Evidence map›Paper›PMID 29931223›Full record

Observational studyJournal of burn care & research : official publication of the American Burn Association2018

Renal Replacement Therapy in Severe Burns: A Multicenter Observational Study.

Kevin K Chung, Elsa C Coates, William L Hickerson, Angela L Arnold-Ross, Daniel M Caruso, Marlene Albrecht, Brett D Arnoldo, Christina Howard, Laura S Johnson, Melissa M McLawhorn and 9 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of burn care & research : official publication of the American Burn Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Filter Lifespan, Treatment Effect, and Influencing Factors of Continuous Renal Replacement Therapy for Severe Burn Patients.Journal of burn care & research : official publication of the American Burn Association · 2024
    Article
  3. Review
  4. Acute kidney injury in patients with burns.Nature reviews. Nephrology · 2024
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Article
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

19 authors at 9 institutions in 1 country.

Kevin K ChungBrooke Army Medical Center, Fort Sam Houston, Texas.
Elsa C CoatesUnited States Army Institute of Surgical Research, Fort Sam Houston, Texas.
William L HickersonUniversity of Tennessee Firefighters' Regional Burn Center, Memphis, Tennessee.
Angela L Arnold-RossUniversity of Tennessee Firefighters' Regional Burn Center, Memphis, Tennessee.
Daniel M CarusoArizona Burn Center Maricopa Integrated Health Systems, Phoenix, Arizona.
Marlene AlbrechtArizona Burn Center Maricopa Integrated Health Systems, Phoenix, Arizona.
Brett D ArnoldoUniversity of Texas Southwestern Medical Center, Dallas, Texas.
Christina HowardUniversity of Texas Southwestern Medical Center, Dallas, Texas.
Laura S JohnsonMedStar Washington Hospital Center, Washington DC.
Melissa M McLawhornMedStar Washington Hospital Center, Washington DC.
Bruce FriedmanDoctors Hospital Joseph M. Still Burn Center, Augusta, Georgia.
Amy M SpragueDoctors Hospital Joseph M. Still Burn Center, Augusta, Georgia.
Michael J MosierLoyola University Medical Center, Maywood, Illinois.
David J SmithUniversity of South Florida Tampa General Hospital, Tampa, Florida.
Rachel A KarlnoskiUniversity of South Florida Tampa General Hospital, Tampa, Florida.
James K AdenBrooke Army Medical Center, Fort Sam Houston, Texas.
Elizabeth A Mann-SalinasUnited States Army Institute of Surgical Research, Fort Sam Houston, Texas.
Steven E WolfUniversity of Texas Southwestern Medical Center, Dallas, Texas.
Randomized controlled Evaluation of high-volume hemofiltration in adult burn patients with Septic shoCk and acUte kidnEy injury (RESCUE) Investigators
United States Army Institute of Surgical Research · USUniversity of South Florida · USDoctors Hospital · USThe University of Texas Southwestern Medical Center · USBrooke Army Medical Center · USMedStar Washington Hospital Center · USUniversity of Tennessee at Knoxville · USValleywise Health · USLoyola University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI) after severe burns is historically associated with a high mortality. Over the past two decades, various modes of renal replacement therapy (RRT) have been used in this population. The purpose of this multicenter study was to evaluate demographic, treatment, and outcomes data among severe burn patients treated with RRT collectively at various burn centers around the United States. After institutional review board approval, a multicenter observational study was conducted. All adult patients aged 18 or older, admitted with severe burns who were placed on RRT for acute indications but not randomized into a concurrently enrolling interventional trial, were included. Across eight participating burn centers, 171 subjects were enrolled during a 4-year period. Complete data were available in 170 subjects with a mean age of 51 ± 17, percent total body surface area burn of 38 ± 26% and injury severity score of 27 ± 21. Eighty percent of subjects were male and 34% were diagnosed with smoke inhalation injury. The preferred mode of therapy was continuous venovenous hemofiltration at a mean delivered dose of 37 ± 19 (ml/kg/hour) and a treatment duration of 13 ± 24 days. Overall, in hospital, mortality was 50%. Among survivors, 21% required RRT on discharge from the hospital while 9% continued to require RRT 6 months after discharge. This is the first multicenter cohort of burn patients who underwent RRT reported to date. Overall mortality is comparable to other critically ill populations who undergo RRT. Most patients who survive to discharge eventually recover renal function.

Indexed as

Renal Replacement TherapyAcute Kidney InjuryBurnsFemaleHumansMaleMiddle AgedUnited States

Identifiers

PMID29931223
PMCPMC6198739
OpenAlexW2809400671

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.