Evidence map›Paper›PMID 35672868›Full record

ArticleJournal of intensive care2022

Worsening or improving hypoalbuminemia during continuous renal replacement therapy is predictive of patient outcome: a single-center retrospective study.

Harin Rhee, Gum Sook Jang, Sungmi Kim, Wanhee Lee, Hakeong Jeon, Da Woon Kim, Byung-Min Ye, Hyo Jin Kim, Min Jeong Kim, Seo Rin Kim and 5 more

Abstract read
In one paragraph

Article in Journal of intensive care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. The Impact of Hypoalbuminemia on Inflammatory Markers, Serum Creatinine, Hemoglobin and Outcome in Critically ill Patients With COVID-19 Infection-Retrospective Observation Study.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2025
    Article
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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

15 authors.

Harin RheeDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea. rheeharin@pusan.ac.kr.ORCID http://orcid.org/0000-0001-6257-8551
Gum Sook JangDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Sungmi KimDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Wanhee LeeDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Hakeong JeonDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Da Woon KimDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Byung-Min YeDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Hyo Jin KimDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Min Jeong KimDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Seo Rin KimDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Il Young KimDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Sang Heon SongDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Eun Young SeongDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Dong Won LeeDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Soo Bong LeeDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.

Funding

Ministry of Education, Science and Technology No. 2022R1C1C1009362
6 · The paper itself

Abstract

backgroundHypoalbuminemia at the initiation of continuous renal replacement therapy (CRRT) is a risk factor for poor patient outcomes. However, it is unknown whether the patterns of changes in serum albumin levels during CRRT can be used to predict patient outcomes.

methodsThis retrospective study analyzed data that had been consecutively collected from January 2016 to December 2020 at the Third Affiliated Hospital. We included patients with acute kidney injury who received CRRT for ≥ 72 h. We divided the patients into four groups based on their serum albumin levels (albumin ≥ 3.0 g/dL or < 3.0 g/dL) at the initiation and termination of CRRT.

resultsThe 793 patients in this study were categorized into the following albumin groups: persistently low, 299 patients (37.7%); increasing, 85 patients (10.4%); decreasing, 195 patients (24.6%); and persistently high, 214 patients (27.1%). In-hospital mortality rates were highest in the persistently low and decreasing groups, followed by the increasing and persistently high groups. The hazard ratio for in-hospital mortality was 0.481 (0.340-0.680) in the increasing group compared to the persistently low group; it was 1.911 (1.394-2.620) in the decreasing group compared to the persistently high group. The length of ICU stay was 3.55 days longer in the persistently low group than in the persistently high group.

conclusionsSerum albumin levels changed during CRRT, and monitoring of patterns of change in serum albumin levels is useful for predicting in-hospital mortality and the length of ICU stay.

Indexed as

Acute kidney injuryAlbuminContinuous renal replacement therapyHypoalbuminemia

Identifiers

PMID35672868
PMCPMC9171968

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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.