Evidence map›Paper›PMID 26552371›Full record

ArticleBMC nephrology2015

Cross-sectional study of the association between functional status and acute kidney injury in geriatric patients.

Chia-Ter Chao, Hung-Bin Tsai, Chia-Yi Wu, Nin-Chieh Hsu, Yu-Feng Lin, Jin-Shing Chen, Kuan-Yu Hung

Abstract read
In one paragraph

Article in BMC nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

Chia-Ter ChaoDepartment of Medicine, National Taiwan University Hospital Jin-Shan branch, NO.51, Nan-shih, Jin-shan district, New Taipei City, 208, Taiwan. b88401084@gmail.com.
Hung-Bin TsaiDepartment of Traumatology, National Taiwan University Hospital, NO.7 Chung-Shan South Road, Taipei, 100, Taiwan. hbtsai37@gmail.com.
Chia-Yi WuGraduate Institute of Nursing, National Taiwan University, Taipei, Taiwan. jennycyw@ntu.edu.tw.
Nin-Chieh HsuDepartment of Traumatology, National Taiwan University Hospital, NO.7 Chung-Shan South Road, Taipei, 100, Taiwan. chesthsu@gmail.com.
Yu-Feng LinDepartment of Traumatology, National Taiwan University Hospital, NO.7 Chung-Shan South Road, Taipei, 100, Taiwan. dr.yufenglin@gmail.com.
Jin-Shing ChenDepartment of Traumatology, National Taiwan University Hospital, NO.7 Chung-Shan South Road, Taipei, 100, Taiwan. chenjs@ntu.edu.tw.
Kuan-Yu HungDepartment of Internal Medicine, National Taiwan University Hospital, NO.7 Chung-Shan South Road, Taipei, 100, Taiwan. kyhung@ntu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with chronic kidney disease tend to have impaired functional status, and this can increase the risk of morbidity and mortality. However, no previous studies have rigorously evaluated the relationship between incident acute kidney injury (AKI) and functional status of elderly patients.

methodsElderly patients (≥ 65 years-old) were prospectively from the general medical wards of a single medical center in Taiwan between January, 2014 and August, 2014. These patients were divided into those with and without AKI at initial presentation, according to Kidney Disease Improving Global Outcomes (KDIGO) criteria. Functional status was assessed by Barthel Index on admission. Multiple regression analyses were utilized to investigate the relationship between AKI and functional status.

resultsOne hundred and fifty-two elderly patients were recruited, 38.9 % of whom had AKI. Patients with AKI at admission had significantly higher mean Charlson Comorbidity Index score (p = 0.05) and borderline lower mean Barthel Index score (34.5 vs. 43.1; p = 0.08), and a significantly lower bladder continence subscale (5.4 vs. 7.0; p = 0.05). Multiple regression analyses indicated that the presence of AKI at admission was associated with a significantly lower Barthel Index score (p = 0.04). Increasing AKI severity (higher KDIGO stage) was also associated with significantly lower Barthel Index score (p < 0.01).

conclusionsThis study documented a close relationship between AKI and functional status in the elderly. Interventions that aim to restore functional status might help to lower the risk of AKI in the elderly.

Indexed as

Health StatusActivities of Daily LivingAcute Kidney InjuryAgedAged, 80 and overCross-Sectional StudiesFemaleGeriatric AssessmentHospitalizationHumansIncidenceMaleQuality of LifeRisk FactorsSurvival RateTaiwan

Identifiers

PMID26552371
PMCPMC4640369

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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.