Evidence map›Paper›PMID 28717983›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2018

Evaluation of acute kidney injury (AKI) with RIFLE, AKIN, CK, and KDIGO in critically ill trauma patients.

F Ülger, M Pehlivanlar Küçük, A O Küçük, N K İlkaya, N Murat, B Bilgiç, H Abanoz

Abstract readEvaluation Study
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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. Prevalence and risk factors of acute kidney injury in polytrauma patients at Muhimbili Orthopedic Institute, Tanzania.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021
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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

7 authors.

F ÜlgerDepartment of Anesthesiology and Reanimation, Division Of Intensive Care Medicine, Ondokuz Mayıs University, Samsun, 55100, Turkey.
M Pehlivanlar KüçükDepartment of Anesthesiology and Reanimation, Division Of Intensive Care Medicine, Ondokuz Mayıs University, Samsun, 55100, Turkey. mehtap_phlvnlr@hotmail.com.ORCID http://orcid.org/0000-0003-2247-4074
A O KüçükDepartment of Anesthesiology and Reanimation, Gazi State Hospital, 55100, Samsun, Turkey.ORCID http://orcid.org/0000-0002-6993-0519
N K İlkayaDepartment of Anesthesiology and Reanimation, Division Of Intensive Care Medicine, Ondokuz Mayıs University, Samsun, 55100, Turkey.
N MuratDepartment of Industrial Engineering, Faculty of Engineering, Ondokuz Mayıs University, 55100, Samsun, Turkey.
B BilgiçDepartment of Anesthesiology and Reanimation, Ege Umut Hospital, 45400, Manisa, Turkey.
H AbanozDepartment of Anesthesiology and Reanimation, Gümüşhane State Hospital, 29000, Gümüşhane, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of our study was to evaluate the effects of AKI development on mortality with four different classification systems (RIFLE, AKIN, CK, KDIGO) in critically ill trauma patients followed in the intensive care unit.

methodsA retrospective review of 2034 patients in our intensive care unit was conducted between July 2010 and August 2013. A total of 198 patients with primary trauma were included in the study to evaluate the development of AKI.

resultsWhen the presence of AKI was investigated according to the four criteria (RIFLE, AKIN, CK, and KDIGO), the highest incidence of AKI was found according to the KDIGO classification (74.2%), followed by AKIN (72.2%), RIFLE (69.7%), and CK (59.1%). It was observed that more AKI developed according to KDIGO in patients with multiple trauma and thoracic trauma (p = 0.031, p = 0.029). Sixty-two (31%) of the 198 trauma patients monitored in the intensive care unit died; mortality was frequently found high in AKI stage 2 and 3 patients. According to the CK classification, there was a significant increase in mortality in patients with AKI on the first day (p = 0.045). AKI classifications by RIFLE, AKIN, CK, and KDIGO were independently associated with the risk of in-hospital death.

conclusionIn this study, the presence of AKI was found to be an independent risk factor in the development of in-hospital mortality according to all classification systems (RIFLE, AKIN, CK, and KDIGO) in critically traumatic patients followed in ICU, and the compatibility between RIFLE, AKIN, and KDIGO was the highest among the classification systems.

Indexed as

Acute Kidney InjuryAdultAgedCritical IllnessFemaleHospital MortalityHumansIncidenceIntensive Care UnitsMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsSeverity of Illness IndexTurkeyAcute kidney injuryAKINCKKDIGORIFLETrauma

Identifiers

PMID28717983

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.