Observational studyBMC nephrology2017
Clinical and laboratory parameters associated with acute kidney injury in patients with snakebite envenomation: a prospective observational study from Myanmar.
Observational study in BMC nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Snake envenomation and acute kidney injury: a systematic review and meta-analysis.BMC nephrology · 2026Pooled it
- Systematic Review of Human Poisoning and Toxic Exposures in Myanmar.International journal of environmental research and public health · 2021Pooled it
- From Venom to Kidney Injury: A Critical Review ofToxins · 2026Review
- Nephrotoxic acute kidney injury induced byThe journal of venomous animals and toxins including tropical diseases · 2026Article
- Outcomes Associated With the Timing of Antivenom Administration in Bothrops and Crotalus Snakebite Envenomations.Revista da Sociedade Brasileira de Medicina Tropical · 2026Article
- Acute kidney injury induced by snakebites in pediatric patients.Pediatric nephrology (Berlin, Germany) · 2025Article
- Review
- Clinical characteristics of snake envenomation-related acute kidney injury in South Korea.Scientific reports · 2024Article
- Treatment response and clinical features of snakebite envenomation in Alborz province, Iran: A cross-sectional study.Health science reports · 2024Article
- Acute phase reactions inThe journal of venomous animals and toxins including tropical diseases · 2024Article
- Article
- Potential economic and clinical implications of improving access to snake antivenom in five ASEAN countries: A cost-effectiveness analysis.PLoS neglected tropical diseases · 2022Article
- Snakebite Associated Thrombotic Microangiopathy and Recommendations for Clinical Practice.Toxins · 2022Review
- Managing snakebite.BMJ (Clinical research ed.) · 2022Review
- Snake bite associated with acute kidney injury.Pediatric nephrology (Berlin, Germany) · 2021Review
- Serial serum creatinine, SDMA and urinary acute kidney injury biomarker measurements in dogs envenomated by the European adder (Vipera berus).BMC veterinary research · 2021Article
- Acute kidney failure following severe viper envenomation: clinical, biological and ultrasonographic aspects.The journal of venomous animals and toxins including tropical diseases · 2020Article
- Clinical, hematobiochemical, and pathological findings and therapeutic management of viperine snake envenomation in zebu cattle.Tropical animal health and production · 2020Article
- Prognosis and long-term outcomes of acute kidney injury due to snake envenomation.Clinical kidney journal · 2020Article
- Renal Complications in Children with Hematotoxic Snakebite: More Information Needed.Indian pediatrics · 2020Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSnakebite-related acute kidney injury (AKI) is a common community-acquired AKI in tropical countries leading to death and disability. The aims of this study were to (1) determine the occurrence of snakebite-related AKI, (2) assess factors at presentation that are associated with snakebite-related AKI, and (3) determine the outcomes of patients with snakebite-related AKI.
methodsWe conducted a prospective observational study of patients with snake envenomation at the three academic tertiary care hospitals in Yangon, Myanmar between March 2015 and June 2016. Patient data including baseline characteristics, clinical and laboratory findings, hospital management, and outcomes were recorded in a case report form. A stepwise multivariate logistic regression analysis using a backward selection method determined independent factors significantly associated with AKI.
resultsAKI was observed in 140 patients (54.3%), the majority of whom were AKI stage III (110 patients, 78.6%). AKI occurred at presentation and developed during hospitalization in 88 (62.9%) and 52 patients (37.1%), respectively. Twenty-seven patients died (19.3%), and 69 patients (49.3%) required dialysis. On multivariate logistic regression analysis, (1) snakebites from the Viperidae family (odds ratio [OR]: 9.65, 95% confidence interval [CI]: 2.42-38.44; p = 0.001), (2) WBC >10 × 10
conclusionsIdentifying factors associated with snakebite-related AKI might help clinicians to be aware of snakebite patients who are at risk of AKI, particularly patients who demonstrate renal tubular dysfunction after Viperidae bites.
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