Evidence map›Paper›PMID 32505812›Full record

Observational studyAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2020

Real-Time Prediction of Acute Kidney Injury in Hospitalized Adults: Implementation and Proof of Concept.

Ugochukwu Ugwuowo, Yu Yamamoto, Tanima Arora, Ishan Saran, Caitlin Partridge, Aditya Biswas, Melissa Martin, Dennis G Moledina, Jason H Greenberg, Michael Simonov and 8 more

Abstract readObservational Study
In one paragraph

Observational study in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

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

14 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. SARS-CoV-2 Causes Acute Kidney Injury by Directly Infecting Renal Tubules.Frontiers in cell and developmental biology · 2021
    Article
  14. Review
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

18 authors.

Ugochukwu UgwuowoSection of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT; Clinical and Translational Research Accelerator, Yale University School of Medicine, New Haven, CT; Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Yu YamamotoSection of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT; Clinical and Translational Research Accelerator, Yale University School of Medicine, New Haven, CT.
Tanima AroraSection of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT; Clinical and Translational Research Accelerator, Yale University School of Medicine, New Haven, CT.
Ishan SaranDepartment of Physics, Emory University, Atlanta, GA.
Caitlin PartridgeJoint Data Analytics Team, Yale University School of Medicine, New Haven, CT.
Aditya BiswasSection of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT; Clinical and Translational Research Accelerator, Yale University School of Medicine, New Haven, CT.
Melissa MartinSection of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT; Clinical and Translational Research Accelerator, Yale University School of Medicine, New Haven, CT.
Dennis G MoledinaClinical and Translational Research Accelerator, Yale University School of Medicine, New Haven, CT.
Jason H GreenbergClinical and Translational Research Accelerator, Yale University School of Medicine, New Haven, CT; Department of Pediatrics, Yale University School of Medicine, New Haven, CT.
Michael SimonovClinical and Translational Research Accelerator, Yale University School of Medicine, New Haven, CT.
Sherry G MansourSection of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT; Clinical and Translational Research Accelerator, Yale University School of Medicine, New Haven, CT.
Ricardo VelaDepartment of Mechanical Engineering, University of Texas at El Paso. El Paso, TX.
Jeffrey M TestaniSection of Cardiology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
Veena RaoSection of Cardiology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
Keith RentfroSection of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT.
Wassim ObeidJohns Hopkins University School of Medicine, Baltimore, MD; Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Chirag R ParikhJohns Hopkins University School of Medicine, Baltimore, MD; Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
F Perry WilsonSection of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, CT; Clinical and Translational Research Accelerator, Yale University School of Medicine, New Haven, CT. Electronic address: francis.p.wilson@yale.edu.

Funding

Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI ISHIBE, SHUTA · 2008 to 2022
$16.8M
Mechanism and Effects of Manipulating Chloride Homeostasis in Heart FailureR01HL139629 · NHLBI · YALE UNIVERSITY · PI JEFFREY M TESTANI · 2018 to 2026
$5.0M
Diagnosing and Targeting Mechanisms of Diuretic Resistance in Heart FailureR01HL128973 · NHLBI · YALE UNIVERSITY · PI TESTANI, JEFFREY M · 2015 to 2019
$3.8M
Cardio-Renal Effects of Torsemide vs. Furosemide: A TRANSFORM-HF Mechanistic Sub-StudyR01HL148354 · NHLBI · YALE UNIVERSITY · PI TESTANI, JEFFREY M · 2019 to 2022
$3.3M
Optimizing Electronic Alerts for Acute Kidney InjuryR01DK113191 · NIDDK · YALE UNIVERSITY · PI WILSON, FRANCIS PERRY · 2018 to 2022
$3.1M
Identification of Non-Invasive Biomarkers and Indices for Diagnosis of Drug-Induced Acute Interstitial NephritisK23DK117065 · NIDDK · YALE UNIVERSITY · PI MOLEDINA, DENNIS G. · 2018 to 2022
$920k
Novel Biomarkers of Chronic Kidney Disease in ChildrenK08DK110536 · NIDDK · YALE UNIVERSITY · PI GREENBERG, JASON HENRY · 2016 to 2021
$882k
NHLBI NIH HHS R01 HL128973NHLBI NIH HHS R01 HL139629NHLBI NIH HHS R01 HL148354NIDDK NIH HHS K08 DK110536NIDDK NIH HHS K23 DK117065NIDDK NIH HHS P30 DK079310NIDDK NIH HHS R01 DK113191
6 · The paper itself

Abstract

RATIONALE &

objectiveAcute kidney injury (AKI) is diagnosed based on changes in serum creatinine concentration, a late marker of this syndrome. Algorithms that predict elevated risk for AKI are of great interest, but no studies have incorporated such an algorithm into the electronic health record to assist with clinical care. We describe the experience of implementing such an algorithm. STUDY

designProspective observational cohort study. SETTING &

participants2,856 hospitalized adults in a single urban tertiary-care hospital with an algorithm-predicted risk for AKI in the next 24 hours>15%. Alerts were also used to target a convenience sample of 100 patients for measurement of 16 urine and 6 blood biomarkers. EXPOSURE: Clinical characteristics at the time of pre-AKI alert. OUTCOME: AKI within 24 hours of pre-AKI alert (AKI ANALYTICAL APPROACH: Descriptive statistics and univariable associations.

resultsAt enrollment, mean predicted probability of AKI LIMITATIONS: Single-center study, reliance on serum creatinine level for AKI diagnosis, small number of patients undergoing biomarker evaluation.

conclusionsA real-time AKI risk model was successfully integrated into the EHR.

Indexed as

InpatientsAcute Kidney InjuryAgedAged, 80 and overBiomarkersBlood Urea NitrogenCreatinineDisease ProgressionFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisProspective StudiesRisk AssessmentBiomarkersCreatinineAcute kidney injury (AKI)AKI riskalgorithm implementationbiomarker assessmentelectronic health record (EHR)hospitalized patientsIL-18inpatient mortalitykidney injury markerKIM-1MCP-1NGALpredictionprognostic modelprospectiverenal function trajectoryserum creatinine (Scr)[TIMP-2] × [IGFBP-7]

Identifiers

PMID32505812
PMCPMC8667815

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.