Evidence map›Paper›PMID 31284451›Full record

ArticleJournal of clinical medicine2019

Incidence and Impact of Acute Kidney Injury in Patients Receiving Extracorporeal Membrane Oxygenation: A Meta-Analysis.

Charat Thongprayoon, Wisit Cheungpasitporn, Ploypin Lertjitbanjong, Narothama Reddy Aeddula, Tarun Bathini, Kanramon Watthanasuntorn, Narat Srivali, Michael A Mao, Kianoush Kashani

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing 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

77 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Management of Dialysis for Patients Receiving Mechanical Circulatory Support.Journal of the American Society of Nephrology : JASN · 2026
    Review
  8. Venoarterial extracorporeal membrane oxygenation (VA-ECMO) in high-risk (HR) percutaneous coronary intervention (PCI).Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  9. Observational
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Observational
  16. Outcomes of venovenous-extracorporeal membrane oxygenation bridging in lung transplant recipients with panel reactive antibody positivity.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Observational

17 more citing papers are in PubMed but not listed here.

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

9 authors.

Charat ThongprayoonDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USA.
Wisit CheungpasitpornDivision of Nephrology, Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, USA.ORCID 0000-0001-9954-9711
Ploypin LertjitbanjongDepartment of Internal Medicine, Bassett Medical Center, Cooperstown, NY 13326, USA.
Narothama Reddy AeddulaDivision of Nephrology, Department of Medicine, Deaconess Health System, Evansville, IN 47747, USA.ORCID 0000-0001-8530-668X
Tarun BathiniDepartment of Internal Medicine, University of Arizona, Tucson, AZ 85721, USA.
Kanramon WatthanasuntornDepartment of Internal Medicine, Bassett Medical Center, Cooperstown, NY 13326, USA.
Narat SrivaliDivision of Pulmonary and Critical Care Medicine, St. Agnes Hospital, Baltimore, MD 21229, USA.
Michael A MaoDivision of Nephrology and Hypertension, Mayo Clinic, Jacksonville, FL 32224, USA.ORCID 0000-0003-1814-7003
Kianoush KashaniDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN 55905, USA. Kashani.Kianoush@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough acute kidney injury (AKI) is a frequent complication in patients receiving extracorporeal membrane oxygenation (ECMO), the incidence and impact of AKI on mortality among patients on ECMO remain unclear. We conducted this systematic review to summarize the incidence and impact of AKI on mortality risk among adult patients on ECMO.

methodsA literature search was performed using EMBASE, Ovid MEDLINE, and Cochrane Databases from inception until March 2019 to identify studies assessing the incidence of AKI (using a standard AKI definition), severe AKI requiring renal replacement therapy (RRT), and the impact of AKI among adult patients on ECMO. Effect estimates from the individual studies were obtained and combined utilizing random-effects, generic inverse variance method of DerSimonian-Laird. The protocol for this systematic review is registered with PROSPERO (no. CRD42018103527).

results41 cohort studies with a total of 10,282 adult patients receiving ECMO were enrolled. Overall, the pooled estimated incidence of AKI and severe AKI requiring RRT were 62.8% (95%CI: 52.1%-72.4%) and 44.9% (95%CI: 40.8%-49.0%), respectively. Meta-regression showed that the year of study did not significantly affect the incidence of AKI (

conclusionAmong patients receiving ECMO, the incidence rates of AKI and severe AKI requiring RRT are high, which has not changed over time. Patients who develop AKI requiring RRT while on ECMO carry 3.7-fold higher hospital mortality.

Indexed as

acute kidney injuryAKIECMOepidemiologyextracorporeal membrane oxygenationmeta-analysis

Identifiers

PMID31284451
PMCPMC6678289

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.