Evidence map›Paper›PMID 28219327›Full record

ReviewBMC nephrology2017

Incidence, timing and outcome of AKI in critically ill patients varies with the definition used and the addition of urine output criteria.

J Koeze, F Keus, W Dieperink, I C C van der Horst, J G Zijlstra, M van Meurs

Abstract readReview
In one paragraph

Review in BMC nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 5 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

121 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  5. Pooled it
  6. Trial
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  17. Observational
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61 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.

J KoezeDepartment of Critical Care, University of Groningen, University Medical Center Groningen, Postbus 30.001, 9700 RB, Groningen, The Netherlands. j.koeze@umcg.nl.
F KeusDepartment of Critical Care, University of Groningen, University Medical Center Groningen, Postbus 30.001, 9700 RB, Groningen, The Netherlands.
W DieperinkDepartment of Critical Care, University of Groningen, University Medical Center Groningen, Postbus 30.001, 9700 RB, Groningen, The Netherlands.
I C C van der HorstDepartment of Critical Care, University of Groningen, University Medical Center Groningen, Postbus 30.001, 9700 RB, Groningen, The Netherlands.
J G ZijlstraDepartment of Critical Care, University of Groningen, University Medical Center Groningen, Postbus 30.001, 9700 RB, Groningen, The Netherlands.
M van MeursDepartment of Critical Care, University of Groningen, University Medical Center Groningen, Postbus 30.001, 9700 RB, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) is a serious complication of critical illness with both attributed morbidity and mortality at short-term and long-term. The incidence of AKI reported in critically ill patients varies substantially with the population evaluated and the definitions used. We aimed to assess which of the AKI definitions (RIFLE, AKIN or KDIGO) with or without urine output criteria recognizes AKI most frequently and quickest. Additionally, we conducted a review on the comparison of incidence proportions of varying AKI definitions in populations of critically ill patients.

methodsWe included all patients with index admissions to our intensive care unit (ICU) from January 1

conclusionAKIN and KDIGO criteria detect more patients with AKI compared to RIFLE criteria. Addition of urine output criteria detect patients with AKI 11 h earlier than serum creatinine criteria and may double AKI incidences in critically ill patients. This could explain the large heterogeneity observed in literature.

Indexed as

Hospital MortalityAcute Kidney InjuryAdultAgedCohort StudiesComorbidityCreatinineCritical IllnessFemaleHumansIncidenceIntensive Care UnitsLength of StayMaleMiddle AgedTime FactorsCreatinineAcute kidney injuryDefinitionsIncidenceIntensive CareTiming

Identifiers

PMID28219327
PMCPMC5319106

What OpenQuestion holds

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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.