Evidence map›Paper›PMID 31830434›Full record

ReviewThe American journal of medicine2020

Community Health Care Quality Standards to Prevent Acute Kidney Injury and Its Consequences.

Samuel A Silver, Mitra K Nadim, Donal J O'Donoghue, Francis P Wilson, John A Kellum, Ravindra L Mehta, Claudio Ronco, Kianoush Kashani, Mitchell H Rosner, Michael Haase and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in The American journal of medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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

11 authors at 10 institutions in 5 countries.

Samuel A SilverDivision of Nephrology, Kingston Health Sciences Center, Queen's University, Kingston, Ont, Canada. Electronic address: samuel.silver@queensu.ca.
Mitra K NadimDivision of Nephrology and Hypertension, Keck School of Medicine, University of Southern California, Los Angeles.
Donal J O'DonoghueDepartment of Renal Medicine, Salford Royal NHS Foundation Trust, Salford, UK.
Francis P WilsonProgram of Applied Translational Research, Yale University School of Medicine, New Haven, Conn.
John A KellumDepartment of Critical Care Medicine, School of Medicine, University of Pittsburgh, Penn.
Ravindra L MehtaDepartment of Medicine, UCSD Medical Center, University of California, San Diego.
Claudio RoncoDepartment of Nephrology, Dialysis, and Transplantation, International Renal Research Institute, St Bortolo Hospital, Vicenza, Italy.
Kianoush KashaniDivision of Nephrology and Hypertension, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, Minn.
Mitchell H RosnerDivision of Nephrology, University of Virginia Health System, Charlottesville.
Michael HaaseMedical Faculty, Otto-von-Guericke University Magdeburg, Magdeburg, & MVZ Diaverum Potsdam, Germany.
Andrew J P LewingtonRenal Department, St. James's University Hospital, Leeds, UK; NIHR Diagnostic Evidence Co-operative, Leeds, UK.
International Renal Research Institute of Vicenza · ITOtto-von-Guericke-Universität Magdeburg · DEQueen's University · CASalford Royal NHS Foundation Trust · GBSt James's University Hospital · GBUniversity of California San Diego Medical Center · USUniversity of Pittsburgh · USUniversity of Southern California · USUniversity of Virginia Health System · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI SOMLO, STEFAN · 2008 to 2022
$16.8M
Optimizing Electronic Alerts for Acute Kidney InjuryR01DK113191 · NIDDK · YALE UNIVERSITY · PI WILSON, FRANCIS PERRY · 2018 to 2022
$3.1M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS P30 DK079310NIDDK NIH HHS R01 DK113191
6 · The paper itself

Abstract

As the incidence of acute kidney injury (AKI) increases, prevention strategies are needed across the health care continuum, which begins in the community. Recognizing this knowledge gap, the 22nd Acute Disease Quality Initiative (ADQI) was tasked to discuss the evidence for quality-of-care measurement and care processes to prevent AKI and its consequences in the community. Using a modified Delphi process, an international and interdisciplinary group provided a framework to identify and monitor patients with AKI in the community. The recommendations propose that risk stratification involve both susceptibilities (eg, chronic kidney disease) and exposures (eg, coronary angiography), with the latter triggering a Kidney Health Assessment. This assessment should include blood pressure, serum creatinine, and urine dipstick, followed by a Kidney Health Response to prevent AKI that encompasses cessation of unnecessary medications, minimization of nephrotoxins, patient education, and ongoing monitoring until the exposure resolves. These recommendations give community health care providers and health systems a starting point for quality improvement initiatives to prevent AKI and its consequences in the community.

Indexed as

Acute Kidney InjuryCommunity Health ServicesHumansQuality of Health CareAcute kidney injury (AKI)PreventionQuality improvement

Identifiers

PMID31830434
PMCPMC7724764
OpenAlexW2995548613

What OpenQuestion holds

Textmetadata
LicenceTDM
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.