Evidence map›Paper›PMID 30310097›Full record

Observational studyScientific reports2018

Propensity-score-matched evaluation of under-recognition of acute kidney injury and short-term outcomes.

Buyun Wu, Li Li, Xiaoyan Cheng, Wenyan Yan, Yun Liu, Changying Xing, Huijuan Mao

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03736304 (The Effect of Automated Electronic Alert for Acute Kidney Injury on the Outcomes of Hospitalized Patients), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT03736304 nacompletednot on this mapstarted 2019, after this paper: background citation

The Effect of Automated Electronic Alert for Acute Kidney Injury on the Outcomes of Hospitalized Patients: a Single Center Randomized Controlled Trial.

TypeinterventionalSponsorThe First Affiliated Hospital with Nanjing Medical UniversityRan2019 to 2022Enrolled4,536ConditionsAcute Kidney Injury, Outcomes, Early DiagnosisArmsAKI alert, Usual care
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Point-of-care creatinine vs. central laboratory creatinine in the critically ill.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2024
    Article
  2. Article
  3. 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

7 authors.

Buyun WuDepartment of Nephrology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Li LiDepartment of Nephrology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Xiaoyan ChengDepartment of Nephrology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Wenyan YanDepartment of Nephrology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Yun LiuDepartment of Information, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Changying XingDepartment of Nephrology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Huijuan MaoDepartment of Nephrology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China. huijuanmao@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI) is a common disease, but diagnosis is usually delayed or missed in hospitalized patients. The aim of this study was to investigate the impact of under-recognition of AKI (beyond 3 days after AKI onset) on short-time prognosis. Of 785 patients with under-recognition of AKI and 616 patients with timely-recognition of AKI were propensity matched in a 1:1 ratio. The two groups, with a total of 482 matched patients (241:241), were comparable in baseline covariates. Under-recognition of AKI was not associated with 30-day all-cause mortality in the logistic regression model with covariate adjustment (OR = 1.01, 95% CI = 0.62-1.64, p = 0.967). Sensitivity analyses and subgroup analyses also proved the association. There were also no significant differences in causes of 30-day mortality, in-hospital mortality, recovery of renal function at discharge, length of hospital stay, length of intensive care unit stay or hospitalization costs between the two groups, although timely-recognition group had more chance of renal consult and a little more interventions for AKI. In conclusion, under-recognition of AKI may not be associated with poor short-term outcomes of adult hospitalized patients via these propensity-score-matched analyses.

Indexed as

Acute Kidney InjuryAgedFemaleHospitalizationHospital MortalityHumansKidneyLength of StayLogistic ModelsMaleMiddle AgedPrognosisPropensity ScoreRetrospective StudiesTime Factors

Identifiers

PMID30310097
PMCPMC6181969

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Registered trials

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.