Evidence map›Paper›PMID 38388747›Full record

ArticleThe ultrasound journal2024

Test characteristics of point-of-care ultrasonography in patients with acute kidney injury.

Mathilde Gaudreau-Simard, Tana Saiyin, Matthew D F Mcinnes, Sydney Ruller, Edward G Clark, Krista Wooller, Elaine Kilabuk, Alan J Forster, Michael Y Woo

Open access · goldAbstract read
In one paragraph

Article in The ultrasound journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. New approaches to acute kidney injury.Clinical kidney journal · 2024
    Article
  5. 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

9 authors at 2 institutions in 1 country.

Mathilde Gaudreau-SimardDivision of General Internal Medicine, The Ottawa Hospital-General Campus, 501 Smyth Road, Ottawa, ON, K1H 8L6, Canada. magaudreau@toh.ca.ORCID http://orcid.org/0000-0001-5084-4162
Tana SaiyinDepartment of Medicine, University of Ottawa, Ottawa, ON, Canada.
Matthew D F McinnesOttawa Hospital Research Institute, Ottawa, ON, Canada.
Sydney RullerOttawa Hospital Research Institute, Ottawa, ON, Canada.
Edward G ClarkOttawa Hospital Research Institute, Ottawa, ON, Canada.
Krista WoollerDivision of General Internal Medicine, The Ottawa Hospital-General Campus, 501 Smyth Road, Ottawa, ON, K1H 8L6, Canada.
Elaine KilabukDivision of General Internal Medicine, The Ottawa Hospital-General Campus, 501 Smyth Road, Ottawa, ON, K1H 8L6, Canada.
Alan J ForsterDivision of General Internal Medicine, The Ottawa Hospital-General Campus, 501 Smyth Road, Ottawa, ON, K1H 8L6, Canada.
Michael Y WooOttawa Hospital Research Institute, Ottawa, ON, Canada.
University of Ottawa · CAOttawa Hospital · CA

Funding

Ottawa Hospital TOHAMO
6 · The paper itself

Abstract

backgroundAcute kidney injury is a common disorder that is associated with significant morbidity and mortality. Point-of-care ultrasonography (PoCUS) is an imaging modality performed at the bedside and is used to assess for obstructive causes of acute kidney injury. Little is known about the test characteristics of PoCUS in patients with acute kidney injury.

objectiveOur primary objective was to describe the test characteristics of PoCUS for the detection of hydronephrosis in patients presenting with acute kidney injury at our centre. Our secondary objective was to describe the current rate of use of PoCUS for this indication.

resultsIn total, 7873 patients were identified between June 1, 2019 and April 30, 2021, with 4611 meeting inclusion criteria. Of these, 94 patients (2%) underwent PoCUS, and 65 patients underwent both PoCUS and reference standard, for a total of 124 kidneys included in our diagnostic accuracy analysis. The prevalence of hydronephrosis in our cohort was 33% (95% CI 25-41%). PoCUS had a sensitivity of 85% (95% CI 71-94%) and specificity of 78% (95% CI 68-87%) for the detection of hydronephrosis.

conclusionWe describe the test characteristics of PoCUS for the detection of hydronephrosis in a cohort of patients with acute kidney injury. The low uptake of this test presents an opportunity for quality improvement work to increase its use for this indication.

Indexed as

AKIDiagnostic accuracyPoCUSPoint-of-care ultrasoundQI

Identifiers

PMID38388747
PMCPMC10884383
OpenAlexW4392034795

What OpenQuestion holds

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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.