Evidence map›Paper›PMID 34504539›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2021

The Effect of Long-Term Duration Renal Replacement Therapy on Outcomes of Critically Ill Patients with Acute Kidney Injury: A Retrospective Cohort Study.

Mengmeng Yang, Yun Li, Peiyao Li, Yong Fan, Yu Zhang, Rui Yuan, Lu Wang, Yan Zhao, Xiaoli Liu, Zhengbo Zhang and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 50% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

11 authors at 2 institutions in 1 country.

Mengmeng YangDepartment of Critical Care Medicine, The First Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
Yun LiDepartment of Critical Care Medicine, The First Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
Peiyao LiAI Lab, Global Health Drug Discovery Institute, Beijing 100084, China.
Yong FanCenter for Artificial Intelligence in Medicine, Chinese PLA General Hospital, Beijing 100853, China.
Yu ZhangDepartment of Critical Care Medicine, The First Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
Rui YuanDepartment of Critical Care Medicine, The First Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
Lu WangDepartment of Critical Care Medicine, The First Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
Yan ZhaoDepartment of Critical Care Medicine, The First Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.
Xiaoli LiuSchool of Biological Science and Medical Engineering, Beihang University, Beijing 100191, China.
Zhengbo ZhangCenter for Artificial Intelligence in Medicine, Chinese PLA General Hospital, Beijing 100853, China.ORCID https://orcid.org/0000-0001-9218-5644
Hongjun KangDepartment of Critical Care Medicine, The First Medical Centre, Chinese PLA General Hospital, Beijing 100853, China.ORCID https://orcid.org/0000-0002-5269-9082
Chinese PLA General Hospital · CNBeihang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRenal replacement therapy (RRT), as a cornerstone of supportive treatment, has long been performed in critically ill patients with acute kidney injury (AKI). However, the majority of studies may have neglected the effect of the duration of RRT  on the outcome of AKI patients. This paper is aiming to explore the effect of the long duration of RRT  on the outcome of critically ill patients with AKI.

methodsThis retrospective study was conducted by using the Multiparameter Intelligent Monitoring in Intensive Care II (MIMIC-II) database. The primary outcome measure of this study was the mortality at 28 days, 60 days, and 90 days in the long-duration RRT group and the non-long-duration RRT group. The secondary outcomes assessed the difference in clinical outcome in these two groups. Lastly, the effect of the duration of RRT on mortality in AKI patients was determined as the third outcome.

resultsWe selected 1,020 patients in total who received RRT according to the MIMIC-II database. According to the inclusion and exclusion criteria, we finally selected 506 patients with AKI: 286 AKI patients in the non-long-duration RRT group and 220 in the long-duration RRT group. After 28 days, there was a significant difference in all-cause mortality between the long-duration RRT group and the non-long-duration RRT group (

conclusionsThe long duration of RRT can improve the short-term prognosis of AKI patients, but it does not affect the long-term prognosis of these patients. Prognosis is determined by the severity of the illness itself. This suggests that RRT can protect AKI patients through the most critical time; however, the final outcome cannot be altered.

Identifiers

PMID34504539
PMCPMC8423547
OpenAlexW3198772551

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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.