Evidence map›Paper›PMID 34386851›Full record

Observational studyPediatric nephrology (Berlin, Germany)2022

The effect of continuous venovenous hemodiafiltration on amino acid delivery, clearance, and removal in children.

Richard P Lion, Molly R Vega, E O'Brien Smith, Sridevi Devaraj, Michael C Braun, Nathan S Bryan, Moreshwar S Desai, Jorge A Coss-Bu, Talat Alp Ikizler, Ayse Akcan Arikan

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric nephrology (Berlin, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Neonatal continuous kidney replacement therapy.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Observational
  12. Article
  13. Review
  14. Article
  15. 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

10 authors at 3 institutions in 1 country.

Richard P LionSection of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Molly R VegaSection of Nephrology, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
E O'Brien SmithDepartment of Pediatrics and Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USA.
Sridevi DevarajDepartment of Pathology & Immunology, Baylor College of Medicine, Houston, TX, USA.
Michael C BraunSection of Nephrology, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Nathan S BryanDepartment of Pediatrics and Children's Nutrition Research Center, Baylor College of Medicine, Houston, TX, USA.
Moreshwar S DesaiSection of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Jorge A Coss-BuSection of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Talat Alp IkizlerDepartment of Medicine, Division of Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN, USA.
Ayse Akcan ArikanSection of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA. aysea@bcm.edu.ORCID 0000-0002-5123-6713
Baylor College of Medicine · USChildren's Nutrition Research Center at Baylor College of Medicine · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn critically ill children with acute kidney injury (AKI), continuous kidney replacement therapy (CKRT) enables nutrition provision. The magnitude of amino acid loss during continuous venovenous hemodiafiltration (CVVHDF) is unknown and needs accurate quantification. We investigated the mass removal and clearance of amino acids in pediatric CVVHDF.

methodsThis is a prospective observational cohort study of patients receiving CVVHDF from August 2014 to January 2016 in the pediatric intensive care unit (PICU) of a tertiary children's hospital.

resultsFifteen patients (40% male, median age 2.0 (IQR 0.7, 8.0) years) were enrolled. Median PICU and hospital lengths of stay were 20 (9, 59) and 36 (22, 132) days, respectively. Overall survival to discharge was 66.7%. Median daily protein prescription was 2.00 (1.25, 2.80) g/kg/day. Median daily amino acid mass removal was 299.0 (174.9, 452.0) mg/kg body weight, and median daily amino acid mass clearance was 18.2 (13.5, 27.9) ml/min/m

conclusionCVVHDF prescription and related amino acid loss impact nutrition provision, with 14.6% of the prescribed protein removed. Current recommendations for protein provision for children requiring CVVHDF should be adjusted to compensate for circuit-related loss. A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

Acute Kidney InjuryContinuous Renal Replacement TherapyHemodiafiltrationAmino AcidsChildChild, PreschoolCritical IllnessFemaleHumansMaleProspective StudiesRenal DialysisAmino AcidsCKRTCritical care nephrologyDialysisNutritionPediatric nephrology

Identifiers

PMID34386851
OpenAlexW3192636513

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.