Evidence map›Paper›PMID 38870917›Full record

Observational studyBlood purification2024

Tachycardia and Acute Kidney Injury among Critically Ill Patients with Sepsis: A Prospective Observational Study.

Naoki Hayase, Miyuki Yamamoto, Toshifumi Asada, Rei Isshiki, Kent Doi

Abstract readObservational Study
In one paragraph

Observational study in Blood purification, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

5 authors.

Naoki HayaseDepartment of Emergency and Critical Care Medicine, The University of Tokyo, Tokyo, Japan, hayase.tky@gmail.com.
Miyuki YamamotoDepartment of Emergency and Critical Care Medicine, The University of Tokyo, Tokyo, Japan.
Toshifumi AsadaDepartment of Emergency and Critical Care Medicine, The University of Tokyo, Tokyo, Japan.
Rei IsshikiDepartment of Nephrology and Endocrinology, The University of Tokyo, Tokyo, Japan.
Kent DoiDepartment of Emergency and Critical Care Medicine, The University of Tokyo, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTachycardia caused by sympathetic overactivity impairs myocardial function and raises septic patients' mortality. This study examined whether tachycardia is associated with acute kidney injury (AKI) period-prevalence among critically ill patients with and without sepsis.

methodsIn 328 patients (119 sepsis and 209 non-sepsis) admitted to our intensive care unit (ICU), we assessed heart rate at ICU admission, plasma neutrophil gelatinase-associated lipocalin (NGAL) and N-terminal pro-B-type natriuretic peptide, and urinary L-type fatty acid-binding protein and N-acetyl-β-<sc>d</sc>-glucosaminidase (NAG) at 0 and 48 h after admission. Tachycardia was defined as a heart rate above 100 beats/min.

resultsTachycardia was independently correlated with AKI prevalence during the first week after ICU admission in the septic patients, but not in the non-septic patients. A dose-dependent increase in AKI period-prevalence was observed across ascending heart rate ranges. Furthermore, we discovered a dose-dependent increase in renal biomarker-positive patients regarding plasma NGAL and urinary NAG over increasing heart rate ranges 48 h after admission.

conclusionThe findings revealed an independent relationship between tachycardia and AKI prevalence during the first week of ICU in septic patients. Heart rate was found to have a dose-dependent effect on AKI prevalence and renal insult monitored by biomarkers.

Indexed as

Acute Kidney InjuryCritical IllnessSepsisTachycardiaAcetylglucosaminidaseAcute-Phase ProteinsAgedBiomarkersFemaleHeart RateHumansIntensive Care UnitsLipocalin-2MaleMiddle AgedNatriuretic Peptide, BrainAcetylglucosaminidaseAcute-Phase ProteinsBiomarkersLCN2 protein, humanLipocalin-2Natriuretic Peptide, BrainPeptide FragmentsAcute kidney injuryBiomarkerSepsisTachycardia

Identifiers

PMID38870917
PMCPMC11309051

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Registered trials

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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.