Evidence map›Paper›PMID 36778740›Full record

ArticleFrontiers in medicine2023

Development and validation of a dynamic online nomogram for predicting acute kidney injury in cirrhotic patients upon ICU admission.

Lu-Huai Feng, Yang Lu, Shuang Ren, Hengkai Liang, Lu Wei, Jianning Jiang

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Article in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

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9citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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9 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Lu-Huai FengDepartment of Infectious Diseases, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Yang LuDepartment of Infectious Diseases, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Shuang RenDepartment of Comprehensive Internal Medicine, The Affiliated Tumor Hospital of Guangxi Medical University, Nanning, China.
Hengkai LiangDepartment of Infectious Diseases, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Lu WeiDepartment of Infectious Diseases, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Jianning JiangDepartment of Infectious Diseases, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute kidney injury (AKI) is one of the most common and deadly complications among cirrhotic patients at intensive care unit (ICU) admission. We aimed to develop and validate a simple and clinically useful dynamic nomogram for predicting AKI in cirrhotic patients upon ICU admission. Methods: We analyzed the admission data of 4,375 patients with liver cirrhosis in ICU from 2008 to 2019 in the intensive care unit IV (MIMIC-IV) database. The eligible cirrhotic patients were non-randomly divided into derivation ( Results: The incidence of AKI in 4,375 patients was 71.3%. Ascites, chronic kidney disease, shock, sepsis, diuretic drugs, hepatic encephalopathy, bacterial infections, vasoactive drugs, admission age, total bilirubin, and blood urea nitrogen were identified using the multivariate logistic regression analysis as significant predictors of AKI upon ICU admission. In the derivation cohort, the model showed good discrimination (C-index, 0.786; 95% CI, 0.765-0.806) and good calibration. The model in the validation cohort yielded good discrimination (C-index, 0.774; 95% CI, 0.753-0.795) and good calibration. Decision curve analysis demonstrated that the dynamic online nomogram was clinically useful. Conclusion: Our study presents a dynamic online nomogram that incorporates clinical predictors and can be conveniently used to facilitate the individualized prediction of AKI in cirrhotic patients upon ICU admission.

Indexed as

acute kidney injurydynamic online nomogramintensive care unitmodelprediction

Identifiers

PMID36778740
PMCPMC9911427

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