Evidence map›Paper›PMID 32731475›Full record

ArticlePathogens (Basel, Switzerland)2020

Flash-Like Albuminuria in Acute Kidney Injury Caused by Puumala Hantavirus Infection.

Paula Mantula, Johanna Tietäväinen, Jan Clement, Onni Niemelä, Ilkka Pörsti, Antti Vaheri, Jukka Mustonen, Satu Mäkelä, Tuula Outinen

Open access · goldAbstract read
In one paragraph

Article in Pathogens (Basel, Switzerland), 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
0.1field-weighted citation impact, top 45% 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, 7 citations in OpenAlex.

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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

9 authors at 4 institutions in 2 countries.

Paula MantulaDepartment of Internal Medicine, Tampere University Hospital, 33521 Tampere, Finland.ORCID 0000-0003-0271-1458
Johanna TietäväinenDepartment of Internal Medicine, Tampere University Hospital, 33521 Tampere, Finland.
Jan ClementDepartment of Microbiology, Immunology and Transplantation, Rega Institute, National Reference Center for Hantaviruses, Laboratory of Clinical and Epidemiological Virology, KU Leuven, 3000 Leuven, Belgium.
Onni NiemeläFaculty of Medicine and Health Technology, Tampere University, 33100 Tampere, Finland.
Ilkka PörstiDepartment of Internal Medicine, Tampere University Hospital, 33521 Tampere, Finland.ORCID 0000-0002-4905-7564
Antti VaheriDepartment of Virology, Medicum, University of Helsinki, 00100 Helsinki, Finland.
Jukka MustonenDepartment of Internal Medicine, Tampere University Hospital, 33521 Tampere, Finland.
Satu MäkeläDepartment of Internal Medicine, Tampere University Hospital, 33521 Tampere, Finland.
Tuula OutinenDepartment of Internal Medicine, Tampere University Hospital, 33521 Tampere, Finland.
Tampere University · FITampere University Hospital · FIRega Institute for Medical Research · BEUniversity of Helsinki · FI

Funding

Competitive State Research Financing of the Expert Responsibility Area of Tampere University Hospital 0Finnish Kidney Foundation 0Magnus Ehrnroothin Säätiö 0Sigrid Juséliuksen Säätiö 0Tampereen Tuberkuloosisäätiö 0
6 · The paper itself

Abstract

Transient proteinuria and acute kidney injury (AKI) are characteristics of Puumala virus (PUUV) infection. Albuminuria peaks around the fifth day and associates with AKI severity. To evaluate albuminuria disappearance rate, we quantified albumin excretion at different time points after the fever onset. The study included 141 consecutive patients hospitalized due to acute PUUV infection in Tampere University Hospital, Finland. Timed overnight albumin excretion (cU-Alb) was measured during the acute phase in 133 patients, once or twice during the convalescent phase within three months in 94 patients, and at six months in 36 patients. During hospitalization, 30% of the patients had moderately increased albuminuria (cU-Alb 20-200 μg/min), while 57% presented with severely increased albuminuria (cU-Alb >200 μg/min). Median cU-Alb was 311 μg/min (range 2.2-6460) ≤7 days after fever onset, 235 μg/min (range 6.8-5479) at 8-13 days and 2.8 μg/min (range 0.5-18.2) at 14-20 days. After that, only one of the measurements showed albuminuria (35.4 μg/min at day 44). At six months, the median cU-Alb was 2.0 μg/min (range 0.6-14.5). Albuminuria makes a flash-like appearance in PUUV infection and returns rapidly to normal levels within 2-3 weeks after fever onset. In the case of AKI, this is a unique phenomenon.

Indexed as

acute kidney injuryalbuminuriahantavirushemorrhagic fever with renal syndromeHFRSproteinuriaPuumala virus

Identifiers

PMID32731475
PMCPMC7459820
OpenAlexW3045603576

What OpenQuestion holds

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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.