ArticleWorld journal of nephrology2017
Clinicopathological spectrum of snake bite-induced acute kidney injury from India.
Article in World journal of nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Snakebite Envenoming a Challenging Diagnosis for the Forensic Pathologist: A Systematic Review.Toxins · 2020Pooled it
- Clinical Profile and Outcome of Snake Bite-Associated Acute Kidney Injury: A Retrospective Study.International journal of nephrology · 2026Article
- Eburicoic Acid fromJournal of inflammation research · 2026Article
- Masked peril: acute kidney injury in snakebite victims.Pediatric nephrology (Berlin, Germany) · 2025Article
- Clinical characteristics of snake envenomation-related acute kidney injury in South Korea.Scientific reports · 2024Article
- The kidney histopathological spectrum of patients with kidney injury following snakebite envenomation in India: scoping review of five decades.BMC nephrology · 2024Article
- Fangs in the Ghats: Preclinical Insights into the Medical Importance of Pit Vipers from the Western Ghats.International journal of molecular sciences · 2023Article
- Global mortality of snakebite envenoming between 1990 and 2019.Nature communications · 2022Article
- The Middle Eastern Cousin: Comparative Venomics ofToxins · 2022Article
- Article
- Snake bite associated with acute kidney injury.Pediatric nephrology (Berlin, Germany) · 2021Review
- Article
- Scrotal necrosis after cobra (Urology case reports · 2021Article
- Erythrocyte haemotoxicity profiling of snake venom toxins after nanofractionation.Journal of chromatography. B, Analytical technologies in the biomedical and life sciences · 2021Article
- Chronic kidney failure following lancehead bite envenoming: a clinical report from the Amazon region.The journal of venomous animals and toxins including tropical diseases · 2020Article
- Acute kidney failure following severe viper envenomation: clinical, biological and ultrasonographic aspects.The journal of venomous animals and toxins including tropical diseases · 2020Article
- Bedside Coagulation Tests in Diagnosing Venom-Induced Consumption Coagulopathy in Snakebite.Toxins · 2020Review
- Prognosis and long-term outcomes of acute kidney injury due to snake envenomation.Clinical kidney journal · 2020Article
- Thrombotic microangiopathy in hematotoxic snakebites and its impact on the prognosis: an entity often overlooked.Journal of thrombosis and thrombolysis · 2019Article
- The Urgent Need to Develop Novel Strategies for the Diagnosis and Treatment of Snakebites.Toxins · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo study the clinico-pathological spectrum of snake bite-induced acute kidney injury (AKI).
methodsA retrospective study of patients admitted at Indira Gandhi Medical College Hospital, Shimla with snake bite-induced AKI from July 2003 to June 2016. Medical records were evaluated for patient's information on demographic, clinical characteristics, complications and outcome. Outcomes of duration of hospital stay, requirement for intensive care unit support, treatment with dialysis, survival and mortality were analyzed. The survival and non survival groups were compared to see the difference in the demographic factors, clinical characteristics, laboratory results, and complications. In patients subjected to kidney biopsy, the findings of histopathological examination of the kidney biopsies were also analyzed.
resultsOne hundred and twenty-one patients were diagnosed with snake bite-induced AKI. Mean age was 42.2 ± 15.1 years and majority (58%) were women. Clinical details were available in 88 patients. The mean duration of arrival at hospital was 3.4 ± 3.7 d with a range of 1 to 30 d. Eighty percent had oliguria and 55% had history of having passed red or brown colored urine. Coagulation defect was seen in 89% patients. The hematological and biochemical laboratory abnormalities were: Anemia (80.7%), leukocytosis (75%), thrombocytopenia (47.7%), hyperkalemia (25%), severe metabolic acidosis (39.8%), hepatic dysfunction (40.9%), hemolysis (85.2%) and rhabdomyolysis (68.2%). Main complications were: Gastrointestinal bleed (12.5%), seizure/encephalopathy (10.2%), hypertension, pneumonia/acute respiratory distress syndrome (ARDS) and disseminated intravascular coagulation (9.1% each), hypotension and multi organ failure (MOF) (4.5% each). Eighty-two percent patients required renal replacement therapy. One hundred and ten (90.9%) patient survived and 11 (9.1%) patients died. As compared to the survival group, the white blood cell count (
conclusionAKI due to snake bite is severe and a high proportion requires renal replacement therapy. On renal histology ATN and AIN are common, RCN is rare.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.