Evidence map›Paper›PMID 32736541›Full record

SynthesisBMC nephrology2020

Rates, predictors, and mortality of sepsis-associated acute kidney injury: a systematic review and meta-analysis.

Jiefeng Liu, Hebin Xie, Ziwei Ye, Fen Li, Lesan Wang

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06462313 (Director, Head of Anesthesiology and Critical Care, Principal Investigator, Professor), which is not on this map. Cited by 100 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 3 pooled it
6.1field-weighted citation impact, top 2% 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.

NCT06462313 nacompletednot on this mapstarted 2024, after this paper: background citation

Director, Head of Anesthesiology and Critical Care, Principal Investigator, Professor

TypeinterventionalSponsorFirst Affiliated Hospital of Zhejiang UniversityRan2024 to 2025Enrolled584ConditionsPatients With Septic Shock, Surgical Patients, General AnesthesiaArmsDobutamine, Norepinephrine
3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 3 syntheses or guidelines pooled it, 157 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

40 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 1 country.

Jiefeng LiuDepartment of epidemiology and health statistics, Xiangya School of public health, Central South University, No. 238, Mayuanling Lane, Furong Middle Road, Kaifu District, Changsha City, Hunan Province, China.
Hebin XieScience and Education Department of Changsha Central Hospital, Changsha, Hunan, China.
Ziwei YeDepartment of epidemiology and health statistics, Xiangya School of public health, Central South University, No. 238, Mayuanling Lane, Furong Middle Road, Kaifu District, Changsha City, Hunan Province, China.
Fen LiShanghai Health Development Research Center, Shanghai City, China.
Lesan WangDepartment of epidemiology and health statistics, Xiangya School of public health, Central South University, No. 238, Mayuanling Lane, Furong Middle Road, Kaifu District, Changsha City, Hunan Province, China. wlshncs@126.com.ORCID 0000-0002-6819-5479
Central South University · CNChangsha Central Hospital · CNShanghai Medical Information Center · CN

Funding

Health Committee of Hunan Province 20201963
6 · The paper itself

Abstract

backgroundDue to the high incidence and mortality of sepsis-associated acute kidney injury, a significant number of studies have explored the causes of sepsis-associated acute kidney injury (AKI). However, the opinions on relevant predictive risk factors remain inconclusive. This study aimed to provide a systematic review and meta-analysis to determine the predisposing factors for sepsis-associated AKI.

methodA systematic literature search was performed in the Medline, Embase, Cochrane Library, PubMed, and Web of Science, databases, with an end-date of 25th May 2019. Valid data were retrieved in compliance with specific inclusion and exclusion criteria.

resultForty-seven observational studies were included for analysis, achieving a cumulative patient number of 55,911. The highest incidence of AKI was caused by septic shock. Thirty-one potential risk factors were included in the meta-analysis. Analysis showed that 20 factors were statistically significant. The odds ratio (OR) and 95% confidence interval (CI), as well as the prevalence of the most frequently-seen predisposing factors for sepsis-associated AKI, were as follows: septic shock [2.88 (2.36-3.52), 60.47%], hypertension [1.43 (1.20-1.70), 38.39%], diabetes mellitus [1.59 (1.47-1.71), 27.57%], abdominal infection [1.44 (1.32-1.58), 30.87%], the administration of vasopressors [2.95 (1.67-5.22), 64.61%], the administration of vasoactive drugs [3.85 (1.89-7.87), 63.22%], mechanical ventilation [1.64 (1.24-2.16), 68.00%], positive results from blood culture [1.60 (1.35-1.89), 41.19%], and a history of smoking [1.60 (1.09-2.36), 43.09%]. Other risk factors included cardiovascular diseases, coronary artery diseases, liver diseases, unknown infections, the administration of diuretics and ACEI/ARB, the infection caused by gram-negative bacteria, and organ transplantation.

conclusionRisk factors of S-AKI arise from a wide range of sources, making it difficult to predict and prevent this condition. Comorbidities, and certain drugs, are the main risk factors for S-AKI. Our review can provide guidance on the application of interventions to reduce the risks associated with sepsis-associated acute kidney injury and can also be used to tailor patient-specific treatment plans and management strategies in clinical practice.

Indexed as

Acute Kidney InjuryBacteremiaBlood CultureDiabetes MellitusHumansHypertensionIntraabdominal InfectionsRespiration, ArtificialRisk FactorsSepsisShock, SepticSmokingVasoconstrictor AgentsVasoconstrictor AgentsAcute kidney injuryMeta-analysisRisk factorSepsisSystematic review

Identifiers

PMID32736541
PMCPMC7393862
OpenAlexW3046342902

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.