Evidence map›Paper›PMID 32664677›Full record

ArticleJournal of clinical medicine2020

Cognitive Impairment, Chronic Kidney Disease, and 1-Year Mortality in Older Patients Discharged from Acute Care Hospital.

Mirko Di Rosa, Sonia D'Alia, Francesco Guarasci, Luca Soraci, Elisa Pierpaoli, Federica Lenci, Maddalena Ricci, Graziano Onder, Stefano Volpato, Carmelinda Ruggiero and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

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  12. Association of renal impairment with cognitive dysfunction in the Northern Ireland Cohort for the Longitudinal Study of Ageing (NICOLA).Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021
    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

13 authors at 5 institutions in 1 country.

Mirko Di RosaUnit of Geriatric Pharmacoepidemiology and Biostatistics, IRCCS INRCA, 60124 Ancona, Italy.ORCID 0000-0002-1862-4159
Sonia D'AliaUnit of Geriatric Pharmacoepidemiology and Biostatistics, IRCCS INRCA, 60124 Ancona, Italy.
Francesco GuarasciUnit of Geriatric Pharmacoepidemiology and Biostatistics, IRCCS INRCA, 60124 Ancona, Italy.ORCID 0000-0003-3891-226X
Luca SoraciUnit of Geriatric Pharmacoepidemiology and Biostatistics, IRCCS INRCA, 60124 Ancona, Italy.
Elisa PierpaoliAdvanced Technology Center for Aging Research, Scientific Technological Area, IRCCS INRCA, 60124 Ancona, Italy.ORCID 0000-0003-4612-7317
Federica LenciUnit of Nephrology and Dialysis, IRCCS INRCA, 60124 Ancona, Italy.
Maddalena RicciUnit of Nephrology and Dialysis, IRCCS INRCA, 60124 Ancona, Italy.
Graziano OnderDepartment of Cardiovascular and Endocrine-Metabolic Diseases and Aging, Istituto Superiore di Sanità, 00161 Rome, Italy.
Stefano VolpatoDepartment of Medical Sciences, University of Ferrara, 44121 Ferrara, Italy.
Carmelinda RuggieroSection of Gerontology and Geriatrics, Department of Medicine, University of Perugia, 06132 Perugia, Italy.ORCID 0000-0002-1245-1963
Antonio CherubiniGeriatria Accettazione Geriatrica e Centro di Ricerca per l'Invecchiamento, IRCCS INRCA, 60124 Ancona, Italy.
Andrea CorsonelloUnit of Geriatric Pharmacoepidemiology and Biostatistics, IRCCS INRCA, 60124 Ancona, Italy.ORCID 0000-0002-7276-3256
Fabrizia LattanzioScientific Direction, IRCCS INRCA, 60124 Ancona, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Superiore di Sanità · ITUniversity of Ferrara · ITUniversity of Messina · ITUniversity of Perugia · IT

Funding

Ministero della Salute GR-2007 685638
6 · The paper itself

Abstract

The prognostic interaction between chronic kidney disease (CKD) and cognitive impairment is still to be elucidated. We investigated the potential interaction of overall cognitive impairment or defective constructional praxis and CKD in predicting 1-year mortality among 646 older patients discharged from hospital. The estimated glomerular filtration rate (eGFR) was calculated using the Berlin Initiative Study (BIS) equation. Cognitive impairment was assessed by the Mini Mental State Exam (MMSE) and defective constructional praxis was ascertained by the inherent MMSE item. The study outcome was 1-year mortality. Statistical analysis was carried out using Cox regression. After adjusting for potential confounders, the co-occurrence of eGFR <30 and overall cognitive impairment (Hazard Ratio (HR) = 3.12, 95% Confidence Interval (CI) = 1.26-7.77) and defective constructional praxis (HR = 2.50, 95% CI = 1.08-5.77) were associated with the outcome. No significant prognostic interaction of eGFR < 30 with either overall cognitive impairment (HR = 1.99, 95% CI = 0.38-10.3) or constructional apraxia (HR = 1.68, 95% CI = 0.33-8.50) was detectable, while only cognitive deficits were found significantly associated with the outcome in the interaction models (HR = 3.12, 95% CI = 1.45-6.71 for overall cognitive impairment and HR = 2.16, 95% CI = 1.05-4.45 for constructional apraxia). Overall cognitive impairment and defective constructional praxis may be associated with increased risk of 1-year mortality among older hospitalized patients with severe CKD. However, no significant prognostic interaction between CKD and cognitive impairment could be observed.

Indexed as

Chronic kidney diseasecognitive impairmentconstructional praxismortalityolder

Identifiers

PMID32664677
PMCPMC7408778
OpenAlexW3042336470

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.