization may have clinical and public health benefits beyond the immediate hospitalization.

Indexed as

Blood PressureAcute Kidney InjuryAdolescentAdultAgedAged, 80 and overCaliforniaGlomerular Filtration RateHospitalizationHumansHypertensionIncidenceMiddle AgedRetrospective StudiesRisk FactorsSeverity of Illness Indexacute renal failureBPhypertensionrisk factors

Identifiers

PMID26134154
PMCPMC4769190
OpenAlexW2130044168

What OpenQuestion holds

Textmetadata
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.