Evidence map›Paper›PMID 27746455›Full record

ArticleMedical science monitor : international medical journal of experimental and clinical research2016

Early and Late Acute Kidney Injury in Severely Burned Patients.

Wojciech Witkowski, Marek Kawecki, Agnieszka Surowiecka-Pastewka, Wojciech Klimm, Katarzyna Szamotulska, Stanisław Niemczyk

Open access · hybridAbstract read
In one paragraph

Article in Medical science monitor : international medical journal of experimental and clinical research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Acute kidney injury in pediatric burn patients.Pediatric nephrology (Berlin, Germany) · 2024
    Article
  5. Tissue Inhibitors of Metalloproteinase 1 (TIMP-1) and 3 (TIMP-3) as New Markers of Acute Kidney Injury After Massive Burns.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Acute kidney injury in burns in the intensive care unit: A retrospective research.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Observational
  14. Factors associated with acute kidney injury in the Helsinki Burn Centre in 2006-2015.Scandinavian journal of trauma, resuscitation and emergency medicine · 2018
    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

6 authors at 2 institutions in 1 country.

Wojciech WitkowskiDepartment of Burns, Plastic and Reconstructive Surgery, Military Institute of Medicine, Warsaw, Poland.
Marek Kawecki, Centre for the Treatment of Burns, Siemianowice Śląskie, Poland.
Agnieszka Surowiecka-PastewkaDepartment of Burns, Plastic and Reconstructive Surgery, Military Institute of Medicine, Warsaw, Poland.
Wojciech KlimmDepartment of Internal Medicine, Nephrology and Dialysotherapy, Military Institute of Medicine, Warsaw, Poland.
Katarzyna SzamotulskaDepartment of Epidemiology and Biostatistics , Institute of Mother and Child , Warsaw, Poland.
Stanisław NiemczykDepartment of Internal Medicine, Nephrology and Dialysotherapy, Military Institute of Medicine, Warsaw, Poland.
Wojskowy Instytut Medycyny Lotniczej · PLAlta (Poland) · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND This study evaluated factors influencing early and late occurrence of AKI in severely burned patients and assessed the relationship between time of occurrence of AKI and mortality of AKI patients. MATERIAL AND METHODS Renal function was evaluated at 3 time points: at admission, at the critical point or middle point of hospitalization, and at the endpoint for which death or a discharge from the center was considered. AKI criteria were: decrease in GFR of less than 60 ml/min at admission, decrease in GFR of more than 75% compared to baseline, and decrease in the daily diuresis of less than 500 ml/24 h. RESULTS At admission, 15.1% of the patients had eGFR <60 ml/min. AKI occurred in 38.5% of cases. The occurrence of AKI was associated with: elderly age (p<0.001), female sex (p=0.017), overweight and obesity (p=0.055); extent and depth of burns, respiratory failure, low protein concentration (for all p<0.001), low blood pressure (p=0.014), and high WBC (p=0.010). Early AKI was detected in 28% of patients. Mortality was 100% with the initial GFR ≥60, 100% with the initial GFR <60 and early deterioration of renal function, 80% with the initial GFR <60 and late worsening, and 60% with the initial GFR <60 and no worsening. Late AKI was observed in 10% of patients and mortality in this group was 79.2%. Mortality in the entire group with AKI was 88.0% versus 24.5%. CONCLUSIONS The frequent occurrence of AKI, especially early, worsens the prognosis for survival. Assessment of renal function should be included in the prognostic scales for burned patients.

Indexed as

Acute Kidney InjuryAdultAgedBurnsCreatinineFemaleGlomerular Filtration RateHospitalizationHumansMaleMiddle AgedPatient DischargePrognosisRetrospective StudiesRisk FactorsTreatment OutcomeCreatinine

Identifiers

PMID27746455
PMCPMC5070618
OpenAlexW2538424694

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.