Evidence map›Paper›PMID 33564433›Full record

ArticleClinical kidney journal2021

Development and internal validation of a prediction model for hospital-acquired acute kidney injury.

Catalina Martin-Cleary, Luis Miguel Molinero-Casares, Alberto Ortiz, Jose Miguel Arce-Obieta

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
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  8. Probiotics for kidney disease.Clinical kidney journal · 2022
    Article
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  10. Farewell from theClinical kidney journal · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Acute kidney injury.Nature reviews. Disease primers · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. CKD: The burden of disease invisible to research funders.Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia
    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

4 authors at 2 institutions in 1 country.

Catalina Martin-ClearyDepartment of Nephrology and Hypertension, Investigación Sanitaria-Fundación Jimenez Diaz, Universidad Autónoma de Madrid, Madrid, Spain.
Luis Miguel Molinero-CasaresAlce Ingeniería, Madrid, Spain.
Alberto OrtizDepartment of Nephrology and Hypertension, Investigación Sanitaria-Fundación Jimenez Diaz, Universidad Autónoma de Madrid, Madrid, Spain.
Jose Miguel Arce-ObietaDepartment of Health Information Management, University Hospital Fundación Jiménez Díaz, Madrid, Spain.
Hospital Universitario Fundación Jiménez Díaz · ESUniversidad Autónoma de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPredictive models and clinical risk scores for hospital-acquired acute kidney injury (AKI) are mainly focused on critical and surgical patients. We have used the electronic clinical records from a tertiary care general hospital to develop a risk score for new-onset AKI in general inpatients that can be estimated automatically from clinical records.

methodsA total of 47 466 patients met inclusion criteria within a 2-year period. Of these, 2385 (5.0%) developed hospital-acquired AKI. Step-wise regression modelling and Bayesian model averaging were used to develop the Madrid Acute Kidney Injury Prediction Score (MAKIPS), which contains 23 variables, all obtainable automatically from electronic clinical records at admission. Bootstrap resampling was employed for internal validation. To optimize calibration, a penalized logistic regression model was estimated by the least absolute shrinkage and selection operator (lasso) method of coefficient shrinkage after estimation.

resultsThe area under the curve of the receiver operating characteristic curve of the MAKIPS score to predict hospital-acquired AKI at admission was 0.811. Among individual variables, the highest odds ratios, all >2.5, for hospital-acquired AKI were conferred by abdominal, cardiovascular or urological surgery followed by congestive heart failure. An online tool (http://www.bioestadistica.net/MAKIPS.aspx) will facilitate validation in other hospital environments.

conclusionsMAKIPS is a new risk score to predict the risk of hospital-acquired AKI, based on variables present at admission in the electronic clinical records. This may help to identify patients who require specific monitoring because of a high risk of AKI.

Indexed as

acute kidney injurycardiovascular surgerydigestive surgeryheart failurehospital-acquiredpredictionrisk scoresurgery

Identifiers

PMID33564433
PMCPMC7857831
OpenAlexW2985447574

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.