Evidence map›Paper›PMID 30080913›Full record

ArticleJornal brasileiro de nefrologia

The impact of dialysis on critically ill elderly patients with acute kidney injury: an analysis by propensity score matching.

Flávio Teles, Renata Oliveira Santos, Helder Marx Almeida de Moura Lima, Rodrigo Peixoto Campos, Eline Calumby Teixeira, Ananda Camilla de Andrade Alves, André Falcão Pedrosa Costa, Jorge Artur Peçanha de Miranda Coelho

Open access · diamondAbstract read
In one paragraph

Article in Jornal brasileiro de nefrologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 33% 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, 14 citations in OpenAlex.

  1. Article
  2. Advances of perioperative acute kidney injury in elderly patients undergoing non-cardiac surgery.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  3. A Clinical and Demographic Profile of Elderly (>65 Years) in the Medical Intensive Care Units of a Tertiary Care Center.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
  4. The impact of age on intensive care.Ageing research reviews · 2023
    Review
  5. Article
  6. Article
  7. Article
  8. 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

8 authors at 3 institutions in 1 country.

Flávio TelesUniversidade Estadual de Ciências da Saúde de Alagoas, Maceió, AL, Brasil.ORCID http://orcid.org/0000-0002-6937-5615
Renata Oliveira SantosUniversidade Estadual de Ciências da Saúde de Alagoas, Maceió, AL, Brasil.
Helder Marx Almeida de Moura LimaSanta Casa de Misericórdia de Maceió, Maceió, AL, Brasil.
Rodrigo Peixoto CamposSanta Casa de Misericórdia de Maceió, Maceió, AL, Brasil.
Eline Calumby TeixeiraUniversidade Federal de Alagoas, Maceió, AL, Brasil.
Ananda Camilla de Andrade AlvesUniversidade Federal de Alagoas, Maceió, AL, Brasil.
André Falcão Pedrosa CostaUniversidade Federal de Alagoas, Maceió, AL, Brasil.
Jorge Artur Peçanha de Miranda CoelhoUniversidade Federal de Alagoas, Maceió, AL, Brasil.
Universidade Federal de Alagoas · BRSanta Casa de Misericórdia de Marília · BRUniversidade Estadual de Ciências da Saúde de Alagoas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAging is a global phenomenon. Recent forecasts indicate that Brazil will be the sixth country in population of elderly individuals in 2020. The incidence of acute kidney injury (AKI) among the elderly varies, but studies have indicated that older individuals are more prone to developing AKI and have higher mortality rates than the general population with renal disease. The impact of dialysis in elderly patients with AKI - and critically ill individuals with multiple dysfunctions - has been discussed for years. Evidence indicates that for this group of patients dialysis does not positively impact survival and, in some situations, it might even accelerate death. This study investigated a population of elderly individuals with AKI seen in intensive care units to assess, through Propensity Score Matching, the impact dialysis has had for them.

methodsData from the charts of patients aged 60 years or older seen at the intensive care unit of a general hospital between January 2012 and December 2014 and diagnosed with AKI were collected.

resultsThe study included 329 patients with a mean age of 75.4 ± 9.3 years. Ischemic AKI was the most prevalent disease (54.7%) and 28.9% of the patients needed dialysis. No difference was seen in the death rates of dialysis and non-dialysis patients aged 70+ years.

conclusionsThe data suggested that dialysis did not seem to impact the death rates of critically ill patients with AKI aged 70+ years.

Indexed as

Critical IllnessPropensity ScoreAcute Kidney InjuryAgedAged, 80 and overAgingBrazilFemaleHumansIncidenceIntensive Care UnitsLogistic ModelsMaleMiddle AgedRenal DialysisRetrospective Studies

Identifiers

PMID30080913
PMCPMC6534035
OpenAlexW2887436859

What OpenQuestion holds

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LicenceCC BY
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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.