Evidence map›Paper›PMID 34191045›Full record

ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2022

[Present practise patterns of renal replacement therapy in German intensive care medicine].

Carsten Willam, Melanie Meersch, Larissa Herbst, Peter Heering, Michael Schmitz, Michael Oppert, Stefan John, Achim Jörres, Alexander Zarbock, Uwe Janssens and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 89% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Review
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

11 authors at 9 institutions in 1 country.

Carsten WillamMedizinische Klinik 4, Universität Erlangen-Nürnberg, Ulmenweg 18, 91054, Erlangen, Deutschland. carsten.willam@uk-erlangen.de.
Melanie MeerschKlinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Münster, Münster, Deutschland.
Larissa HerbstMedizinische Klinik 4, Universität Erlangen-Nürnberg, Ulmenweg 18, 91054, Erlangen, Deutschland.
Peter HeeringKlinik für Nephrologie und Allgemeine Innere Medizin, Städtisches Klinikum Solingen, Solingen, Deutschland.
Michael SchmitzKlinik für Nephrologie und Allgemeine Innere Medizin, Städtisches Klinikum Solingen, Solingen, Deutschland.
Michael OppertZentrum für Notfall- und Intensivmedizin, Klinikum Ernst von Bergmann, Potsdam, Deutschland.
Stefan JohnKlinikum Nürnberg, Medizinische Klinik 8 - Kardiologie, Paracelsus Medizinische Privatuniversität Nürnberg, Nürnberg, Deutschland.
Achim JörresMedizinische Klinik I, Köln-Merheim, Klinik für Nephrologie, Transplantationsmedizin und internistische Intensivmedizin, Köln, Deutschland.
Alexander ZarbockKlinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Münster, Münster, Deutschland.
Uwe JanssensKlinik für Innere Medizin und Internistische Intensivmedizin, St.-Antonius-Hospital, Eschweiler, Deutschland.
Detlef Kindgen-MillesKlinik für Anästhesiologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEStädtisches Klinikum Solingen · DEDüsseldorf University Hospital · DEKlinikum Ernst von Bergmann · DEKlinik und Poliklinik für Psychosomatik und Psychotherapie · DELungenklinik Köln-Merheim · DEParacelsus Medizinische Privatuniversität · DESankt-Antonius-Hospital Eschweiler · DEUniversity Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

About 50% of all critically ill patients develop acute kidney injury (AKI) and approximately 15% receive renal replacement therapy (RRT). Although RRT is frequently used in intensive care units in Germany, it is currently unknown which RRT procedures are available, which qualification the involved staff has, which anticoagulation strategies are used and how RRT doses are prescribed. To investigate quality and structural characteristics of the performance of RRT in intensive care units throughout Germany, the German Interdisciplinary Society of Intensivists (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin [DIVI]) performed an inquiry among their members. A total of 897 members participated in the survey in which practical aspects were queried. In 69.1% of the cases, RRT was performed in hospitals with more than 400 beds and in 74.5% in university hospitals or other primary care hospitals. Furthermore, 93.3% of clinics are equipped with continuous and 75.8% with intermittent renal replacement devices. In 91.9%, indication for initiation of RRT was performed by trained physicians specialized in intensive care medicine or nephrologists. Intermittent as well as continuous modalities are both present in three-quarters of cases, which allows for individualized therapy. However, the documentation of dialysis dose needs to be improved.

Indexed as

Acute Kidney InjuryRenal Replacement TherapyCritical CareHumansIntensive Care UnitsRenal DialysisAcute kidney injuryHemodialysisHemofiltrationIntensive care medicineRenal replacement therapy

Identifiers

PMID34191045
PMCPMC8243065
OpenAlexW3176879687

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.