Evidence map›Paper›PMID 34057014›Full record

Observational studyRenal failure2021

Outcomes of critically ill patients with acute kidney injury in COVID-19 infection: an observational study.

Rodrigo Bezerra, Flávio Teles, Polyana Bezerra Mendonca, Tedla Damte, Andrew Likaka, Edyniesky Ferrer-Miranda, Jones Oliveira de Albuquerque, José Luiz de Lima Filho

Open access · goldAbstract readMulticenter StudyObservational StudyVideo-Audio Media
In one paragraph

Observational study in Renal failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.0field-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

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Positive fluid balance is associated with earlier acute kidney injury in COVID-19 patients.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
    Article
  2. Immune mediators in heart-lung communication.Pflugers Archiv : European journal of physiology · 2025
    Review
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  10. Risk factors for death and illness severity in vaccinated versus unvaccinated COVID-2019 inpatients: a retrospective cohort study.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2023
    Observational
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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

8 authors at 4 institutions in 2 countries.

Rodrigo BezerraKeizo Asami Laboratory of Immunopathology, Federal University of Pernambuco, Recife, Brazil.ORCID https://orcid.org/0000-0001-9719-3176
Flávio TelesClinical Medicine Department, Federal University of Alagoas, Maceio, Brazil.ORCID https://orcid.org/0000-0002-6937-5615
Polyana Bezerra MendoncaFederal University of Pernambuco, Recife, Brazil.ORCID https://orcid.org/0000-0002-0497-8589
Tedla DamteHealth department, UNICEF, Lilongwe, Malawi.ORCID https://orcid.org/0000-0003-2058-2565
Andrew LikakaKeizo Asami Laboratory of Immunopathology, Federal University of Pernambuco, Recife, Brazil.ORCID https://orcid.org/0000-0002-8826-8401
Edyniesky Ferrer-MirandaFederal Rural University of Pernambuco, Recife, Brazil.ORCID https://orcid.org/0000-0002-9655-8724
Jones Oliveira de AlbuquerqueKeizo Asami Laboratory of Immunopathology, Federal University of Pernambuco, Recife, Brazil.ORCID https://orcid.org/0000-0001-8313-1687
José Luiz de Lima FilhoKeizo Asami Laboratory of Immunopathology, Federal University of Pernambuco, Recife, Brazil.ORCID https://orcid.org/0000-0003-0897-7775
Universidade Federal de Pernambuco · BRPublic Health Institute of Malawi · MWUniversidade Federal de Alagoas · BRUniversidade Federal Rural de Pernambuco · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly reports indicate that AKI is common during COVID-19 infection. Different mortality rates of AKI due to SARS-CoV-2 have been reported, based on the degree of organic dysfunction and varying from public to private hospitals. However, there is a lack of data about AKI among critically ill patients with COVID-19.

methodsWe conducted a multicenter cohort study of 424 critically ill adults with severe acute respiratory syndrome (SARS) and AKI, both associated with SARS-CoV-2, admitted to six public ICUs in Brazil. We used multivariable logistic regression to identify risk factors for AKI severity and in-hospital mortality.

resultsThe average age was 66.42 ± 13.79 years, 90.3% were on mechanical ventilation (MV), 76.6% were at KDIGO stage 3, and 79% underwent hemodialysis. The overall mortality was 90.1%. We found a higher frequency of dialysis (82.7% versus 45.2%), MV (95% versus 47.6%), vasopressors (81.2% versus 35.7%) (

conclusionCritically ill patients with SARS and AKI due to COVID-19 had high mortality in this cohort. Mortality was largely determined by the need for mechanical ventilation and vasopressors rather than AKI severity.

Indexed as

Critical IllnessRenal DialysisAcute Kidney InjuryAgedBrazilCOVID-19FemaleHospital MortalityHumansIntensive Care UnitsMalePneumonia, ViralRespiration, ArtificialRetrospective StudiesRisk FactorsSARS-CoV-2acute kidney injuryCOVID-19critical caredialysismortality riskrenal failure

Identifiers

PMID34057014
PMCPMC8168780
OpenAlexW3165253711

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.