Evidence map›Paper›PMID 36164260›Full record

ArticleAnnals of transplantation2022

Using Postoperative Coagulation Parameters Within 24 h After Liver Transplantation to Predict Incidence of Stage 3 Acute Kidney Injury (AKI).

Chen Chen, Xiaolan Chen, Xianyuan Zhao, Junqi Feng, Yuan Gao, Yuxiao Deng, Zhe Li

Open access · hybridAbstract read
In one paragraph

Article in Annals of transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 2 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

7 authors at 3 institutions in 1 country.

Chen ChenDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China (mainland).
Xiaolan ChenDepartment of Emergency, Shanghai Pulmonary Hospital, Shanghai, China (mainland).
Xianyuan ZhaoDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China (mainland).
Junqi FengDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China (mainland).
Yuan GaoDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China (mainland).
Yuxiao DengDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China (mainland).ORCID 0000-0003-2401-1495
Zhe LiDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai, China (mainland).
Renji Hospital · CNShanghai Jiao Tong University · CNShanghai Pulmonary Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND This study aimed to investigate the relationship between coagulation function and the incidence of acute kidney injury (AKI) stage 3 within 24 h after liver transplantation (LT) and explore the predictive value of coagulation parameters for post-LT stage 3 AKI. MATERIAL AND METHODS A retrospective study was conducted on 241 patients who underwent LT at the Renji Hospital affiliated with Shanghai Jiao Tong University School of Medicine between February 2021 and February 2022. The coagulation parameters within 24 h after LT and the incidence of post-LT AKI within 7 days were recorded. The correlation between post-LT coagulation function and post-LT stage 3 AKI was determined using binary logistic regression analysis. RESULTS Post-LT AKI occurred in 99 cases (41.1%), 28 (28.3%) of which developed AKI stage 3. In univariate logistic regression analysis, multiple coagulation indexes of the AKI stage 3 group were worse than in the AKI stage 0-2 group. In multivariate logistic regression analysis, lower post-LT ADP-induced PLT aggregation rate (cut-off: 15.75%), higher D-dimer level (cut-off: 3.52 ug/ml), and prolonged R-value (cut-off: 7.5 min) within 24 h were independent risk factors for post-LT AKI stage 3. The AUROC value for predicting the incidence of post-LT AKI stage 3 combining the 3 indices was 0.835 (sensitivity: 83.3%, specificity: 76.9%). The decision curve showed that combining D-dimer, R-value, and ADP-induced PLT aggregation rate yielded the highest net benefit for predicting the incidence of stage 3 AKI. CONCLUSIONS Post-LT coagulation function within 24 h correlated with the incidence of post-LT AKI stage 3. Lower ADP-induced PLT aggregation rate, higher D-dimer level, and prolonged R-value from the TEG were independent risk factors for the incidence of post-LT AKI stage 3.

Indexed as

Acute Kidney InjuryLiver TransplantationAdenosine DiphosphateChinaHumansIncidenceRetrospective StudiesRisk FactorsAdenosine Diphosphate

Identifiers

PMID36164260
PMCPMC9526365
OpenAlexW4294275573

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.