Evidence map›Paper›PMID 34754433›Full record

ArticleClinical kidney journal2021

External validation of the Madrid Acute Kidney Injury Prediction Score.

Jacqueline Del Carpio, Maria Paz Marco, Maria Luisa Martin, Lourdes Craver, Elias Jatem, Jorge Gonzalez, Pamela Chang, Mercedes Ibarz, Silvia Pico, Gloria Falcon and 5 more

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.1field-weighted citation impact, top 54% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
  3. Probiotics for kidney disease.Clinical kidney journal · 2022
    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

15 authors at 3 institutions in 1 country.

Jacqueline Del CarpioDepartment of Nephrology, Arnau de Vilanova University Hospital, Lleida, Spain.ORCID https://orcid.org/0000-0001-9475-3561
Maria Paz MarcoDepartment of Nephrology, Arnau de Vilanova University Hospital, Lleida, Spain.
Maria Luisa MartinDepartment of Nephrology, Arnau de Vilanova University Hospital, Lleida, Spain.
Lourdes CraverDepartment of Nephrology, Arnau de Vilanova University Hospital, Lleida, Spain.
Elias JatemDepartment of Nephrology, Arnau de Vilanova University Hospital, Lleida, Spain.
Jorge GonzalezDepartment of Nephrology, Arnau de Vilanova University Hospital, Lleida, Spain.
Pamela ChangDepartment of Nephrology, Arnau de Vilanova University Hospital, Lleida, Spain.
Mercedes IbarzInstitut de Recerca Biomèdica, Lleida, Spain.
Silvia PicoInstitut de Recerca Biomèdica, Lleida, Spain.
Gloria FalconTechnical secretary and Territorial Management of Lleida-Pirineus, Lleida, Spain.
Marina CanalesTechnical secretary and Territorial Management of Lleida-Pirineus, Lleida, Spain.
Elisard HuertasTerritorial Management Information Systems, Catalonian Institute of Health, Lleida, Spain.
Iñaki RomeroTerritorial Management Information Systems, Catalonian Institute of Health, Lleida, Spain.
Nacho NietoInformatic Unit of the Catalonian Institute of Health-Territorial Management, Lleida, Spain.
Alfons SegarraDepartment of Nephrology, Arnau de Vilanova University Hospital, Lleida, Spain.
Hospital Universitari Arnau de Vilanova · ESUniversitat de Lleida · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Madrid Acute Kidney Injury Prediction Score (MAKIPS) is a recently described tool capable of performing automatic calculations of the risk of hospital-acquired acute kidney injury (HA-AKI) using data from from electronic clinical records that could be easily implemented in clinical practice. However, to date, it has not been externally validated. The aim of our study was to perform an external validation of the MAKIPS in a hospital with different characteristics and variable case mix.

methodsThis external validation cohort study of the MAKIPS was conducted in patients admitted to a single tertiary hospital between April 2018 and September 2019. Performance was assessed by discrimination using the area under the receiver operating characteristics curve and calibration plots.

resultsA total of 5.3% of the external validation cohort had HA-AKI. When compared with the MAKIPS cohort, the validation cohort showed a higher percentage of men as well as a higher prevalence of diabetes, hypertension, cardiovascular disease, cerebrovascular disease, anaemia, congestive heart failure, chronic pulmonary disease, connective tissue diseases and renal disease, whereas the prevalence of peptic ulcer disease, liver disease, malignancy, metastatic solid tumours and acquired immune deficiency syndrome was significantly lower. In the validation cohort, the MAKIPS showed an area under the curve of 0.798 (95% confidence interval 0.788-0.809). Calibration plots showed that there was a tendency for the MAKIPS to overestimate the risk of HA-AKI at probability rates ˂0.19 and to underestimate at probability rates between 0.22 and 0.67.

conclusionsThe MAKIPS can be a useful tool, using data that are easily obtainable from electronic records, to predict the risk of HA-AKI in hospitals with different case mix characteristics.

Indexed as

acute kidney injuryexternal validationhospital-acquiredpredictionrisk score

Identifiers

PMID34754433
PMCPMC8573016
OpenAlexW3140635734

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.