Evidence map›Paper›PMID 35263826›Full record

ArticleAcute and critical care2021

COVID-19-induced acute kidney injury in critically ill patients: epidemiology, risk factors, and outcome.

Ahlem Trifi, Sami Abdellatif, Yosri Masseoudi, Asma Mehdi, Oussama Benjima, Eya Seghir, Fatma Cherif, Yosr Touil, Bedis Jeribi, Foued Daly and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Acute and critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

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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

13 authors at 1 institution in 1 country.

Ahlem TrifiMedical Intensive Care Unit, University Hospital Center La Rabta, Tunis, Tunisia.
Sami AbdellatifMedical Intensive Care Unit, University Hospital Center La Rabta, Tunis, Tunisia.
Yosri MasseoudiFaculty of Medicine, Université de Tunis El Manar, Tunis, Tunisia.
Asma MehdiMedical Intensive Care Unit, University Hospital Center La Rabta, Tunis, Tunisia.
Oussama BenjimaFaculty of Medicine, Université de Tunis El Manar, Tunis, Tunisia.
Eya SeghirMedical Intensive Care Unit, University Hospital Center La Rabta, Tunis, Tunisia.
Fatma CherifFaculty of Medicine, Université de Tunis El Manar, Tunis, Tunisia.
Yosr TouilMedical Intensive Care Unit, University Hospital Center La Rabta, Tunis, Tunisia.
Bedis JeribiFaculty of Medicine, Université de Tunis El Manar, Tunis, Tunisia.
Foued DalyMedical Intensive Care Unit, University Hospital Center La Rabta, Tunis, Tunisia.
Cyrine AbdennebiMedical Intensive Care Unit, University Hospital Center La Rabta, Tunis, Tunisia.
Adel AmmousFaculty of Medicine, Université de Tunis El Manar, Tunis, Tunisia.
Salah Ben LakhalMedical Intensive Care Unit, University Hospital Center La Rabta, Tunis, Tunisia.
Tunis University · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe kidney represents a potential target for severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2). Clinical data about acute kidney injury (AKI) during SARS-CoV-2 infection are lacking. We aimed to investigate the proportion, risk factors, and prognosis of AKI in critical patients affected with SARS-CoV-2.

methodsA case/control study was conducted in two intensive care units of a tertiary teaching hospital.

resultsAmong 109 patients, 75 were male (69%) with median age at 64 years and 48 (44%) developed AKI within 4 days (interquartile range [IQR], 1-9). Of them, 11 (23%), 9 (19%), and 28 (58%) were classified as stage 1, 2, and 3, respectively. AKI patients were older and presented more sepsis, acute respiratory distress syndrome, and rhabdomyolysis; higher initial urea and creatinine; more marked inflammatory syndrome and hematological disorders; and required more mechanical ventilation and vasopressors. An elevated D-dimers level (odds ratio [OR], 12.83; 95% confidence interval [CI], 1.9-85) was an independent factor of AKI. Sepsis was near to significance (OR, 5.22; 95% CI, 0.94-28; P=0.058). AKI was independently related to mortality (OR, 6.8; 95% CI, 1.49-105) and significantly reduced the survival (14.7 days; IQR, 12-17 vs. 19.9 days; IQR, 17-22.7; P=0.011) in AKI and no AKI group respectively. Hypoxemia with the ratio of the arterial partial pressure of oxygen and the inspiratory concentration of oxygen <70, and vasopressors were identified as mortality factors.

conclusionsAKI occurred in almost half the studied patients and significantly worsened their prognosis. A high D-dimers level and sepsis contributed significantly to its development.

Indexed as

acute kidney injurycoronavirus disease 2019mechanical ventilationmortality

Identifiers

PMID35263826
PMCPMC8907460
OpenAlexW3214981564

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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.