Evidence map›Paper›PMID 38915464›Full record

ArticleFrontiers in pharmacology2024

Relationship between low molecular weight heparin calcium therapy and prognosis in severe acute kidney injury in sepsis: Mendelian randomized analysis and retrospective study.

Jian-Chun Li, Shi-Tao Huang, Fei Feng, Lin-Jun Wang, Ting-Ting Chen, Min Li, Li-Ping Liu

Abstract read
In one paragraph

Article in Frontiers in pharmacology, 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

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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. Review
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4 · The record

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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

7 authors.

Jian-Chun LiThe First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, China.
Shi-Tao HuangThe First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, China.
Fei FengThe First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, China.
Lin-Jun WangThe First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, China.
Ting-Ting ChenThe First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, China.
Min LiDepartment of Emergency Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.
Li-Ping LiuDepartment of Emergency Critical Care Medicine, The First Hospital of Lanzhou University, Lanzhou, Gansu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Sepsis-associated acute kidney injury (SA-AKI) poses an independent risk for mortality due to the absence of highly sensitive biomarkers and a specific treatment plan. Objective: Investigate the association between low molecular weight heparin (LMWH) calcium therapy and prognosis in critically ill SA-AKI patients, and assess the causal relationship through Mendelian randomization (MR) analysis. Methods: A single-center, retrospective, cross-sectional study included 90 SA-AKI patients and 30 septic patients without acute kidney injury (AKI) from the intensive care unit (ICU) of the First Hospital of Lanzhou University. SA-AKI patients were categorized into control or LMWH groups based on LMWH calcium usage. Primary outcome was renal function recovery, with secondary outcomes including 28-day mortality, ICU stay length, number of renal replacement therapy (RRT) recipients, and 90-day survival. MR and related sensitivity analyses explored causal effects. Results: The combination of heparin-binding protein (HBP), heparanase (HPA), and neutrophil gelatinase-associated lipocalin (NGAL) demonstrated high diagnostic value for SA-AKI. MR analysis suggested a potential causal link between gene-predicted HBP and AKI (OR: 1.369, 95%CI: 1.040-1.801, Conclusion: LMWH could enhance renal function in SA-AKI patients. MR analysis supports this causal link, underscoring the need for further validation in randomized controlled trials.

Indexed as

acute injury injurygenome-wide association studiesheparanaseheparin-binding proteinMendelian randomizationsepsissepsis associated acute injury injury

Identifiers

PMID38915464
PMCPMC11194406

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