Evidence map›Paper›PMID 26519056›Full record

Trial reportBMC nephrology2015

Putative novel mediators of acute kidney injury in critically ill patients: handling by continuous venovenous hemofiltration and effect of anticoagulation modalities.

Louise Schilder, S Azam Nurmohamed, Pieter M ter Wee, Nanne J Paauw, Armand R J Girbes, Albertus Beishuizen, Robert H J Beelen, A B Johan Groeneveld

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
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

8 authors at 3 institutions in 1 country.

Louise SchilderDepartment of Nephrology, VU University medical center, De Boelelaan 1117, 1081, HV, Amsterdam, The Netherlands. louiseschilder@hotmail.com.
S Azam NurmohamedDepartment of Nephrology, VU University medical center, De Boelelaan 1117, 1081, HV, Amsterdam, The Netherlands. sa.nurmohamed@vumc.nl.
Pieter M ter WeeDepartment of Nephrology, VU University medical center, De Boelelaan 1117, 1081, HV, Amsterdam, The Netherlands. pm.terwee@vumc.nl.
Nanne J PaauwDepartment of Molecular Cell Biology and Immunology, Netherlands, The Netherlands. nj.paauw@vumc.nl.
Armand R J GirbesDepartment of Intensive Care, VU University Medical Center, Amsterdam, The Netherlands. arj.girbes@vumc.nl.
Albertus BeishuizenDepartment of Intensive Care, Medisch Spectrum Twente, Enschede, The Netherlands. beishuizen@vumc.nl.
Robert H J BeelenDepartment of Molecular Cell Biology and Immunology, Netherlands, The Netherlands. rhj.beelen@vumc.nl.
A B Johan GroeneveldDepartment of Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands. abj.groeneveld@erasmusmc.nl.
Amsterdam UMC Location VUmc · NLErasmus MC · NLMedisch Spectrum Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNovel putative mediators of acute kidney injury (AKI) include immune-cell derived tumour necrosis factor-like weak inducer of apoptosis (TWEAK), angiopoietin-2 (Ang-2) and protein pentraxin-3 (PTX3). The effect of continuous venovenous hemofiltration (CVVH) and different anticoagulation regimens on plasma levels were studied.

methodsAt 0, 10, 60, 180 and 720 min of CVVH, samples were collected from pre- and postfilter blood and ultrafiltrate. No anticoagulation (n = 13), unfractionated heparin (n = 8) or trisodium citrate (n = 21) were compared.

resultsConcentrations of TWEAK, Ang-2 and PTX3 were hardly affected by CVVH since the mediators were not (TWEAK, PTX3) or hardly (Ang-2) detectable in ultrafiltrate, indicating negligible clearance by the filter in spite of molecular sizes (TWEAK, PTX3) at or below the cutoff of the membrane. Heparin use, however, was associated with an increase in in- and outlet plasma TWEAK.

conclusionNovel AKI mediators are not cleared nor produced by CVVH. However, heparin anticoagulation increased TWEAK levels in patient's plasma whereas citrate did not, favouring the latter as anticoagulant in CVVH for AKI.

Indexed as

Acute Kidney InjuryAdultAgedAnticoagulantsCombined Modality TherapyCritical CareCritical IllnessDrug Administration ScheduleFemaleHemofiltrationHeparinHumansInflammation MediatorsMaleMiddle AgedTreatment OutcomeAnticoagulantsHeparinInflammation Mediators

Identifiers

PMID26519056
PMCPMC4628303
OpenAlexW1835524577

What OpenQuestion holds

Textmetadata
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.