Evidence map›Paper›PMID 39632252›Full record

ArticleRenal failure2024

Risk factors for mortality in patients with sepsis on extracorporeal membrane oxygenation and/or continuous renal replacement therapy: a retrospective cohort study based on MIMIC-IV database.

Tongxin Chu, Jinyu Pan, Qingyang Song, Qiushi Ren, Quan Liu, Huayang Li, Liqun Shang, Gang Li, Jian Hou, Suiqing Huang and 1 more

Abstract read
In one paragraph

Article in Renal failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  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

11 authors.

Tongxin ChuDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jinyu PanDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Qingyang SongDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Qiushi RenDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Quan LiuDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Huayang LiDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Liqun ShangDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Gang LiDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Jian HouDepartment of Cardiology, The Affiliated Panyu Central Hospital of Guangzhou Medical University, Guangzhou, China.
Suiqing HuangDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Zhongkai WuDepartment of Cardiac Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to identify risk factors for mortality in septic patients undergoing extracorporeal membrane oxygenation (ECMO) and/or continuous renal replacement therapy (CRRT).

methodsData from the MIMIC-IV database were retrospectively reviewed for 24,502 septic patients treated with ECMO or CRRT between 2008 and 2019. After applying inclusion and exclusion criteria, 70 patients receiving ECMO, 513 receiving CRRT, and 22 receiving both were included in the final analysis. Univariate and multivariate stepwise Cox regression analyses were performed to identify independent risk factors for mortality. Model performance was assessed using receiver operating characteristic (ROC) curve analysis. We also provided model-agnostic explanations for each Cox regression model.

resultsFor septic patients on ECMO, prothrombin time (per 1-s increase, HR 1.037, 95% CI 1.007-1.068,

conclusionFor septic patients requiring ECMO, prothrombin time was the key independent risk factor. For those needing CRRT, SOFA score was the most significant independent risk factor. Prior history of hypertension was the primary independent risk factor for septic patients needing both CRRT and ECMO.

Indexed as

Continuous Renal Replacement TherapyExtracorporeal Membrane OxygenationROC CurveSepsisAcute Kidney InjuryAdultAgedDatabases, FactualFemaleHumansMaleMiddle AgedOrgan Dysfunction ScoresProthrombin TimeRetrospective StudiesRisk Factorscontinuous renal replacement therapyExtracorporeal membrane oxygenationmortalityrisk factorssepsis

Identifiers

PMID39632252
PMCPMC11619025

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.