Evidence map›Paper›PMID 37188118›Full record

ArticleJournal of intensive medicine2023

Management of renal replacement therapy among adults in French intensive care units: A bedside practice evaluation.

Florian Jolly, Marine Jacquier, Delphine Pecqueur, Marie Labruyère, Christophe Vinsonneau, Isabelle Fournel, Jean-Pierre Quenot, READIAL Study group

Open access · goldAbstract read
In one paragraph

Article in Journal of intensive medicine, 2023. 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
0.4field-weighted citation impact, top 41% 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.

  1. Review
  2. Article
  3. 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

8 authors at 20 institutions in 3 countries.

Florian JollyService de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, Dijon 21000, France.
Marine JacquierService de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, Dijon 21000, France.
Delphine PecqueurINSERM, CIC 1432, Module Epidémiologie Clinique, Dijon 21000, France.
Marie LabruyèreService de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, Dijon 21000, France.
Christophe VinsonneauService de Médecine Intensive Réanimation-Unité de Sevrage Ventilatoire et Réhabilitation, CH de Bethune, Bethune 62408, France.
Isabelle FournelINSERM, CIC 1432, Module Epidémiologie Clinique, Dijon 21000, France.
Jean-Pierre QuenotService de Médecine Intensive-Réanimation, CHU Dijon-Bourgogne, Dijon 21000, France.
READIAL Study group
Assistance Publique – Hôpitaux de Paris · FRInserm · FRCentre Hospitalier Universitaire de Lille · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCHU Dijon Bourgogne · FRSorbonne Université · FRCentre Hospitalier de La Rochelle · FRCentre Hospitalier de Lens · FRCentre Hospitalier de Versailles · FRCentre Hospitalier Vétérinaire Frégis · FRHôpital Nord · FRHôpital Privé Jacques Cartier · FRHôpitaux Universitaires de Strasbourg · FRCentre Hospitalier Agen - Nérac · FRCentre hospitalier Bretagne Atlantique · FRCentre Hospitalier de Béthune · FRCentre Hospitalier de Bretagne Sud · FRCentre Hospitalier de Dax –Côte d’Argent · FRCentre Hospitalier de la Côte Basque · FRCentre Hospitalier de l'Agglomération de Nevers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to investigate renal replacement therapy (RRT) practices in a representative nationwide sample of French intensive care units (ICUs). Methods: From July 1 to October 5 2021, 67 French ICUs provided data regarding their ICU and RRT implementation. We used an online questionnaire to record general data about each participating ICU, including the type of hospital, number of beds, staff ratios, and RRT implementation. Each center then prospectively recorded RRT parameters from 5 consecutive acute kidney injury (AKI) patients, namely the indication, type of dialysis catheter used, type of catheter lock used, type of RRT (continuous or intermittent), the RRT parameters initially prescribed (dose, blood flow, and duration), and the anticoagulant agent used for the circuit. Results: A total of 303 patients from 67 ICUs were analyzed. Main indications for RRT were oligo-anuria (57.4%), metabolic acidosis (52.1%), and increased plasma urea levels (47.9%). The commonest insertion site was the right internal jugular (45.2%). In 71.0% of cases, the dialysis catheter was inserted by a resident. Ultrasound guidance was used in 97.0% and isovolumic connection in 90.1%. Citrate, unfractionated heparin, and saline were used as catheter locks in 46.9%, 24.1%, and 21.1% of cases, respectively. Conclusions: Practices in French ICUs are largely compliant with current national guidelines and international literature. The findings should be interpreted in light of the limitations inherent to this type of study.

Indexed as

Acute kidney injuryBedsideIntensive care unitPractice evaluationRenal replacement therapy

Identifiers

PMID37188118
PMCPMC10175733
OpenAlexW4315927246

What OpenQuestion holds

Textmetadata
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.