Evidence map›Paper›PMID 33623680›Full record

ArticleClinical kidney journal2021

Net ultrafiltration rate and its impact on mortality in patients with acute kidney injury receiving continuous renal replacement therapy.

Shahrzad Tehranian, Khaled Shawwa, Kianoush B Kashani

Registry-linked trialOpen 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. It is linked to trial NCT05306964 (REstrictive Versus LIberal Rate of Extracorporeal Volume Removal Evaluation in Acute Kidney Injury), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT05306964 naterminatednot on this mapstarted 2022, after this paper: background citation

REstrictive Versus LIberal Rate of Extracorporeal Volume Removal Evaluation in Acute Kidney Injury

TypeinterventionalSponsorUniversity of PittsburghRan2022 to 2024Enrolled99ConditionsAcute Kidney Injury, Fluid Overload, Hypotension, DialysisArmsRestrictive UFnet Rate Strategy, Liberal UFnet Rate Strategy
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
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  6. [The ROSE concept: modern fluid management in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024
    Article
  7. Review
  8. Kidney Injury in Critically Ill Patients with COVID-19 - From Pathophysiological Mechanisms to a Personalized Therapeutic Model.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2023
    Review
  9. Review
  10. Article
  11. Farewell from theClinical kidney journal · 2022
    Article
  12. Observational
  13. Review
  14. Article
  15. Review
  16. Article
  17. 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

3 authors at 1 institution in 1 country.

Shahrzad TehranianDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Khaled ShawwaDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-8849-5244
Kianoush B KashaniDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFluid overload, a critical consequence of acute kidney injury (AKI), is associated with worse outcomes. The optimal fluid removal rate per day during continuous renal replacement therapy (CRRT) is unknown. The purpose of this study is to evaluate the impact of the ultrafiltration rate on mortality in critically ill patients with AKI receiving CRRT.

methodsThis was a retrospective cohort study where we reviewed 1398 patients with AKI who received CRRT between December 2006 and November 2015 at the Mayo Clinic, Rochester, MN, USA. The net ultrafiltration rate (UF

resultsThe mean ± SD age was 62 ± 15 years, and 827 (59%) were male. There were 696 patients (49.7%) in the low- and 702 (50.2%) in the high-intensity group. Thirty-day mortality was 755 (54%). There were 420 (60%) deaths in the low-, and 335 (48%) in the high-intensity group (P < 0.001). UF

conclusionsMore intensive fluid removal, UF

Indexed as

acute kidney injurydose–response relationshipfluid overloadmortalitynet ultrafiltrationrenal replacement therapy

Identifiers

PMID33623680
PMCPMC7886538
OpenAlexW2995761919

What OpenQuestion holds

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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.