Evidence map›Paper›PMID 36050748›Full record

Trial reportCritical care (London, England)2022

Decreased renal perfusion during acute kidney injury in critical COVID-19 assessed by magnetic resonance imaging: a prospective case control study.

Tomas Luther, Per Eckerbom, Eleanor Cox, Miklos Lipcsey, Sara Bülow, Michael Hultström, Francisco Martinez Torrente, Jan Weis, Fredrik Palm, Susan Francis and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Critical care (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02765191 (MR-Evaluation of Renal Function In Septic Patients), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.5field-weighted citation impact, top 6% 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.

NCT02765191 nacompletednot on this map

MR-Evaluation of Renal Function In Septic Patients

TypeinterventionalSponsorUppsala UniversityRan2016 to 2021Enrolled22ConditionsSepsis, Severe, Acute Kidney Injury, COVID-19ArmsPlasma expansion with Ringer's Acetate
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Assessment of Acute Kidney Injury using MRI.Journal of magnetic resonance imaging : JMRI · 2025
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Renal MRI: From Nephron to NMR Signal.Journal of magnetic resonance imaging : JMRI · 2023
    Review
  10. Article
  11. Shrunken Pore Syndrome Is Frequently Occurring in Severe COVID-19.International journal of molecular sciences · 2022
    Article
  12. 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

12 authors at 4 institutions in 2 countries.

Tomas Luther *Anaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University Hospital, Uppsala University, 751 85, Uppsala, Sweden. tomas.luther@surgsci.uu.se.
Per Eckerbom *Section of Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Eleanor CoxSir Peter Mansfield Imaging Centre, School of Physics & Astronomy, University of Nottingham, Nottingham, UK.
Miklos LipcseyAnaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University Hospital, Uppsala University, 751 85, Uppsala, Sweden.
Sara BülowAnaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University Hospital, Uppsala University, 751 85, Uppsala, Sweden.
Michael HultströmAnaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University Hospital, Uppsala University, 751 85, Uppsala, Sweden.
Francisco Martinez TorrenteAnaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University Hospital, Uppsala University, 751 85, Uppsala, Sweden.
Jan WeisDepartment of Medical Physics, Uppsala University Hospital, Uppsala, Sweden.
Fredrik PalmIntegrative Physiology, Department Medical Cell Biology, Uppsala University, Uppsala, Sweden.
Susan FrancisSir Peter Mansfield Imaging Centre, School of Physics & Astronomy, University of Nottingham, Nottingham, UK.
Robert Frithiof *Anaesthesiology and Intensive Care Medicine, Department of Surgical Sciences, Uppsala University Hospital, Uppsala University, 751 85, Uppsala, Sweden.
Per Liss *Section of Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Uppsala University Hospital · SEUppsala University · SENottingham Biomedical Research Centre · GBNottingham University Hospitals NHS Trust · GB

Funding

Medical Research Council MR/R02264X/1Medical Research Council MR/V037005/1SciLifeLab/Knut and Alice Wallenberg national COVID-19 research program KAW 2020.0182, KAW 2020.0241Swedish Heart-Lung Foundation 20210089, 20190639, 2019063Swedish Kidney Foundation F2020-0054Swedish Research Council 2014-02569 and 2014-07606Swedish Society of Medicine SLS-938101
6 · The paper itself

Abstract

backgroundRenal hypoperfusion has been suggested to contribute to the development of acute kidney injury (AKI) in critical COVID-19. However, limited data exist to support this. We aim to investigate the differences in renal perfusion, oxygenation and water diffusion using multiparametric magnetic resonance imaging in critically ill COVID-19 patients with and without AKI.

methodsA prospective case-control study where patients without prior kidney disease treated in intensive care for respiratory failure due to COVID-19 were examined. Kidney Disease: Improving Global Outcomes Creatinine criteria were used for group allocation. Main comparisons were tested using Mann-Whitney U test.

resultsNineteen patients were examined, ten with AKI and nine without AKI. Patients with AKI were examined in median 1 [0-2] day after criteria fulfillment. Age and baseline Plasma-Creatinine were similar in both groups. Total renal blood flow was lower in patients with AKI compared with patients without (median 645 quartile range [423-753] vs. 859 [746-920] ml/min, p = 0.037). Regional perfusion was reduced in both cortex (76 [51-112] vs. 146 [123-169] ml/100 g/min, p = 0.015) and medulla (28 [18-47] vs. 47 [38-73] ml/100 g/min, p = 0.03). Renal venous saturation was similar in both groups (72% [64-75] vs. 72% [63-84], ns.), as was regional oxygenation (R

conclusionsIn critically ill COVID-19 patients with AKI, the total, cortical and medullary renal blood flows were reduced compared with similar patients without AKI, whereas no differences in renal oxygenation were demonstrable in this setting. Trial registration ClinicalTrials ID: NCT02765191 , registered May 6 2014 and updated May 7 2020.

Indexed as

Acute Kidney InjuryCOVID-19Case-Control StudiesCreatinineCritical IllnessHumansMagnetic Resonance SpectroscopyPerfusionCreatinine

Identifiers

PMID36050748
PMCPMC9434518
OpenAlexW4294024779

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.