Evidence map›Paper›PMID 27875571›Full record

ArticlePloS one2016

Short- and Long-Term Mortality Rates of Elderly Acute Kidney Injury Patients Who Underwent Continuous Renal Replacement Therapy.

Harin Rhee, Keum Sook Jang, Jong Man Park, Jin Suk Kang, Na Kyoung Hwang, Il Young Kim, Sang Heon Song, Eun Young Seong, Dong Won Lee, Soo Bong Lee and 1 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  11. A Clinical and Demographic Profile of Elderly (>65 Years) in the Medical Intensive Care Units of a Tertiary Care Center.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  12. Article
  13. Acute kidney injury and aging.Pediatric nephrology (Berlin, Germany) · 2021
    Review
  14. Article
  15. Article
  16. Observational
  17. Review
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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

11 authors at 2 institutions in 1 country.

Harin RheeDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Keum Sook JangDepartment of Nursing, Pusan National University Hospital, Busan, Republic of Korea.
Jong Man ParkDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Jin Suk KangDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Na Kyoung HwangDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Il Young KimDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Sang Heon SongDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Eun Young SeongDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Dong Won LeeDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Soo Bong LeeDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Ihm Soo KwakDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Pusan National University · KRPusan National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe world's population is aging faster and the incidence of acute kidney injury (AKI) needing continuous renal replacement therapy (CRRT) is increasing in elderly population. The outcome of AKI needing CRRT in elderly patients is known to be poor. However, the definitions of elderly used in the previous literatures were diverse and, there were few data that compared the long-term mortality rates of these patients with middle aged patients. This study was aimed to evaluate this issue.

methodsThis study was a single-center, retrospective cohort study of patients who underwent CRRT from January 2013 to December 2015. The patients were divided into the following four age cohorts: middle-aged (55-64), young-old (65-74), middle-old (75-84), and old-old (≥85). The short- and long-term mortality rates for each age cohort were compared.

resultsA total of 562 patients met the inclusion criteria. The short-term mortality rate was 57.3% in the entire cohort. Compared with the middle-aged cohort, the middle-old cohort (HR 1.48 (1.09-2.02), p = 0.012) and the old-old cohort (HR 2.33 (1.30-4.19), p = 0.005) showed an increased short-term mortality rate along with an increased SOFA score, acidemia and a prolonged prothrombin time. When we analyzed the long-term mortality rate of the 238 survived patients, the middle-old cohort (HR 3.76 (1.84-7.68), p<0.001), the old-old cohort (HR 4.40(1.20-16.10), p = 0.025), a lower BMI, the presence of liver cirrhosis, the presence of congestive heart failure and a history of sepsis were independent risk factors for the prediction of long-term mortality.

conclusionCompared with the middle-aged cohort, the middle-old and the old-old cohort showed an increased short-term and long-term mortality rate. However, in the young-old cohort, neither the short-term nor the long-term mortality rate was increased.

Indexed as

Acute Kidney InjuryAgedAged, 80 and overAge FactorsDisease-Free SurvivalFemaleHumansKidney TransplantationMaleMiddle AgedRetrospective StudiesRisk FactorsSurvival Rate

Identifiers

PMID27875571
PMCPMC5119822
OpenAlexW2550341859

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.