Evidence map›Paper›PMID 37837501›Full record

ArticleJournal of nephrology2023

Incidence, risk factors and outcome of acute kidney injury in critically ill COVID-19 patients in Tyrol, Austria: a prospective multicenter registry study.

Timo Mayerhöfer, Fabian Perschinka, Sebastian J Klein, Andreas Peer, Georg F Lehner, Romuald Bellmann, Lukas Gasteiger, Markus Mittermayr, Robert Breitkopf, Stephan Eschertzhuber and 21 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.4field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Article
  6. Objective and subjective cognitive outcomes one year after COVID-19.Annals of clinical and translational neurology · 2024
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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

31 authors at 10 institutions in 4 countries.

Timo Mayerhöfer *Division of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Fabian Perschinka *Division of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Sebastian J KleinDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Andreas PeerDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Georg F LehnerDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Romuald BellmannDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
Lukas GasteigerDepartment of Anesthesia and Critical Care Medicine, Medical University Innsbruck, Innsbruck, Austria.
Markus MittermayrDepartment of Anesthesia and Critical Care Medicine, Medical University Innsbruck, Innsbruck, Austria.
Robert BreitkopfDepartment of Anesthesia and Critical Care Medicine, Medical University Innsbruck, Innsbruck, Austria.
Stephan EschertzhuberDepartment of Anesthesia and Intensive Care Medicine, Hospital Hall, Hall, Austria.
Simon MathisDepartment of General and Surgical Intensive Care Medicine, Medical University Innsbruck, Innsbruck, Austria.
Anna FialaDepartment of General and Surgical Intensive Care Medicine, Medical University Innsbruck, Innsbruck, Austria.
Dietmar FriesDepartment of General and Surgical Intensive Care Medicine, Medical University Innsbruck, Innsbruck, Austria.
Mathias StröhleDepartment of Anesthesia and Intensive Care Medicine, Hospital Kufstein, Kufstein, Austria.
Eva FoidlDepartment of Anesthesia and Intensive Care Medicine, Hospital Kufstein, Kufstein, Austria.
Walter HasibederDepartment of Anesthesiology and Critical Care Medicine, Hospital St. Vinzenz Zams, Zams, Austria.
Raimund HelbokDepartment of Neurology, Medical University Innsbruck, Innsbruck, Austria.
Lukas KirchmairDepartment of Anesthesia and Critical Care Medicine, Hospital Schwaz, Schwaz, Austria.
Birgit StögermüllerDepartment of Anesthesia and Critical Care Medicine, Hospital Schwaz, Schwaz, Austria.
Christoph KrismerDepartment of Internal Medicine, Hospital St. Vinzenz Zams, Zams, Austria.
Tatjana HeinerDepartment of Anesthesia and Intensive Care Medicine, Hospital Reutte, Reutte, Austria.
Eugen LadnerDepartment of Anesthesia and Intensive Care Medicine, Hospital Reutte, Reutte, Austria.
Claudius ThoméDepartment of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
Christian Preuß-HernandezDepartment of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria.
Andreas MayrDepartment of Anesthesia and Intensive Care Medicine, Hospital Lienz, Lienz, Austria.
Miriam PotocnikDepartment of Anesthesia and Intensive Care Medicine, Hospital St. Johann in Tyrol, St. Johann in Tyrol, Austria.
Bruno ReitterDepartment of Anesthesia and Intensive Care Medicine, Hospital St. Johann in Tyrol, St. Johann in Tyrol, Austria.
Jürgen BrunnerDepartment of Pediatrics, Medical University Innsbruck, Innsbruck, Austria.
Stefanie Zagitzer-HoferDepartment of Internal Medicine, Hospital Hall, Hall, Austria.
Alexandra RibitschDepartment of Internal Medicine, Hospital Lienz, Lienz, Austria.
Michael JoannidisDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. michael.joannidis@i-med.ac.at.ORCID 0000-0002-6996-0881
Innsbruck Medical University · ATAmazon (United States) · USLiebherr (Austria) · ATPlansee (Austria) · ATTyrolit (Austria) · ATUniversidad de Zamboanga · PHUniversity Hospital in Halle · DEUniversity of Applied Sciences Kufstein · ATDanube Private University · ATJohannes Kepler University of Linz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute kidney injury is a frequent complication in critically ill patients with and without COVID-19. The aim of this study was to evaluate the incidence of, and risk factors for, acute kidney injury and its effect on clinical outcomes of critically ill COVID-19 patients in Tyrol, Austria.

methodsThis multicenter prospective registry study included adult patients with a SARS-CoV-2 infection confirmed by polymerase chain reaction, who were treated in one of the 12 dedicated intensive care units during the COVID-19 pandemic from February 2020 until May 2022.

resultsIn total, 1042 patients were included during the study period. The median age of the overall cohort was 66 years. Of the included patients, 267 (26%) developed acute kidney injury during their intensive care unit stay. In total, 12.3% (n = 126) required renal replacement therapy with a median duration of 9 (IQR 3-18) days. In patients with acute kidney injury the rate of invasive mechanical ventilation was significantly higher with 85% (n = 227) compared to 41% (n = 312) in the no acute kidney injury group (p < 0.001). The most important risk factors for acute kidney injury were invasive mechanical ventilation (OR = 4.19, p < 0.001), vasopressor use (OR = 3.17, p < 0.001) and chronic kidney disease (OR = 2.30, p < 0.001) in a multivariable logistic regression analysis. Hospital and intensive care unit mortality were significantly higher in patients with acute kidney injury compared to patients without acute kidney injury (Hospital mortality: 52.1% vs. 17.2%, p < 0.001, ICU-mortality: 47.2% vs. 14.7%, p < 0.001).

conclusionAs in non-COVID-19 patients, acute kidney injury is clearly associated with increased mortality in critically ill COVID-19 patients. Among known risk factors, invasive mechanical ventilation has been identified as an independent and strong predictor of acute kidney injury.

Indexed as

Acute Kidney InjuryCOVID-19AdultAgedAustriaCritical IllnessHumansIncidenceIntensive Care UnitsMiddle AgedPandemicsRespiration, ArtificialRetrospective StudiesRisk FactorsSARS-CoV-2Critical careIntensive Care UnitPandemicRenalSARS-CoV-2

Identifiers

PMID37837501
PMCPMC10703973
OpenAlexW4387640196

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.