Evidence map›Paper›PMID 31820034›Full record

ArticleIntensive care medicine2020

Lung-kidney interactions in critically ill patients: consensus report of the Acute Disease Quality Initiative (ADQI) 21 Workgroup.

Michael Joannidis, Lui G Forni, Sebastian J Klein, Patrick M Honore, Kianoush Kashani, Marlies Ostermann, John Prowle, Sean M Bagshaw, Vincenzo Cantaluppi, Michael Darmon and 14 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 7 pooled it
26.3field-weighted citation impact, top 1% 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

146 citing papers in PubMed, 7 syntheses or guidelines pooled it, 269 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 20 institutions in 11 countries.

Michael JoannidisDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. michael.joannidis@i-med.ac.at.ORCID 0000-0002-6996-0881
Lui G ForniDepartment of Clinical and Experimental Medicine, Faculty of Health Sciences, University of Surrey, Guildford, UK.
Sebastian J KleinDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Patrick M HonoreDepartment of Intensive Care Medicine, CHU Brugmann University Hospital, Brussels, Belgium.
Kianoush KashaniDivision of Nephrology and Hypertension, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Marlies OstermannDepartment of Critical Care, King's College London, Guy's and St Thomas' Hospital, London, UK.
John ProwleAdult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, London, UK.
Sean M BagshawDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.
Vincenzo CantaluppiNephrology, Dialysis and Kidney Transplantation Unit, Department of Translational Medicine, University of Eastern Piedmont "A. Avogadro", Maggiore della Carità University Hospital, Novara, Italy.
Michael DarmonMedical ICU, Saint-Louis University Hospital, AP-HP, Paris, France.
Xiaoqiang DingDepartment of Nephrology, Shanghai Institute of Kidney and Dialysis, Shanghai Key Laboratory of Kidney and Blood Purification, Zhongshan Hospital, Fudan University, Shanghai, China.
Valentin FuhrmannDepartment of Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Eric HosteICU, Ghent University Hospital, Ghent, Belgium.
Faeq Husain-SyedDivision of Nephrology, Pulmonology and Critical Care Medicine, Department of Internal Medicine II, University Hospital Giessen and Marburg, Giessen, Germany.
Matthias LubnowDepartment of Cardiology, Pulmonary and Critical Care Medicine, University Hospital Regensburg, Regensburg, Germany.
Marco MaggioriniMedical Intensive Care Unit, Institute for Intensive Care Medicine, University Hospital Zurich, Zurich, Switzerland.
Melanie MeerschDepartment of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Muenster, Muenster, Germany.
Patrick T MurraySchool of Medicine, University College Dublin, Dublin, Ireland.
Zaccaria RicciDepartment of Cardiology and Cardiac Surgery, Paediatric Cardiac Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Kai SingbartlDepartment of Critical Care Medicine, Mayo Clinic, Phoenix, AZ, USA.
Thomas StaudingerDepartment of Medicine I, Medical University of Vienna, Vienna General Hospital, Vienna, Austria.
Tobias WelteKlinik für Pneumologie, Medizinische Hochschule Hannover, Hannover, Germany.
Claudio RoncoDepartment of Medicine, University of Padova, Padua, Italy.
John A KellumCenter for Critical Care Nephrology, University of Pittsburgh, Pittsburgh, PA, USA.
Innsbruck Medical University · ATBambino Gesù Children's Hospital · ITCentre Hospitalier Universitaire Brugmann · BEFund for Scientific Research · BEInserm · FRMayo Clinic · USMayo Clinic Hospital · USMedizinische Hochschule Hannover · DEQueen Mary University of London · GBRoyal Surrey County Hospital · GBSt Thomas' Hospital · GBSun Yat-sen University · CNUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversität Hamburg · DEUniversitätsklinikum Gießen und Marburg · DEUniversity College Dublin · IEUniversity Hospital Münster · DEUniversity Hospital of Zurich · CHUniversity Hospital Regensburg · DEUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMulti-organ dysfunction in critical illness is common and frequently involves the lungs and kidneys, often requiring organ support such as invasive mechanical ventilation (IMV), renal replacement therapy (RRT) and/or extracorporeal membrane oxygenation (ECMO).

methodsA consensus conference on the spectrum of lung-kidney interactions in critical illness was held under the auspices of the Acute Disease Quality Initiative (ADQI) in Innsbruck, Austria, in June 2018. Through review and critical appraisal of the available evidence, the current state of research, and both clinical and research recommendations were described on the following topics: epidemiology, pathophysiology and strategies to mitigate pulmonary dysfunction among patients with acute kidney injury and/or kidney dysfunction among patients with acute respiratory failure/acute respiratory distress syndrome. Furthermore, emphasis was put on patients receiving organ support (RRT, IMV and/or ECMO) and its impact on lung and kidney function.

conclusionThe ADQI 21 conference found significant knowledge gaps about organ crosstalk between lung and kidney and its relevance for critically ill patients. Lung protective ventilation, conservative fluid management and early recognition and treatment of pulmonary infections were the only clinical recommendations with higher quality of evidence. Recommendations for research were formulated, targeting lung-kidney interactions to improve care processes and outcomes in critical illness.

Indexed as

Acute Kidney InjuryCritical IllnessAcute DiseaseAustriaHumansKidneyLungAcute kidney injuryAcute respiratory distress syndromeExtracorporeal membrane oxygenationRenal replacement therapyWater-electrolyte balance

Identifiers

PMID31820034
PMCPMC7103017
OpenAlexW2994563255

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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.