Observational studyCritical care (London, England)2019
Ultrasound-based clinical profiles for predicting the risk of intradialytic hypotension in critically ill patients on intermittent dialysis: a prospective observational study.
Observational study in Critical care (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Prediction of intradialytic hypotension by machine learning: A systematic review.Journal of nephrology · 2025Pooled it
- Article
- The role of thoracic ultrasound in fluid management in critical care: a narrative review.Journal of thoracic disease · 2026Review
- Ultrafiltration in the critically ill patient: a framework for personalized care.Critical care (London, England) · 2026Review
- A machine learning model to predict intradialytic hypotension in pediatric continuous kidney replacement therapy.Pediatric nephrology (Berlin, Germany) · 2025Article
- Ultrafiltration Tolerance and Improving Outcomes with Continuous Renal Replacement Therapies.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Construction and application of machine learning models for predicting intradialytic hypotension.PloS one · 2025Article
- The utility of point-of-care ultrasound in critical care nephrology.Frontiers in nephrology · 2024Review
- Inferior vena cava ultrasound and other techniques for assessment of intravascular and extravascular volume: an update.Clinical kidney journal · 2023Review
- Point-of-care ultrasonography in nephrology comes of age.Clinical kidney journal · 2022Review
- Pre-Dialysis B-Line Quantification at Lung Ultrasound Is a Useful Method for Evaluating the Dry Weight and Predicting the Risk of Intradialytic Hypotension.Diagnostics (Basel, Switzerland) · 2022Article
- Quantitative Lung Ultrasonography for the Nephrologist: Applications in Dialysis and Heart Failure.Kidney360 · 2022Review
- Prediction of hemodynamic tolerance of intermittent hemodialysis in critically ill patients: a cohort study.Scientific reports · 2021Observational
- Intradialytic Hypotension in Critically Ill Patients on Hemodialysis With A-Line versus B-Line Pattern on Lung Ultrasonography.Kidney international reports · 2021Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntradialytic hypotension, a complication of intermittent hemodialysis, decreases the efficacy of dialysis and increases long-term mortality. This study was aimed to determine whether different predialysis ultrasound cardiopulmonary profiles could predict intradialytic hypotension.
methodsThis prospective observational single-center study was performed in 248 critically ill patients with acute kidney injury undergoing intermittent hemodialysis. Immediately before hemodialysis, vena cava collapsibility was measured by vena cava ultrasound and pulmonary congestion by lung ultrasound. Factors predicting intradialytic hypotension were identified by multiple logistic regression analysis.
resultsIntradialytic hypotension was observed in 31.9% (n = 79) of the patients, interruption of dialysis because of intradialytic hypotension occurred in 6.8% (n = 31) of the sessions, and overall 28-day mortality was 20.1% (n = 50). Patients were classified in four ultrasound profiles: (A) 108 with B lines > 14 and vena cava collapsibility > 11.5 mm m
conclusionIn critically ill patients on intermittent hemodialysis, the absence of hypervolemia as assessed by lung and vena cava ultrasound predisposes to intradialytic hypotension and suggests alternative techniques of hemodialysis to provide better hemodynamic stability.
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Registered trials
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