Evidence map›Paper›PMID 30560526›Full record

ArticleAnnals of intensive care2018

ICU survival and need of renal replacement therapy with respect to AKI duration in critically ill patients.

A S Truche, S Perinel Ragey, B Souweine, S Bailly, L Zafrani, L Bouadma, C Clec'h, M Garrouste-Orgeas, G Lacave, C Schwebel and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in Annals of intensive care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05247502 (Impact of the Characteristics of Acute Renal Failure in Intensive Care on the Long-term Renal Prognosis), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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.

NCT05247502 recruitingnot on this mapstarted 2022, after this paper: background citation

Impact of the Characteristics of Acute Renal Failure in Intensive Care on the Long-term Renal Prognosis: Prospective Multicenter Cohort Study

TypeobservationalSponsorUniversity Hospital, Clermont-FerrandRan2022 to 2028Enrolled860ConditionsAcute Kidney Injury, Transient Acute Renal Failure, Persistent Acute Renal FailureArmsData observation
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Observational
  6. Article
  7. Acute Kidney Injury: Advances in Clinical Management.Journal of clinical medicine · 2022
    Article
  8. Article
  9. Outcomes After Prolonged ICU Stays in Postoperative Cardiac Surgery Patients.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
    Article
  10. Article
  11. Early recovery status and outcomes after sepsis-associated acute kidney injury in critically ill patients.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2022
    Article
  12. Overview of Renal Replacement Therapy Use in a General Intensive Care Unit.International journal of environmental research and public health · 2022
    Observational
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

A S TrucheUMR 1137 - IAME Team 5 - DeSCID : Decision SCiences in Infectious Diseases, Control and Care, Inserm/Paris Diderot University, Sorbonne Paris Cité, Paris, France.
S Perinel RageyMedical Intensive Care Unit, Croix Rousse Hospital, Lyon University Hospital, Lyon, France.
B SouweineMedical Intensive Care Unit, Gabriel Montpied University Hospital, Clermont-Ferrand, France.
S BaillyUMR 1137 - IAME Team 5 - DeSCID : Decision SCiences in Infectious Diseases, Control and Care, Inserm/Paris Diderot University, Sorbonne Paris Cité, Paris, France.
L ZafraniMedical Intensive Care Unit, AP-HP, Saint Louis Hospital, Paris, France.
L BouadmaMedical and Infectious Diseases Intensive Care Unit, AP-HP, Bichat Hospital, Paris Diderot University, 75018, Paris, France.
C Clec'hIntensive Care Unit, AP-HP, Avicenne Hospital, Paris, France.
M Garrouste-OrgeasIntensive Care Unit, Saint Joseph Hospital Network, Paris, France.
G LacaveMedical Intensive Care Unit, André Mignot Hospital, Versailles, France.
C SchwebelMedical Intensive Care Unit, Grenoble University Hospital, Grenoble 1 University, U823, La Tronche, France.
F Guebre-EgziabherNephrology Dialysis Renal Transplantation, Grenoble University Hospital, La Tronche, France.
C AdriePhysiology Department, Cochin University Hospital, Assistance Publique, Hôpitaux de Paris (AP-HP), Paris Descartes University des, Sorbonne Cite, Paris, France.
A S DumenilMedical-Surgical Intensive Care Unit, AP-HP, Antoine Béclère University Hospital, Clamart, France.
Ph ZaouiNephrology Dialysis Renal Transplantation, Grenoble University Hospital, La Tronche, France.
L ArgaudMedical Intensive Care Unit, Edouard Herriot University Hospital, Lyon, France.
S JamaliCritical Care Medicine Unit, Dourdan Hospital, Dourdan, France.
D Goldran ToledanoIntensive Care Unit, Gonesse Hospital, Gonesse, France.
G MarcotteSurgical ICU, Edouard Herriot University Hospital, Lyon, France.
J F TimsitUMR 1137 - IAME Team 5 - DeSCID : Decision SCiences in Infectious Diseases, Control and Care, Inserm/Paris Diderot University, Sorbonne Paris Cité, Paris, France.
M DarmonMedical Intensive Care Unit, AP-HP, Saint Louis Hospital, Paris, France. michael.darmon@aphp.fr.ORCID http://orcid.org/0000-0003-4198-8038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransient and persistent acute kidney injury (AKI) could share similar physiopathological mechanisms. The objective of our study was to assess prognostic impact of AKI duration on ICU mortality.

designRetrospective analysis of a prospective database via cause-specific model, with 28-day ICU mortality as primary end point, considering discharge alive as a competing event and taking into account time-dependent nature of renal recovery. Renal recovery was defined as a decrease of at least one KDIGO class compared to the previous day.

setting23 French ICUs. PATIENTS: Patients of a French multicentric observational cohort were included if they suffered from AKI at ICU admission between 1996 and 2015.

interventionNone.

resultsA total of 5242 patients were included. Initial severity according to KDIGO creatinine definition was AKI stage 1 for 2458 patients (46.89%), AKI stage 2 for 1181 (22.53%) and AKI stage 3 for 1603 (30.58%). Crude 28-day ICU mortality according to AKI severity was 22.74% (n = 559), 27.69% (n = 327) and 26.26% (n = 421), respectively. Renal recovery was experienced by 3085 patients (58.85%), and its rate was significantly different between AKI severity stages (P < 0.01). Twenty-eight-day ICU mortality was independently lower in patients experiencing renal recovery [CSHR 0.54 (95% CI 0.46-0.63), P < 0.01]. Lastly, RRT requirement was strongly associated with persistent AKI whichever threshold was chosen between day 2 and 7 to delineate transient from persistent AKI.

conclusionsShort-term renal recovery, according to several definitions, was independently associated with higher mortality and RRT requirement. Moreover, distinction between transient and persistent AKI is consequently a clinically relevant surrogate outcome variable for diagnostic testing in critically ill patients.

Indexed as

Acute kidney injuryEpidemiology and outcomeIntensive care unitRenal recoveryRenal replacement therapy

Identifiers

PMID30560526
PMCPMC6297118

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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.