Evidence map›Paper›PMID 38696335›Full record

ArticleThe Journal of infectious diseases2024

Rhabdomyolysis, Acute Kidney Injury, and Mortality in Ebola Virus Disease: Retrospective Analysis of Cases From the Eastern Democratic Republic of the Congo, 2019.

Masumbuko Claude Kasereka, Daniel Mukadi-Bamuleka, Richard Kitenge-Omasumbu, François Edidi-Atani, Meris Matondo Kuamfumu, Sabue Mulangu, Olivier Tshiani-Mbaya, Kambale Malengera Vicky, Placide Mbala-Kingebeni, Steve Ahuka-Mundeke and 5 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2024. 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
–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

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

15 authors.

Masumbuko Claude KaserekaDepartment of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.
Daniel Mukadi-BamulekaDepartment of Virology, Institut National de Recherche Biomédicale.ORCID 0000-0002-6836-8704
Richard Kitenge-OmasumbuProgramme National d'Urgences et Actions Humanitaires, Ministry of Health of the Democratic Republic of the Congo, Kinshasa.
François Edidi-AtaniDepartment of Virology, Institut National de Recherche Biomédicale.
Meris Matondo KuamfumuDepartment of Virology, Institut National de Recherche Biomédicale.
Sabue MulanguDepartment of Virology, Institut National de Recherche Biomédicale.
Olivier Tshiani-MbayaDepartment of Virology, Institut National de Recherche Biomédicale.
Kambale Malengera VickyDepartment of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.
Placide Mbala-KingebeniDepartment of Virology, Institut National de Recherche Biomédicale.
Steve Ahuka-MundekeDepartment of Virology, Institut National de Recherche Biomédicale.
Jean-Jacques Muyembe-TamfumDepartment of Virology, Institut National de Recherche Biomédicale.
Bonita E LeeDepartment of Pediatrics, University of Alberta, Edmonton.
Stan HoustonSchool of Public Health, University of Alberta, Edmonton, Canada.
Zubia MumtazSchool of Public Health, University of Alberta, Edmonton, Canada.
Michael T HawkesSchool of Public Health, University of Alberta, Edmonton, Canada.ORCID 0000-0002-4122-0937

Funding

NIH HHSWorld Health Organization
6 · The paper itself

Abstract

backgroundSkeletal muscle injury in Ebola virus disease (EVD) has been reported, but its association with morbidity and mortality remains poorly defined.

methodsThis retrospective study included patients admitted to 2 EVD treatment units over an 8-month period in 2019 during an EVD epidemic in the Democratic Republic of the Congo.

resultsAn overall 333 patients (median age, 30 years; 58% female) had at least 1 creatine kinase (CK) measurement (n = 2229; median, 5/patient [IQR, 1-11]). Among patients, 271 (81%) had an elevated CK level (>380 U/L); 202 (61%) had rhabdomyolysis (CK >1000 IU/L); and 45 (14%) had severe rhabdomyolysis (≥5000 U/L). Among survivors, the maximum CK level was a median 1600 (IQR, 550-3400), peaking 3.4 days after admission (IQR, 2.3-5.5) and decreasing thereafter. Among fatal cases, the CK rose monotonically until death, with a median maximum CK level of 2900 U/L (IQR, 1500-4900). Rhabdomyolysis at admission was an independent predictor of acute kidney injury (adjusted odds ratio, 2.2 [95% CI, 1.2-3.8]; P = .0065) and mortality (adjusted hazard ratio, 1.7 [95% CI, 1.03-2.9]; P = .037).

conclusionsRhabdomyolysis is associated with acute kidney injury and mortality in patients with EVD. These findings may inform clinical practice by identifying laboratory monitoring priorities and highlighting the importance of fluid management.

Indexed as

Acute Kidney InjuryHemorrhagic Fever, EbolaRhabdomyolysisAdolescentAdultCreatine KinaseDemocratic Republic of the CongoFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultCreatine Kinaseacute kidney injuryDemocratic Republic of the CongoEbola virus diseasemortalityrhabdomyolysis

Identifiers

PMID38696335
PMCPMC11326845

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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.