Evidence map›Paper›PMID 37066071›Full record

ArticleCritical care explorations2023

Therapeutic Plasma Exchange Is Associated With Improved Major Adverse Kidney Events in Children and Young Adults With Thrombocytopenia at the Time of Continuous Kidney Replacement Therapy Initiation.

Dana Y Fuhrman, Sameer Thadani, Claire Hanson, Joseph A Carcillo, John A Kellum, Hyun Jung Park, Liling Lu, Nahmah Kim-Campbell, Christopher M Horvat, Ayse Akcan Arikan

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 2 institutions in 1 country.

Dana Y FuhrmanDepartment of Critical Care Medicine, Division of Pediatric Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
Sameer ThadaniDepartment of Pediatrics, Division of Nephrology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX.
Claire HansonDepartment of Critical Care Medicine, Division of Pediatric Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
Joseph A CarcilloDepartment of Critical Care Medicine, Division of Pediatric Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
John A KellumThe Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA.
Hyun Jung ParkDepartment of Human Genetics, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA.
Liling LuDepartment of Biostatistics, University of Pittsburgh, Pittsburgh, PA.
Nahmah Kim-CampbellDepartment of Critical Care Medicine, Division of Pediatric Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
Christopher M HorvatDepartment of Critical Care Medicine, Division of Pediatric Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
Ayse Akcan ArikanDepartment of Pediatrics, Division of Nephrology, Baylor College of Medicine, Texas Children's Hospital, Houston, TX.
University of Pittsburgh · USTexas Children's Hospital · US

Funding

Inflammation Phenotypes in Pediatric Sepsis Induced Multiple Organ Failure RenewalR01GM108618 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOSEPH A CARCILLO · 2014 to 2026
$5.4M
Renal Fitness in Young Adults with Congenital Heart DiseaseK23DK116973 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FUHRMAN, DANA YOUNG · 2019 to 2023
$1.2M
Collaborative Pediatric Critical Care Research Network - Clinical SiteRL1HD107780 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI Ayse Akcan Arikan, Trung Chanh Nguyen · 2021 to 2026
$961k
A Learning Health System Approach to Precision Sedation and Analgesia in Critically-Ill ChildrenK23HD099331 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HORVAT, CHRISTOPHER MICHAEL · 2020 to 2024
$810k
Mechanisms of Cell-Free Plasma Hemoglobin-Mediated Renal Injury after Cardiopulmonary BypassK23HD100553 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KIM-CAMPBELL, NAHMAH · 2020 to 2023
$639k
Pediatric Paracorporeal and Extracorporeal Therapies (PPET) Summit 2021R13HD104433 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI AKCAN ARIKAN, AYSE, CHARTAN, COREY · 2021 to 2021
$75k
NICHD NIH HHS K23 HD099331NICHD NIH HHS K23 HD100553NICHD NIH HHS R13 HD104433NICHD NIH HHS RL1 HD107780NIDDK NIH HHS K23 DK116973NIGMS NIH HHS R01 GM108618
6 · The paper itself

Abstract

Therapeutic plasma exchange (TPE) has been shown to improve organ dysfunction and survival in patients with thrombotic microangiopathy and thrombocytopenia associated with multiple organ failure. There are no known therapies for the prevention of major adverse kidney events after continuous kidney replacement therapy (CKRT). The primary objective of this study was to evaluate the effect of TPE on the rate of adverse kidney events in children and young adults with thrombocytopenia at the time of CKRT initiation.

designRetrospective cohort.

settingTwo large quaternary care pediatric hospitals. PATIENTS: All patients less than or equal to 26 years old who received CKRT between 2014 and 2020.

interventionsNone. MEASUREMENTS AND MAIN

resultsWe defined thrombocytopenia as a platelet count less than or equal to 100,000 (cell/mm

conclusionsThrombocytopenia is common in children and young adults at CKRT initiation and is associated with increased MAKE90. In this subset of patients, our data show benefit of TPE in reducing the rate of MAKE90.

Indexed as

acute kidney injurycontinuous kidney replacement therapythrombocytopeniathrombocytopenia-associated multiple organ failurethrombotic microangiopathy

Identifiers

PMID37066071
PMCPMC10097539
OpenAlexW4364361325

What OpenQuestion holds

Textmetadata
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.