Evidence map›Paper›PMID 36384416›Full record

ArticleRenal failure2022

Performance of the renal resistive index and usual clinical indicators in predicting persistent AKI.

You Fu, Cong He, Lijing Jia, Chen Ge, Ling Long, Yinxiang Bai, Na Zhang, Quansheng Du, Limin Shen, Heling Zhao

Open access · goldAbstract read
In one paragraph

Article in Renal failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

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  15. Acute Kidney Injury: Advances in Clinical Management.Journal of clinical medicine · 2022
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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

10 authors at 2 institutions in 1 country.

You FuDepartment of Critical Care Medicine, Hebei Medical University, Shijiazhuang City, China.
Cong HeDepartment of Intensive Care Unit, Hebei General Hospital, Shijiazhuang City, China.
Lijing JiaDepartment of Intensive Care Unit, Hebei General Hospital, Shijiazhuang City, China.
Chen GeDepartment of Intensive Care Unit, Hebei General Hospital, Shijiazhuang City, China.
Ling LongDepartment of Intensive Care Unit, Hebei General Hospital, Shijiazhuang City, China.
Yinxiang BaiDepartment of Intensive Care Unit, Hebei General Hospital, Shijiazhuang City, China.
Na ZhangDepartment of Intensive Care Unit, Hebei General Hospital, Shijiazhuang City, China.
Quansheng DuDepartment of Intensive Care Unit, Hebei General Hospital, Shijiazhuang City, China.
Limin ShenDepartment of Intensive Care Unit, Hebei General Hospital, Shijiazhuang City, China.
Heling ZhaoDepartment of Critical Care Medicine, Hebei Medical University, Shijiazhuang City, China.
Hebei General Hospital · CNHebei Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly recognition of persistent acute kidney injury (AKI) could optimize management and prevent deterioration of kidney function. The Doppler-based renal resistive index (RI) has shown promising results for predicting persistent AKI in preliminary studies. Here, we aimed to evaluate the performance of renal RI, clinical indicators, and their combinations to predict short-term kidney prognosis in septic shock patients.

methodWe performed a retrospective study based on data from a prospective study in a single-center general ICU between November 2017 and October 2018. Patients with septic shock were included. Clinical indicators were evaluated immediately at inclusion, and renal RI was measured within the first 12 h of ICU admission after hemodynamic stabilization. Persistent AKI was defined as AKI without recovery within 72 h. A multivariable logistic regression was used to select significant variables associated with persistent AKI. The discriminative power was evaluated by a receiver operating characteristic curve analysis.

resultOverall, 102 patients were included, 39 of whom had persistent AKI. Renal RI was higher in the persistent AKI patients than in those without persistent AKI: 0.70 ± 0.05 vs. 0.66 ± 0.05;

conclusionThe Doppler-based renal resistive index performed poorly in predicting persistent AKI and did not improve the clinical prediction provided by a combination of serum creatinine at inclusion and the nonrenal SOFA score in patients with septic shock.

Indexed as

Acute Kidney InjuryShock, SepticCreatinineHumansModels, StatisticalPrognosisProspective StudiesRetrospective StudiesCreatinineAcute kidney injurycritical carekidney prognosisrenal resistive indexseptic shockultrasonography

Identifiers

PMID36384416
PMCPMC9677968
OpenAlexW4309623031

What OpenQuestion holds

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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.