Evidence map›Paper›PMID 34390480›Full record

Observational studyJournal of nephrology2021

Acute kidney injury during pregnancy and puerperium: an Egyptian hospital-based study.

Tamer Z Gaber, Rasha S Shemies, Azza A Baiomy, Doaa A Aladle, Alaa Mosbah, El Said Abdel-Hady, Nagy Sayed-Ahmed, Mohammed Sobh

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Correlates of Risk Factors for Hemodialysis in Kano, Nigeria.Nigerian medical journal : journal of the Nigeria Medical Association
    Review
  19. 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

8 authors at 1 institution in 1 country.

Tamer Z GaberFaculty of Medicine, Mansoura University, Mansoura, Dakahliya, Egypt. Tamerzakigaber@hotmail.com.ORCID http://orcid.org/0000-0002-1359-8561
Rasha S ShemiesFaculty of Medicine, Mansoura University, Mansoura, Dakahliya, Egypt.
Azza A BaiomyFaculty of Medicine, Mansoura University, Mansoura, Dakahliya, Egypt.
Doaa A AladleFaculty of Medicine, Mansoura University, Mansoura, Dakahliya, Egypt.
Alaa MosbahFaculty of Medicine, Mansoura University, Mansoura, Dakahliya, Egypt.
El Said Abdel-HadyFaculty of Medicine, Mansoura University, Mansoura, Dakahliya, Egypt.
Nagy Sayed-AhmedFaculty of Medicine, Mansoura University, Mansoura, Dakahliya, Egypt.
Mohammed SobhFaculty of Medicine, Mansoura University, Mansoura, Dakahliya, Egypt.
Mansoura University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhile acute kidney injury (AKI) in pregnancy is currently a rare entity in developed countries, it is still a common occurrence in developing countries, representing a major cause of maternal and fetal morbidity and mortality. Scarce data are published regarding pregnancy-related acute kidney injury (PRAKI) in Middle Eastern and African countries. The aim of this work is to report on the frequency, the underlying causes, and the outcomes of patients with PRAKI in an Egyptian tertiary care hospital.

methodsThis is a prospective observational study that included 40 patients representing all women who presented to the Mansoura Nephrology and Dialysis Unit with PRAKI over two years. All patients were followed up for three months after hospital discharge to assess renal outcome, and till the end of pregnancy to assess the maternal and fetal outcomes.

resultsPRAKI was reported  in about 1% of women who presented to the obstetrics service, and accounted for 14% of all AKI patients who presented to the renal service in our hospital. Preeclampsia (PE) and obstetric hemorrhage were the commonest causes of PRAKI. Maternal mortality occurred in 22.5% of PRAKI patients. The majority of survivors (62.5%) fully recovered, while the remaining (37.5%) individuals became dialysis dependent. Unfavorable fetal events occurred in 24 pregnancies (60%).

conclusionIn our hospital in Mansoura, Egypt, PRAKI represents a relevant burden with potential ominous outcomes obstetric hemorrhage and preeclampsia were the major causes. Further research is needed to understand the causes and improve the outcomes of pregnancy-related AKI.

Indexed as

Acute Kidney InjuryPregnancy ComplicationsEgyptFemaleHospitalsHumansPostpartum PeriodPregnancyAdverse fetal outcomesMaternal mortalityObstetric hemorrhagePreeclampsiaPregnancy-related acute kidney injury

Identifiers

PMID34390480
OpenAlexW3192652356

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.