Evidence map›Paper›PMID 30682106›Full record

Observational studyPloS one2019

Trauma induced acute kidney injury.

Zane B Perkins, Gabriella Captur, Ruth Bird, Liam Gleeson, Ben Singer, Benjamin O'Brien

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing 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.

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

47 citing papers in PubMed.

  1. Article
  2. Older age and post-traumatic organ failure a TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  3. Article
  4. Bimodal distribution of trauma-related acute kidney injury (TrAKI): A clinical review.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
    Review
  5. Article
  6. Article
  7. Role of Urinary Biomarkers TIMP-2 and IGFBP7 in Predicting Acute Kidney Injury in Critically Ill Trauma Patients: A Prospective Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Risk of acute kidney injury following repeated contrast exposure in trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  13. Review
  14. Review
  15. Article
  16. Exploration of potential biomarkers and therapeutic targets for trauma-related acute kidney injury.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2024
    Review
  17. Predicting Acute Kidney Injury in Trauma Patients: Biomarkers as Early Indicators.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Observational
  18. Article
  19. Article
  20. 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

6 authors.

Zane B PerkinsCentre for Trauma Sciences, Queen Mary, University of London, London, United Kingdom.ORCID 0000-0003-4807-8803
Gabriella CapturSt Bartholomew's Hospital and Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom.
Ruth BirdSt Bartholomew's Hospital and Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom.
Liam GleesonSt Bartholomew's Hospital and Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom.
Ben SingerSt Bartholomew's Hospital and Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom.
Benjamin O'BrienSt Bartholomew's Hospital and Barts Heart Centre, Barts Health NHS Trust, London, United Kingdom.

Funding

Department of Health RP-PG-0407-10036
6 · The paper itself

Abstract

backgroundInjured patients are at risk of developing acute kidney injury (AKI), which is associated with increased morbidity and mortality. The aim of this study is to describe the incidence, timing, and severity of AKI in a large trauma population, identify risk factors for AKI, and report mortality outcomes.

methodsA prospective observational study of injured adults, who met local criteria for trauma team activation, and were admitted to a UK Major Trauma Centre. AKI was defined by the Kidney Disease Improving Global Outcomes (KDIGO) criteria. Multivariable logistic regression and Cox proportional hazard modelling was used to analyse parameters associated with AKI and mortality.

resultsOf the 1410 patients enrolled in the study, 178 (12.6%) developed AKI. Age; injury severity score (ISS); admission systolic blood pressure, lactate and serum creatinine; units of Packed Red Blood Cells transfused in first 24 hours and administration of nephrotoxic therapy were identified as independent risk factors for the development of AKI. Patients that developed AKI had significantly higher mortality than those with normal renal function (47/178 [26.4%] versus 128/1232 [10.4%]; OR 3.09 [2.12 to 4.53]; p<0.0001). After adjusting for other clinical prognostic factors, AKI was an independent risk factor for mortality.

conclusionsAKI is a frequent complication following trauma and is associated with prolonged hospital length of stay and increased mortality. Future research is needed to improve our ability to rapidly identify those at risk of AKI, and develop resuscitation strategies that preserve renal function in trauma patients.

Indexed as

Acute Kidney InjuryWounds and InjuriesAdolescentAdultAgedAged, 80 and overBlood PressureCreatinineDisease-Free SurvivalFemaleHumansIncidenceLactic AcidMaleMiddle AgedProspective StudiesCreatinineLactic Acid

Identifiers

PMID30682106
PMCPMC6347290

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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.