Evidence map›Paper›PMID 35430680›Full record

Trial reportClinical and experimental nephrology2022

Development and validation of a predictive model for acute kidney injury in patients with moderately severe and severe acute pancreatitis.

Dongliang Yang, Li Zhao, Jian Kang, Chao Wen, Yuanhao Li, Yanbo Ren, Hui Wang, Su Zhang, Suosuo Yang, Jing Song and 2 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical and experimental nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

12 authors.

Dongliang Yang *Cangzhou Medical College, Cangzhou, 061000, China.
Li Zhao *Emergency Department, Weihai Municipal Hospital, Cheeloo College of Medicine, Shandong University, Weihai, 264200, China.
Jian KangEmergency Department, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China.
Chao WenDepartment of Anesthesia, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China.
Yuanhao LiEmergency Department, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China.
Yanbo RenEmergency Department, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China.
Hui WangEmergency Department, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China.
Su ZhangEmergency Department, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China.
Suosuo YangEmergency Department, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China.
Jing SongRespiratory Department, Dalian Friendship Hospital, Dalian, 116011, China.
Dongna GaoEmergency Department, The Second Affiliated Hospital of Shantou University, Shantou, 515000, China.
Yuling LiEmergency Department, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, China. liyuling.198808@163.com.

Funding

natural science foundation of liaoning province LZ2020068
6 · The paper itself

Abstract

backgroundAcute kidney injury is a serious complication of moderately severe and severe acute pancreatitis, which significantly increases mortality. There are currently no reliable tools for early identification of AKI especially severe AKI in these patients. We aim to develop a predictive model so that physicians can assess the risk of AKI and severe AKI, thus take further preventive measures.

methodsPatients with a diagnosis of MSAP and SAP admitted to our hospital from January 2018 to December 2021 were retrospectively included in the study. The participants were divided into the training and validation cohorts randomly, in a 2:1 ratio. A clinical signature was built based on reproducible features, using the least absolute shrinkage and selection operator method and machine learning. Multivariate logistic regression analysis was used to develop the prediction model. Nomogram performance was determined by its discrimination, calibration, and clinical usefulness.

resultsA total of 996 eligible patients were enrolled. 698 patients were allocated in the training cohort and 298 in the validation cohort. AKI occurred in 148 patients (21%) in the training cohort and 54 (18%) in the validation cohort, respectively. The clinical features, including C-reactive protein, intra-abdominal pressure and serum cysC, were significantly associated with AKI as well as severe AKI. The nomogram showed favorable discrimination, calibration and clinical usefulness.

conclusionsThe novel risk score model has good performance for predicting AKI and severe AKI in MSAP and SAP patients. Application of this model can help clinicians stratify patients for primary prevention, surveillance and early therapeutic intervention to improve care and prognosis.

Indexed as

Acute Kidney InjuryPancreatitisAcute DiseaseHumansRetrospective StudiesRisk FactorsAcute kidney injuryAcute pancreatitisNomogramRisk factor

Identifiers

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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.