Evidence map›Paper›PMID 29705887›Full record

ArticleHepatology international2018

Analysis of the high incidence of acute kidney injury associated with acute-on-chronic liver failure.

Nan Chen, Xiaohong Chen, Xiaoqiang Ding, Jie Teng

Abstract read
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In one paragraph

Article in Hepatology international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Protective Effects ofAntioxidants (Basel, Switzerland) · 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

4 authors.

Nan ChenHemopurification Center, Shanghai Public Health Clinical Center, No. 921 Tongxin Road, Shanghai, 200083, People's Republic of China.
Xiaohong ChenDepartment of Nephrology, Zhongshan Hospital, Shanghai Medical College, Fudan University, No. 180 Fenglin Road, Shanghai, 200032, People's Republic of China.
Xiaoqiang DingDepartment of Nephrology, Zhongshan Hospital, Shanghai Medical College, Fudan University, No. 180 Fenglin Road, Shanghai, 200032, People's Republic of China.
Jie TengDepartment of Nephrology, Zhongshan Hospital, Shanghai Medical College, Fudan University, No. 180 Fenglin Road, Shanghai, 200032, People's Republic of China. teng.jie@zs-hospital.sh.cn.ORCID http://orcid.org/0000-0003-3241-5705

Funding

Science and Technology Commission of Shanghai Municipality 14DZ2260200Shanghai Municipal Commission of Health and Family Planning 2013SY048
6 · The paper itself

Abstract

backgroundTo investigate the incidence, risk, and prognostic factors of acute kidney injury (AKI) in acute-on-chronic liver failure (ACLF) patients.

methodsA total of 188 patients were prospectively included and divided into AKI and non-AKI groups. Patients were followed at 1, 3, 7, 14, 28, 60, and 90 days after the onset of AKI. Significant risk factors were screened by univariate and Cox multivariate survival analyses to confirm the independent risk factors for 30- or 90-day mortality and the 90-day renal function recovery rate.

resultsA total of 98 AKI cases (52.1%, [95% CI 44.9-59.3%]) occurred and the risk factors for AKI development in ACLF patients were age > 50 years (p = 0.009) and albumin (Alb) levels < 32 g/L (p = 0.007). The 30- and 90-day mortalities were significantly higher in the AKI than in the non-AKI group (79.6 vs 41.1%, 82.7 vs 56.7%, p < 0.05). AKI highest staging occurring within < 4 days of its onset and spontaneous peritonitis as well as MELD scores > 27 were independent risk factors for 30- and 90-day mortalities of ACLF AKI patients. AKI stage 3 and age > 52 years were independent risk factors for non-renal function recovery in ACLF patients with AKI.

conclusionsACLF patients had a high incidence of AKI, which correlated with 30- and 90-day mortalities.

Indexed as

Severity of Illness IndexAcute Kidney InjuryAcute-On-Chronic Liver FailureAdultAgedAge FactorsEnd Stage Liver DiseaseFemaleHumansIncidenceMaleMiddle AgedPrognosisProportional Hazards ModelsProspective StudiesRisk FactorsSerum AlbuminAcute kidney injury (AKI)Child–Pugh scoreKDIGOLiver failureMELD score

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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.