Evidence map›Paper›PMID 31396561›Full record

ArticleNPJ digital medicine2019

Evaluation of a digitally-enabled care pathway for acute kidney injury management in hospital emergency admissions.

Alistair Connell, Hugh Montgomery, Peter Martin, Claire Nightingale, Omid Sadeghi-Alavijeh, Dominic King, Alan Karthikesalingam, Cian Hughes, Trevor Back, Kareem Ayoub and 9 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in NPJ digital medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. 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

19 authors at 6 institutions in 1 country.

Alistair Connell1Centre for Human Health and Performance, and Institute for Sports, Exercise and Health, University College London, 1st Floor, 170 Tottenham Court Road, London, W1T 7HA UK.ORCID 0000-0003-0318-1049
Hugh Montgomery1Centre for Human Health and Performance, and Institute for Sports, Exercise and Health, University College London, 1st Floor, 170 Tottenham Court Road, London, W1T 7HA UK.
Peter Martin3Department of Applied Health Research, University College London, 1-19 Torrington Place, London, WC1E 7HB UK.
Claire Nightingale3Department of Applied Health Research, University College London, 1-19 Torrington Place, London, WC1E 7HB UK.
Omid Sadeghi-Alavijeh5Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG UK.
Dominic KingDeepMind Health, 5 New Street Square, London, EC4A 3TW UK.
Alan KarthikesalingamDeepMind Health, 5 New Street Square, London, EC4A 3TW UK.
Cian HughesDeepMind Health, 5 New Street Square, London, EC4A 3TW UK.
Trevor BackDeepMind Health, 5 New Street Square, London, EC4A 3TW UK.
Kareem AyoubDeepMind Health, 5 New Street Square, London, EC4A 3TW UK.
Mustafa SuleymanDeepMind Health, 5 New Street Square, London, EC4A 3TW UK.
Gareth Jones5Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG UK.
Jennifer Cross5Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG UK.
Sarah Stanley5Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG UK.
Mary Emerson5Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG UK.
Charles Merrick5Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG UK.
Geraint Rees6University College London, Gower Street, London, WC1E 6BT UK.
Chris Laing *5Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG UK.
Rosalind Raine *3Department of Applied Health Research, University College London, 1-19 Torrington Place, London, WC1E 7HB UK.
Google DeepMind (United Kingdom) · GBRoyal Free London NHS Foundation Trust · GBUniversity College London · GBEnglish Institute of Sport · GBSt George's, University of London · GBUniversity College Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We developed a digitally enabled care pathway for acute kidney injury (AKI) management incorporating a mobile detection application, specialist clinical response team and care protocol. Clinical outcome data were collected from adults with AKI on emergency admission before (May 2016 to January 2017) and after (May to September 2017) deployment at the intervention site and another not receiving the intervention. Changes in primary outcome (serum creatinine recovery to ≤120% baseline at hospital discharge) and secondary outcomes (30-day survival, renal replacement therapy, renal or intensive care unit (ICU) admission, worsening AKI stage and length of stay) were measured using interrupted time-series regression. Processes of care data (time to AKI recognition, time to treatment) were extracted from casenotes, and compared over two 9-month periods before and after implementation (January to September 2016 and 2017, respectively) using pre-post analysis. There was no step change in renal recovery or any of the secondary outcomes. Trends for creatinine recovery rates (estimated odds ratio (OR) = 1.04, 95% confidence interval (95% CI): 1.00-1.08,

Indexed as

Acute kidney injuryOutcomes research

Identifiers

PMID31396561
PMCPMC6669220
OpenAlexW2964581993

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.