Evidence map›Paper›PMID 29132321›Full record

ArticleBMC nephrology2017

The role of the specialized team in the operation of continuous renal replacement therapy: a single-center experience.

Harin Rhee, Gum Sook Jang, Miyeun Han, In Seong Park, Il Young Kim, Sang Heon Song, Eun Young Seong, Dong Won Lee, Soo Bong Lee, Ihm Soo Kwak

Abstract read
In one paragraph

Article in BMC nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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

10 authors.

Harin RheeDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Gum Sook JangDepartment of Nursing, Pusan National University Hospital, Busan, Republic of Korea.
Miyeun HanDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
In Seong ParkDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Il Young KimDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Sang Heon SongDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Eun Young SeongDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Dong Won LeeDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Soo Bong LeeDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Ihm Soo KwakDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea. iskwak@pusan.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe requirement of continuous renal replacement therapy (CRRT) is increasing with the growing incidence of acute kidney injury (AKI). The decision to initiate CRRT is not difficult if an adequate medical history is obtained. However, the handling and maintenance of CRRT constitute a labor-intensive intervention that requires specialized skills. For these reasons, our center organized a specialized CRRT team in March 2013. The aim of this study is to report on the role of a specialized CRRT team and to evaluate the team's outcome.

methodsThis retrospective single-center study evaluated AKI patients who underwent CRRT in the intensive care unit (ICU) from March 2011 to February 2015. Patients were divided into two groups based on whether they received specialized CRRT team intervention. We collected information on demographic characteristics, laboratory parameters, SOFA score, CRRT initiation time, actual delivered dose and CRRT down-time. In-hospital mortality was defined by medical chart review. Binary logistic regression analysis was used to define factors associated with in-hospital mortality.

resultsA total of 1104 patients were included in this study. The mean patient age was 63.85 ± 14.39 years old, and 62.8% of the patients were male. After the specialized CRRT team intervention, there was a significant reduction in CRRT initiation time (5.30 ± 13.86 vs. 3.60 ± 11.59 days, p = 0.027) and CRRT down-time (1.78 ± 2.23 vs. 1.38 ± 2.08 h/day, p = 0.002). The rate of in-hospital mortality decreased after the specialized CRRT team intervention (57.5 vs. 49.2%, p = 0.007). When the multivariable analysis was adjusted, delayed CRRT initiation (HR 1.054(1.036-1.072), p < 0.001) was a significant factor in predicting in-hospital mortality, along with an increased SOFA score, lower serum albumin and prolonged prothrombin time.

conclusionsOur study shows that specialized CRRT team intervention reduced CRRT initiation time, down-time and in-hospital mortality. This study could serve as a logical basis for implementing specialized CRRT teams hospital-wide.

Indexed as

Acute Kidney InjuryAgedFemaleHospital MortalityHumansIntensive Care UnitsMaleMiddle AgedPatient Care TeamRenal Replacement TherapyRetrospective StudiesAcute kidney injuryContinuous renal replacement therapySpecialized team intervention

Identifiers

PMID29132321
PMCPMC5683314

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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.