Evidence map›Paper›PMID 36907976›Full record

ArticleAnnals of intensive care2023

Long-term outcomes after severe acute kidney injury in critically ill patients: the SALTO study.

Khalil Chaïbi, Franck Ehooman, Bertrand Pons, Laurent Martin-Lefevre, Eric Boulet, Alexandre Boyer, Guillaume Chevrel, Nicolas Lerolle, Dorothée Carpentier, Nicolas de Prost and 15 more

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Article in Annals of intensive care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Review
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  14. Review
  15. Article
  16. Review
  17. New drugs for acute kidney injury.Journal of intensive medicine · 2025
    Review
  18. Article
  19. Survive or thrive after ICU: what's the score?Annals of intensive care · 2023
    Article
  20. 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

25 authors.

Khalil ChaïbiService de Réanimation Médico-Chirurgicale, AP-HP, Hôpital Avicenne, 125 rue de Stalingrad, 93000, Bobigny, France.
Franck EhoomanUMR_S1155, French National Institute of Health and Medical Research (INSERM), CORAKID, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.
Bertrand PonsService de Réanimation, CHU de Pointe à Pitre-Abymes, CHU de la Guadeloupe, France.
Laurent Martin-LefevreRéanimation médico-chirurgicale, CHG, La Roche-sur-Yon, France.
Eric BouletRéanimation polyvalente, CH René Dubos, Pontoise, France.
Alexandre BoyerRéanimation médicale CHU Bordeaux, Hôpital Pellegrin, Bordeaux, France.
Guillaume ChevrelService de réanimation, Centre Hospitalier Sud Francilien, Corbeil Essonne, France.
Nicolas LerolleDépartement de réanimation médicale et médecine hyperbare, CHU Angers, Universitéd'Angers, Angers, France.
Dorothée CarpentierRéanimation médicale, CHU Rouen, Rouen, France.
Nicolas de ProstAssistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Henri Mondor, DHU A-TVB, Service de réanimation médicale, Créteil, France.
Alexandre LautretteRéanimation médicale, Hôpital Gabriel Montpied, CHU de Clermont-Ferrand, Clermont- Ferrand, France.
Anne BretagnolRéanimation médico-chirurgicale, Hôpital de La Source, Centre Hospitalier Régional d'Orléans, BP 6709, 45067, Orléans Cedex, France.
Julien MayauxService de Pneumologie et Réanimation Médicale, APHP, Groupe Hospitalier Pitié-Salpêtrière, Paris, France.
Saad NseirCentre de Réanimation, Faculté de Médecine, CHU de Lille, Université de Lille, 59000, Lille, France.
Bruno MegarbaneRéanimation Médicale et Toxicologique, Hôpital Lariboisière, INSERM U1144, Université Paris-Diderot, Paris, France.
Marina ThirionRéanimation polyvalente, CH Victor Dupouy, 95107, Argenteuil Cedex, France.
Jean-Marie ForelService de réanimation des Détresses respiratoires aiguës et infections sévères, Hôpital Nord Marseille, Marseille, France.
Julien MaizelService de réanimation médicale INSERM U1088, Centre hospitalier universitaire de picardie, Amiens, France.
Hodane YonisRéanimation médicale, Hôpital de la Croix Rousse, Lyon, France.
Philippe MarkowiczRéanimation, CH, Cholet, France.
Guillaume ThieryRéanimation médicale, CHU Saint Etienne, 42270, Saint Priest en Jarez, France.
Frédérique SchortgenCentre Hospitalier Intercommunal, Service de Réanimation Polyvalente Adulte, Créteil, France.
Cécile CouchoudREIN registry, Agence de la biomédecine, Saint Denis La Plaine, France.
Didier Dreyfuss *UMR_S1155, French National Institute of Health and Medical Research (INSERM), CORAKID, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.
Stephane Gaudry *Service de Réanimation Médico-Chirurgicale, AP-HP, Hôpital Avicenne, 125 rue de Stalingrad, 93000, Bobigny, France. stephanegaudry@gmail.com.ORCID http://orcid.org/0000-0002-1105-6785

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe extent of the consequences of an episode of severe acute kidney injury (AKI) on long-term outcome of critically ill patients remain debated. We conducted a prospective follow-up of patients included in a large multicenter clinical trial of renal replacement therapy (RRT) initiation strategy during severe AKI (the Artificial Kidney Initiation in Kidney Injury, AKIKI) to investigate long-term survival, renal outcome and health related quality of life (HRQOL). We also assessed the influence of RRT initiation strategy on these outcomes.

resultsFollow-up of patients extended from 60 days to a median of 3.35 years [interquartile range (IQR), 1.89 to 4.09] after the end of initial study. Of the 619 patients included in the AKIKI trial, 316 survived after 60 days. The overall survival rate at 3 years from inclusion was 39.4% (95% CI 35.4 to 43.4). A total of 46 patients (on the 175 with available data on long-term kidney function) experienced worsening of renal function (WRF) at the time of follow-up [overall incidence of 26%, cumulative incidence at 4 years: 20.6% (CI 95% 13.0 to 28.3)]. Fifteen patients required chronic dialysis (5% of patients who survived after day 90). Among the 226 long-term survivors, 80 (35%) answered the EQ-5D questionnaire. The median index value reported was 0.67 (IQR 0.40 to 1.00) indicating a noticeable alteration of quality of life. Initiation strategy for RRT had no effect on any long-term outcome.

conclusionSevere AKI in critically ill patients was associated with a high proportion of death within the first 2 months but less so during long-term follow-up. A quarter of long-term survivors experienced a WRF and suffered from a noticeable impairment of quality of life. Renal replacement therapy initiation strategy was not associated with mortality outcome.

Indexed as

Acute kidney injuryLong-term outcomesRenal replacement therapyWorsening renal failure

Identifiers

PMID36907976
PMCPMC10008759

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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.