ArticleArchives of medical science : AMS2020
Acute kidney injury in critically ill cirrhotic patients with spontaneous bacterial peritonitis: a comparison of KDIGO and ICA criteria.
Article in Archives of medical science : AMS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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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
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- An Epidemiological Meta-Analysis on the Worldwide Prevalence, Resistance, and Outcomes of Spontaneous Bacterial Peritonitis in Cirrhosis.Frontiers in medicine · 2021Pooled it
- Effects of 24-hour urine-output trajectories on the risk of acute kidney injury in critically ill patients with cirrhosis: a retrospective cohort analysis.Renal failure · 2024Article
- Development and validation of a nomogram for predicting in-hospital death in cirrhotic patients with acute kidney injury.BMC nephrology · 2024Article
- Development and validation of a nomogram for predicting overall survival in cirrhotic patients with acute kidney injury.World journal of gastroenterology · 2022Article
- Exosomal‑miR‑1184 derived from mesenchymal stem cells alleviates cisplatin‑associated acute kidney injury.Molecular medicine reports · 2021Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAcute kidney injury (AKI) is an important independent predictor of mortality in cirrhotic patients with spontaneous bacterial peritonitis (SBP). However, the definition of AKI in cirrhosis has been debated for many years. This study aims to compare the prediction accuracy of Kidney Disease: Improving Global Outcomes (KDIGO) and International Club of Ascites (ICA) criteria for hospital mortality in cirrhotic patients with SBP admitted to the intensive care unit (ICU). MATERIAL AND
methodsTwo hundred and sixteen cirrhotic patients with SBP consecutively admitted to the ICU during 2010-2017 were retrospectively analyzed. Demographic parameters and clinical variables were collected with case report forms. Risk factors for hospital mortality were identified through a multivariate logistic regression analysis. The predictive value of ICA and KDIGO criteria was analyzed by the area under the receiver operating characteristic curve (AUROC). The primary endpoint was hospital mortality.
resultsOverall hospital mortality in our population was 73.6%. Incidence of AKI was 83.8% and 81.5% according to the KDIGO and ICA classifications respectively, associated with increased in-hospital and 180-day mortality. The AKI was an independent risk factor for hospital mortality. The risk factor of AKI according to KDIGO was greater than that of ICA. The AUROC for in-hospital mortality for ICA and KDIGO was 0.730 and 0.752, respectively. However, the predictive ability of ICA criteria for in-hospital mortality was non-inferior to that of KDIGO criteria (
conclusionsBoth ICA and KDIGO criteria were good tools with excellent prediction performance for hospital mortality in cirrhotic patients with SBP admitted to the ICU.
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