Evidence map›Paper›PMID 36016902›Full record

ArticleFrontiers in public health2022

Association Between Wait Time of Central Venous Pressure Measurement and Outcomes in Critical Patients With Acute Kidney Injury: A Retrospective Cohort Study.

Qilin Yang, Weixiao Chen, Yichao Wen, Jiezhao Zheng, Jieru Chen, Shuilian Yu, Xiaohua Chen, Weiyan Chen, Xuming Xiong, Deliang Wen and 1 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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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

11 authors.

Qilin YangDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Weixiao ChenDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Yichao WenDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Jiezhao ZhengDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Jieru ChenDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Shuilian YuDepartment of Rheumatology, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Xiaohua ChenDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Weiyan ChenDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Xuming XiongDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Deliang WenDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zhenhui ZhangDepartment of Critical Care, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hemodynamic management is of paramount importance in patients with acute kidney injury (AKI). Central venous pressure (CVP) has been used to assess volume status. We intended to identify the optimal time window in which to obtain CVP to avoid the incidence of adverse outcomes in patients with AKI. Methods: The study was based on the Medical Information Mart for Intensive Care (MIMIC) IV database. The primary outcome was in-hospital mortality. Secondary outcomes included the number of ICU-free days and norepinephrine-free days at 28 days after ICU admission, and total fluid input and fluid balance during the first and second day. A time-dose-response relationship between wait time of CVP measurement and in-hospital mortality was implemented to find an inflection point for grouping, followed by propensity-score matching (PSM), which was used to compare the outcomes between the two groups. Results: Twenty Nine Thousand and Three Hundred Thirty Six patients with AKI were enrolled, and the risk of in-hospital mortality increased when the CVP acquisition time was >9 h in the Cox proportional hazards regression model. Compared with 8,071 patients (27.5%) who underwent CVP measurement within 9 h and were assigned to the early group, 21,265 patients (72.5%) who delayed or did not monitor CVP had a significantly higher in-hospital mortality in univariate and multivariate Cox regression analyses. After adjusting for potential confounders by PSM and adjusting for propensity score, pairwise algorithmic, overlap weight, and doubly robust analysis, the results were still stable. The HRs were 0.58-0.72, all Conclusions: Among adults with AKI in ICU, increased CVP wait time was associated with a greater risk of in-hospital mortality. In addition, early CVP monitoring perhaps contributed to shortening the length of ICU stays and days of norepinephrine use, as well as better fluid management.

Indexed as

Acute Kidney InjuryWaiting ListsAdultCentral Venous PressureHumansIncidenceRetrospective Studiesacute kidney injurycentral venous pressurein-hospital mortalityMIMIC-IVwait time

Identifiers

PMID36016902
PMCPMC9395608

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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.