Evidence map›Paper›PMID 31159750›Full record

Trial reportBMC nephrology2019

Effect of 3% saline and furosemide on biomarkers of kidney injury and renal tubular function and GFR in healthy subjects - a randomized controlled trial.

F H Mose, A N Jörgensen, M H Vrist, N P Ekelöf, E B Pedersen, J N Bech

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

F H MoseHolstebro Hospital, Hospital Unit West, Holstebro, Denmark. frchri@rm.dk.
A N JörgensenHolstebro Hospital, Hospital Unit West, Holstebro, Denmark.
M H VristHolstebro Hospital, Hospital Unit West, Holstebro, Denmark.
N P EkelöfDepartment of Anaesthesiology, Holstebro Hospital, Hospital Unit West, Holstebro, Denmark.
E B PedersenHolstebro Hospital, Hospital Unit West, Holstebro, Denmark.
J N BechHolstebro Hospital, Hospital Unit West, Holstebro, Denmark.
Aarhus University · DKRegional Hospital Holstebro · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChloride is speculated to have nephrotoxic properties. In healthy subjects we tested the hypothesis that acute chloride loading with 3% saline would induce kidney injury, which could be prevented with the loop-diuretic furosemide.

methodsThe study was designed as a randomized, placebo-controlled, crossover study. Subjects were given 3% saline accompanied by either placebo or furosemide. Before, during and after infusion of 3% saline we measured glomerular filtration rate (GFR), fractional excretion of sodium (FE

resultsAfter 3% saline infusion u-NGAL and KIM-1 excretion increased slightly (u-NGAL: 17 ± 24 during placebo vs. -7 ± 23 ng/min during furosemide, p = 0.039, u-KIM-1: 0.21 ± 0.23 vs - 0.06 ± 0.14 ng/ml, p <  0.001). The increase in u-NGAL was absent when furosemide was given simultaneously, and the responses in u-NGAL were not significantly different from placebo control. Furosemide changed responses in u-KIM-1 where a delayed increase was observed. GFR was increased by 3% saline but decreased when furosemide accompanied the infusion. U-Na, FE

conclusionThis study shows minor increases in markers of kidney injury after 3% saline infusion Furosemide abolished the increase in NGAL and postponed the increase in u-KIM-1. The clinical importance of these findings needs further investigation.

trial registration(EU Clinical trials register number: 2015-002585-23 , registered on 5th November 2015).

Indexed as

Acute Kidney InjuryChloridesFurosemideKidneySaline Solution, HypertonicAdultAldosteroneAquaporin 2BiomarkersFemaleGlomerular Filtration RateHealthy VolunteersHumansLipocalin-2MaleOutcome Assessment, Health CareAldosteroneAquaporin 2BiomarkersChloridesFurosemideLipocalin-2Pharmaceutical SolutionsSaline Solution, HypertonicSodium Potassium Chloride Symporter Inhibitors3% salineFractional excretion of sodiumHyperchloremic acidosisHypertonic salineKIM-1NGAL

Identifiers

PMID31159750
PMCPMC6545674
OpenAlexW2948220319

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.