Evidence map›Paper›PMID 34515056›Full record

ArticleBlood purification2022

Hyperoncotic Albumin Solution in Continuous Renal Replacement Therapy Patients.

Zachary O'Brien, Mark Finnis, Martin Gallagher, Rinaldo Bellomo, RENAL Study Investigators and the Australian and New Zealand Intensive Care Clinical Trials Group

Abstract read
In one paragraph

Article in Blood purification, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Review
  2. Current management of fluid balance in critically ill patients with acute kidney injury: A scoping review.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2023
    Article
  3. Use or Misuse of Albumin in Critical Ill Patients.Diseases (Basel, Switzerland) · 2023
    Review
  4. Review
  5. Ten myths about albumin.Intensive care medicine · 2022
    Article
  6. Article
  7. [Use of albumin : State of the art].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021
    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

5 authors.

Zachary O'BrienDepartment of Intensive Care, Austin Hospital, Melbourne, Victoria, Australia, zach.obrien01@gmail.com.
Mark FinnisAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Martin GallagherThe George Institute for Global Health, University of New South Wales, Sydney, New South Wales, Australia.
Rinaldo BellomoDepartment of Intensive Care, Austin Hospital, Melbourne, Victoria, Australia.
RENAL Study Investigators and the Australian and New Zealand Intensive Care Clinical Trials Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to investigate the association of hyperoncotic (20%) human albumin solution (HAS) with outcomes among critically ill patients receiving continuous renal replacement therapy (RRT).

methodsAnalysis of the Randomized Evaluation of Normal versus Augmented Level (RENAL) RRT trial data.

resultsOf 1,508 patients, 771 (51%) received albumin. Of these, 345 (45%) received 4% HAS only, 155 (20%) received 20% HAS only, and 271 (35%) received both. Patients who received combined 4% and 20% HAS were more severely ill, received more days of RENAL trial therapy and required mechanical ventilation for longer. Mean daily fluid balance was -288 mL (-904 to 261) with 20% HAS only versus 245 mL (-248 to 1,050) with 4% HAS only (p < 0.001). On Cox proportional hazards regression, 20% HAS exposure was not associated with greater 90-day mortality (odds ratio 1.12, 95% confidence interval [CI]: 0.77-1.62; p = 0.55) or longer recovery to RRT independence (sub-hazard ratio 1.04, 95% CI: 0.84-1.30; p = 0.70) compared to those who received 4% HAS only.

conclusionsRENAL trial patients commonly received albumin in varying concentrations. The administration of 20% HAS was associated with a more negative fluid balance but was not independently associated with increased mortality or RRT dependence when compared to 4% HAS only.

Indexed as

Acute Kidney InjuryContinuous Renal Replacement TherapyAlbuminsCritical IllnessHumansRenal Replacement TherapyAlbuminshyperoncotic albuminAcute kidney injuryHyperoncotic albuminRenal replacement therapy

Identifiers

PMID34515056
PMCPMC9393816

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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.