Evidence map›Paper›PMID 29097621›Full record

ArticleJournal of the American Society of Nephrology : JASN2018

Clinical Decision Support for In-Hospital AKI.

Mohammed Al-Jaghbeer, Dilhari Dealmeida, Andrew Bilderback, Richard Ambrosino, John A Kellum

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04530448 (Coronavirus Induced Acute Kidney Injury), which is not on this map. Cited by 221 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
221citing 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.

NCT04530448 phase4terminatednot on this mapstarted 2020, after this paper: background citation

Coronavirus Induced Acute Kidney Injury: Prevention Using Urine Alkalinization

TypeinterventionalSponsorWest Virginia UniversityRan2020 to 2021Enrolled3ConditionsCOVID, Coronavirus, Coronavirus Infection, AKIArmsSodium bicarbonate, Standard of Care
3 · Its place in the literature

Who cites it

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

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161 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Mohammed Al-JaghbeerCenter for Critical Care Nephrology, Clinical Research Investigation and Systems Modeling of Acute illness Center, Department of Critical Care Medicine.
Dilhari DealmeidaDepartment of Health Information Management, and.
Andrew BilderbackWolff Center and.
Richard AmbrosinoDepartment of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania; and.
John A KellumCenter for Critical Care Nephrology, Clinical Research Investigation and Systems Modeling of Acute illness Center, Department of Critical Care Medicine, kellumja@upmc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AKI carries a significant mortality and morbidity risk. Use of a clinical decision support system (CDSS) might improve outcomes. We conducted a multicenter, sequential period analysis of 528,108 patients without ESRD before admission, from October of 2012 to September of 2015, to determine whether use of a CDSS reduces hospital length of stay and in-hospital mortality for patients with AKI. We compared patients treated 12 months before (181,696) and 24 months after (346,412) implementation of the CDSS. Coprimary outcomes were hospital mortality and length of stay adjusted by demographics and comorbidities. AKI was diagnosed in 64,512 patients (12.2%). Crude mortality rate fell from 10.2% before to 9.4% after CDSS implementation (odds ratio, 0.91; 95% confidence interval [95% CI], 0.86 to 0.96;

Indexed as

Decision Support TechniquesHospital MortalityAcute Kidney InjuryAdultAgedAged, 80 and overClinical Decision-MakingFemaleHumansInterrupted Time Series AnalysisLength of StayMaleMiddle AgedRenal Dialysisacute renal failureelectronic alertselectronic health recordElectronic medical recordnephrotoxicityradio contrast

Identifiers

PMID29097621
PMCPMC5791078

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.