Evidence map›Paper›PMID 33891214›Full record

SynthesisClinical and experimental medicine2022

Kidney disease and COVID-19 disease severity-systematic review and meta-analysis.

Jagmeet Singh, Preeti Malik, Nidhi Patel, Suveenkrishna Pothuru, Avantika Israni, Raja Chandra Chakinala, Maryam Rafaqat Hussain, Anusha Chidharla, Harshil Patel, Saurabh Kumar Patel and 4 more

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical and experimental medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 4% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Incidence and Outcomes of COVID-19 in People With CKD: A Systematic Review and Meta-analysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
    Pooled it
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  16. COVID-19 and chronic kidney disease: a bibliometric analysis.Annals of medicine and surgery (2012) · 2024
    Review
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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

14 authors at 12 institutions in 1 country.

Jagmeet SinghGeisinger Commonwealth School of Medicine, Scranton, PA, USA.
Preeti MalikDepartment of Public Health, Icahn School of Medicine At Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, USA. pmalik.ma@gmail.com.ORCID http://orcid.org/0000-0002-9427-0225
Nidhi PatelDrexel University College of Medicine, Philadelphia, PA, USA.
Suveenkrishna PothuruAscension Via Christi Hospital, Manhattan, KS, USA.
Avantika IsraniSt Mary Medical Center, Langhorne, PA, USA.
Raja Chandra ChakinalaGuthrie Robert Packer Hospital, Sayre, PA, USA.
Maryam Rafaqat HussainDepartment of Public Health, Icahn School of Medicine At Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, USA.
Anusha ChidharlaUniversity of Illinois College of Medicine Peoria, Champaign, IL, USA.
Harshil PatelAscension Providence Hospital/Michigan State University College of Human Medicine, East Lansing, USA.
Saurabh Kumar PatelUniversity of Illinois at Chicago, Chicago, IL, USA.
Rizwan RabbaniTemple University, Philadelphia, PA, USA.
Urvish PatelDepartment of Public Health, Icahn School of Medicine At Mount Sinai, 1 Gustave L. Levy Pl, New York, NY, USA.
Savneek ChughNew York Medical College, Hawthorne, NY, USA.
Asim KichlooCollege of Medicine, Central Michigan University, Saginaw, MI, USA.
Icahn School of Medicine at Mount Sinai · USAscension Providence Hospital · USAscension Via Christi Hospital · USCentral Michigan University · USDrexel University · USGeisinger Commonwealth School of Medicine · USNew York Medical College · USSt. Mary Medical Center · USSUNY Upstate Medical University · USTemple University · USUniversity of Illinois Chicago · USUniversity of Illinois Urbana-Champaign · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to identify prevalence and association of comorbid chronic kidney disease (CKD), acute kidney injury (AKI) and utilization prevalence of continuous renal replacement therapy (CRRT) in COVID-19-hospitalized patients as a function of severity status. With the ongoing struggle across the globe to combat COVID-19 disease, published literature has described the role of kidney disease in COVID-19 patients based on single/multicenter experiences across the globe. We extracted data from observational studies describing comorbid CKD, AKI and CRRT and outcomes and severity of COVID-19-hospitalized patients from December 1, 2019-August 20, 2020 following PRISMA guidelines. Severity of COVID-19 includes intensive care unit admission, oxygen saturation < 90%, invasive mechanical ventilation utilization, in-hospital admission and mortality. Meta-analysis was performed using a random-effects model to calculate pooled estimates, and forest plots were created. In total, 29 studies with 15,017 confirmed COVID-19 patients were included. The overall prevalence of AKI was 11.6% [(430/3693)], comorbid CKD 9.7% [(1342/13,728)] and CRRT 2.58% [(102/3946)] in our meta-analysis. We also found higher odds of comorbid CKD (pooled OR: 1.70; 95%CI: 1.21-2.40; p = 0.002), AKI (8.28; 4.42-15.52; p < 0.00001) and utilization of CRRT (16.90; 9.00-31.74; p < 0.00001) in patients with severe COVID-19 disease. Conclusion Our meta-analysis suggests that comorbid CKD, AKI and utilization of CRRT were significantly associated with COVID-19 disease severity. Clinicians should focus on early triaging of COVID-19 patients with comorbid CKD and at risk for AKI to prevent complication and mortality.

Indexed as

Acute Kidney InjuryCOVID-19HumansIntensive Care UnitsMulticenter Studies as TopicRetrospective StudiesRisk FactorsSARS-CoV-2Severity of Illness IndexChronic kidney diseaseContinuous renal replacement therapyCoronavirusCOVID-19Kidney diseaseKidney injury

Identifiers

PMID33891214
PMCPMC8063780
OpenAlexW3153318948

What OpenQuestion holds

Textmetadata
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.