Evidence map›Paper›PMID 29948445›Full record

ArticleClinical and experimental nephrology2018

Long-term outcomes in acute kidney injury patients who underwent continuous renal replacement therapy: a single-center experience.

Harin Rhee, Gum Sook Jang, Yeo Jin An, Miyeun Han, Inseong Park, Il Young Kim, Eun Young Seong, Dong Won Lee, Soo Bong Lee, Ihm Soo Kwak and 1 more

Abstract read
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In one paragraph

Article in Clinical and experimental nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 38% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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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

11 authors at 2 institutions in 1 country.

Harin RheeDepartment of Internal Medicine, Pusan National University School of Medicine, Pusan, Republic of Korea.
Gum Sook JangDepartment of Nursing, Pusan National University Hospital, Pusan, Republic of Korea.
Yeo Jin AnDepartment of Nursing, Pusan National University Hospital, Pusan, Republic of Korea.
Miyeun HanDepartment of Internal Medicine, Pusan National University School of Medicine, Pusan, Republic of Korea.
Inseong ParkDepartment of Internal Medicine, Pusan National University School of Medicine, Pusan, Republic of Korea.
Il Young KimDepartment of Internal Medicine, Pusan National University School of Medicine, Pusan, Republic of Korea.
Eun Young SeongDepartment of Internal Medicine, Pusan National University School of Medicine, Pusan, Republic of Korea.
Dong Won LeeDepartment of Internal Medicine, Pusan National University School of Medicine, Pusan, Republic of Korea.
Soo Bong LeeDepartment of Internal Medicine, Pusan National University School of Medicine, Pusan, Republic of Korea.
Ihm Soo KwakDepartment of Internal Medicine, Pusan National University School of Medicine, Pusan, Republic of Korea.
Sang Heon SongDepartment of Internal Medicine, Pusan National University School of Medicine, Pusan, Republic of Korea. shsong0209@pusan.ac.kr.ORCID http://orcid.org/0000-0002-8218-6974
Pusan National University Hospital · KRPusan National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute kidney injury (AKI) requiring continuous renal replacement therapy (CRRT) is the most severe form of AKI associated with poor short- and long-term patient outcomes. The aim of this study was to evaluate the variables associated with long-term patient survival in our clinic.

methodsThis was a single-center retrospective study with AKI survivors who received CRRT from March 2011 to February 2015. During the study period, all consecutive AKI survivors who underwent CRRT were included. Patients on maintenance dialysis prior to CRRT were excluded. Data were collected by reviewing the patients' medical charts. Long-term follow-up data were gathered through February 2018.

resultsA total of 430 patients were included, and 62.8% of the patients were male. The mean age of the patients was 63.4 ± 14.6 years. The mean serum creatinine level at the time of CRRT initiation was 3.5 ± 2.5 mg/dL. At the time of discharge, the mean eGFR and serum creatinine levels were 58.4 ± 46.7 and 1.7 ± 1.6 mg/dL, respectively. After 3 years, 44.9% of the patients had survived. When we investigated the factors associated with long-term patient mortality, a longer stay in the ICU [OR 1.034 (1.016-1.053), p < 0.001], a history of cancer [OR 3.830 (1.037-3.308), p = 0.037], a prolonged prothrombin time [OR 1.852 (1.037-3.308), p = 0.037] and a lower eGFR at the time of discharge [OR 0.988 (0.982-0.995), p = 0.001] were independently associated with long-term patient mortality.

conclusionOur study demonstrates that long-term mortality after CRRT is associated with longer ICU stays and lower eGFRs at the time of hospital discharge. Our data imply the importance of renal recovery for long-term survival of AKI patients treated with CRRT.

Indexed as

Renal Replacement TherapyAcute Kidney InjuryAdultAgedFemaleGlomerular Filtration RateHumansMaleMiddle AgedRetrospective StudiesAcute kidney injuryContinuous renal replacement therapyLong-term outcome

Identifiers

PMID29948445
OpenAlexW2807954350

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.