Evidence map›Paper›PMID 31701661›Full record

ArticleBrain and behavior2019

Predictive value of serum creatinine/cystatin C in neurocritically ill patients.

Shengnan Wang, Ling Xie, Jiawei Xu, Yanhong Hu, Yongming Wu, Zhenzhou Lin, Suyue Pan

Abstract read
In one paragraph

Article in Brain and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

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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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  9. Acute kidney injury in neurocritical care.Critical care (London, England) · 2023
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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

7 authors.

Shengnan WangDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID 0000-0003-4941-4071
Ling XieDepartment of Neurology, Hainan General Hospital, Haikou, China.ORCID 0000-0002-3577-8774
Jiawei XuDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yanhong HuDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yongming WuDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zhenzhou LinDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Suyue PanDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID 0000-0003-2744-1984

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the predictive value of serum creatinine (Cr) to cystatin C (CysC) ratio in neurocritically ill patients.

methodsWe conducted a retrospectively observational study of adult patients admitted to a neurocritical care unit (NCU) between Jan 2013 and Jan 2017. Patients were excluded if <18 years old, required neurocritical care <72 hr, did operation during hospitalization, had premorbid disability or acute kidney injury (AKI) at admission. The Cr/CysC ratio was obtained at NCU admission. Primary end points were short-term (30-day) mortality and long-term (6-month) poor outcome, with the latter defined as modified Rankin Scale (mRS) of 4-6.

resultsOf 538 eligible patients, the etiology included acute ischemic stroke (N = 193, 35.9%), intracranial hemorrhage (N = 116, 21.6%), encephalitis and/or meningitis (N = 85, 15.8%), and others (N = 144, 26.7%). Serum Cr/CysC ratio was significantly correlated with body mass index (BMI) (r = .161, p < .001), the length of NCU stay (r = -.161, p < .001), duration of mechanical ventilation (r = -.138, p = .001), and risk of tracheotomy (r = -.095, p = .028). During follow-up, 88 (16.4%), patients died within 30 days and 307 (57.1%) patients achieved good outcome at 6 months. In multivariate logistic regression analysis, we identified serum Cr/CysC ratio as an independent predictor of long-term functional outcome (OR: 0.989, 95% CI: 0.980-0.998, p = .015) but not 30-day mortality (p = .513).

conclusionsSerum Cr/CysC ratio at admission could be used as a predictor of long-term poor prognosis in neurocritically ill patients.

Indexed as

Critical IllnessNervous System DiseasesAdultBiomarkersCreatinineCystatin CFemaleHospitalizationHumansMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesBiomarkersCreatinineCystatin Cneurocritical carepoor prognosissarcopeniaserum creatinine to cystatin C ratio

Identifiers

PMID31701661
PMCPMC6908890

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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.