Evidence map›Paper›PMID 34292470›Full record

ArticleDigestive diseases and sciences2022

Association Between Kidney Dysfunction Types and Mortality Among Hospitalized Patients with Cirrhosis.

Giuseppe Cullaro, Jessica B Rubin, Brett E Fortune, Carl V Crawford, Elizabeth C Verna, Chi-Yuan Hsu, Kathleen D Liu, Robert S Brown, Jennifer C Lai, Russell Rosenblatt

Abstract read
In one paragraph

Article in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Acute Kidney Injury in Patients With Cirrhosis and Chronic Kidney Disease: Results From the HRS-HARMONY Consortium.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Impact of acute kidney injury response on survival and liver transplant rates in hospitalized patients with cirrhosis awaiting liver transplantation: Results from the HRS-HARMONY consortium.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2024
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. 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

10 authors.

Giuseppe CullaroDivision of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY, USA. giuseppe.cullaro@ucsf.edu.ORCID 0000-0002-2935-0245
Jessica B RubinDivision of Gastroenterology and Hepatology, Department of Medicine, University of California, 513 Parnassus Avenue, UCSF Box 0538, San Francisco, CA, 94143, USA.
Brett E FortuneDivision of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY, USA.
Carl V CrawfordDivision of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY, USA.
Elizabeth C VernaCenter for Liver Disease and Transplantation, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY, USA.
Chi-Yuan HsuDivision of Nephrology, Department of Medicine, University of California, San Francisco, CA, USA.
Kathleen D LiuDivision of Nephrology, Department of Medicine, University of California, San Francisco, CA, USA.
Robert S BrownDivision of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY, USA.
Jennifer C LaiDivision of Gastroenterology and Hepatology, Department of Medicine, University of California, 513 Parnassus Avenue, UCSF Box 0538, San Francisco, CA, 94143, USA.
Russell RosenblattDivision of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, NY, USA.

Funding

UCSF Liver Core CenterP30DK026743 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Holger Willenbring · 1986 to 2026
$30.7M
The spectrum of cognitive impairment including Alzheimer’s Disease and Related Dementias after liver transplantationR01AG059183 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Jennifer C. Lai · 2018 to 2026
$9.9M
The Organoid and Cell Culture CoreP30DK132710 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Robert F. Schwabe · 2022 to 2026
$7.2M
NIA NIH HHS R01 AG059183NIDDK NIH HHS P30 DK026743NIDDK NIH HHS P30 DK132710
6 · The paper itself

Abstract

BACKGROUND AND

aimsKidney dysfunction is associated with increased mortality among patients with cirrhosis. We investigated whether kidney dysfunction types [e.g., acute kidney injury (AKI), chronic kidney disease (CKD), and AKI on CKD] were differentially associated with inpatient mortality.

methodsWe utilized the nationwide inpatient sample, a nationally representative database, from 2007 to 2014. We included all hospitalizations with previously validated codes for cirrhosis or associated decompensated cirrhosis diagnoses. We defined kidney dysfunction types also from previously validated codes, and we grouped hospitalizations into the following diagnoses: normal, AKI, CKD, and AKI on CKD. Our primary outcome was inpatient mortality.

resultsThere were 1,293,779 hospitalizations with cirrhosis sampled in this study. Of these hospitalizations, 849,193 (66%) had normal kidney function, 176,418 (14%) had AKI, 157,600 (12%) had CKD, and 110,568 (9%) had AKI on CKD. We found that the proportion of hospitalizations with AKI, CKD, and AKI on CKD increased significantly throughout the study period (p < 0.001, test for trend for all). Kidney dysfunction type was differentially associated with inpatient mortality, even after adjustment: as compared to those with CKD, normal kidney function: OR 0.75 [95 CI 0.73-0.78], AKI: OR 2.40 [95 CI 2.32-2.48], and AKI on CKD: OR 1.66 [95 CI 1.60-1.72]. DISCUSSION: Using a nationally representative cohort of all hospitalizations with cirrhosis, our study highlights that the burden of kidney dysfunction, especially AKI, among hospitalizations with cirrhosis is rising, and the inclusion of kidney dysfunction type may be an opportunity to improve prognostication.

Indexed as

Acute Kidney InjuryRenal Insufficiency, ChronicHospital MortalityHumansKidneyLiver CirrhosisRisk FactorsAcute kidney injuryChronic kidney diseaseCirrhosisHospitalizationsMortalityNational inpatient sample

Identifiers

PMID34292470
PMCPMC9568372

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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.