Evidence map›Paper›PMID 34341369›Full record

Observational studyScientific reports2021

Mortality and predictors of acute kidney injury in adults: a hospital-based prospective observational study.

Abinet Abebe, Kabaye Kumela, Maekel Belay, Bezie Kebede, Yohannes Wobie

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07150182 (The Integrated Shared Decision-making Program of Critical Hemodialysis Initiation - the Effects on Decision Conflict, Decision Regret, Anxiety and Depression Among Family Members), which is not on this map. Cited by 71 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 2 pooled it
13.2field-weighted citation impact, top 1% 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.

NCT07150182 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

The Integrated Shared Decision-making Program of Critical Hemodialysis Initiation - the Effects on Decision Conflict, Decision Regret, Anxiety and Depression Among Family Members

TypeinterventionalSponsorTaipei Medical University WanFang HospitalRan2025 to 2026Enrolled100ConditionsAcute Kidney Injury, Decision Making ,Shared, Emotional DysfunctionArmsThe Integrated Shared Decision-making Program
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 2 syntheses or guidelines pooled it, 134 citations in OpenAlex.

  1. Pooled it
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  10. Leptospirosis-associated acute kidney injury in Odisha, India.International urology and nephrology · 2026
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  16. Clinical profile and outcome of patients with acute kidney injury in the Emergency Department of a teaching hospital in Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2025
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11 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 1 country.

Abinet AbebeSchool of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan, Ethiopia. abinetabebe.21@gmail.com.
Kabaye KumelaSchool of Pharmacy, Institute of Health, Jimma University, Jimma, Ethiopia.
Maekel BelayJimma Medical Center, Jimma, Ethiopia.
Bezie KebedeSchool of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan, Ethiopia.
Yohannes WobieSchool of Pharmacy, College of Medicine and Health Science, Mizan-Tepi University, Mizan, Ethiopia.
Mizan Tepi University · ETJimma University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI) is a major global public health problem. It is expensive to manage and associated with a high rate of prolonged hospitalization and in-hospital mortality. Little is known about the burden of acute kidney injury in moderate to low-income countries. We aim to assess predictors of in-hospital mortality among AKI patients admitted to the medical ward. We prospectively identified patients meeting kidney disease improving global outcomes (KIDGO) AKI definitions from April to August 2019. Patients with underlying CKD and patients hospitalized for less than 48 h were excluded. The Cox regression model was fitted to identify predictors of mortality and statistical significance was considered at the p-value of less than 0.05. A total of 203 patients were enrolled over 5 months. Out of this, 121(59.6%) were males, 58(28.6%) were aged greater than 60 years, and 141(69.5%) had community-acquired acute kidney injury. The most common causes of AKI were Hypovolemia 99(48.77%), Glomerulonephritis 51(25.11%), and sepsis 32(15.79%). The overall in-hospital mortality rate was 12.8%. Stage 3 AKI (AHR = 9.61, 95% CI 1.17-28.52, p = 0.035), duration of AKI (AHR = 7.04, 95% CI 1.37-36.08, p = 0.019), length of hospital stay (AHR = 0.19, 95% CI 0.05-0.73, p = 0.012), and hyperkalemia (AHR = 3.61, 95% CI 1.12-11.71, p = 0.032) were significantly associated with in-hospital mortality. There is a high rate of acute kidney injury-related in-hospital mortality in adult patients admitted to the medical ward. The severity of AKI, hyperkalemia duration of AKI, and a short length of hospital stay were predictors of 30-days in-hospital mortality. Most of the causes of AKI are preventable and patients may benefit from early identification and treatment of these reversible causes.

Indexed as

Acute Kidney InjuryHospital MortalityAdultAgedFemaleHospitalizationHumansLength of StayMaleMiddle AgedProspective StudiesRisk Factors

Identifiers

PMID34341369
PMCPMC8329200
OpenAlexW3189604691

What OpenQuestion holds

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LicenceCC BY
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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.