Evidence map›Paper›PMID 32700095›Full record

ArticleInfection2020

Evaluation of the risk of acute kidney injury with the use of piperacillin/tazobactam among adult critically ill patients.

Mohamed O Saad, Adham M Mohamed, Hassan A Mitwally, Ahmed A Shible, Ali Ait Hssain, Mohamed A Abdelaty

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. 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

6 authors at 2 institutions in 2 countries.

Mohamed O SaadPharmacy Department, Hamad Medical Corporation, Doha, Qatar. msaad4@hamad.qa.ORCID https://orcid.org/0000-0002-2221-4216
Adham M MohamedPharmacy Department, Saint Luke's Hospital of Kansas City, 4401 Wornall Road, Kansas City, MO, 64111, USA.ORCID http://orcid.org/0000-0003-3137-7049
Hassan A MitwallyPharmacy Department, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-5309-8641
Ahmed A ShiblePharmacy Department, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-7901-7686
Ali Ait HssainMedical Intensive Care Unit, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-7764-5793
Mohamed A AbdelatyMedical Intensive Care Unit, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-5136-3958
Hamad Medical Corporation · QASaint Luke's Hospital · US

Funding

Hamad Medical Corporation MRC-01-17-043
6 · The paper itself

Abstract

purposePiperacillin/tazobactam (PT), when combined with vancomycin, is associated with an increased risk of acute kidney injury (AKI). It is not known whether PT alone is associated with a higher incidence of AKI compared to other β-lactams among critically ill patients. The objective of this study was to compare the incidence of AKI associated with the use of PT to other β-lactams among adult critically ill patients

methodsThis retrospective study was conducted in the surgical and the medical intensive care units at two hospitals within Hamad Medical Corporation (HMC) in Qatar and included adult critically ill patients who received at least one dose of anti-pseudomonal β-lactams. The primary outcome was acute kidney injury, defined using the Kidney Disease Improving Global Outcomes (KDIGO) criteria. Multiple logistic regression with adjustment for pre-specified potential confounders was used for the primary outcome analysis.

resultsA total of 669 patients were included in the analysis: 507 patients in the PT group and 162 patients in the control (meropenem/cefepime) group. AKI occurred in 136 (26.8%) members of the PT group and 38 (23.5%) members of the control group [odds ratio (OR) 1.2; 95% confidence interval (CI) 0.79-1.8]. The results were not significantly altered after adjusting for the pre-specified potential confounders (adjusted OR 1.38; 95% CI 0.88-2.15).

conclusionIn this study, PT was not associated with a higher risk of AKI compared to cefepime or meropenem among adult critically ill patients.

Indexed as

Acute Kidney InjuryAdultAgedAnti-Bacterial AgentsCritical IllnessFemaleHumansIncidenceMaleMiddle AgedPiperacillin, Tazobactam Drug CombinationQatarRetrospective StudiesRisk FactorsAnti-Bacterial AgentsPiperacillin, Tazobactam Drug CombinationAcute kidney injuryAdverse eventCritically illNephrotoxicityPiperacillin/tazobactamRenal

Identifiers

PMID32700095
PMCPMC7518983
OpenAlexW3044511337

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.