Evidence map›Paper›PMID 40515395›Full record

Trial reportMedical science monitor : international medical journal of experimental and clinical research2025

Predictive Value of Anion Gap for Acute Kidney Injury Progression and Outcomes.

Jing Wang, Xiaohui Yan, Hai Wang, Long Tang

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Medical science monitor : international medical journal of experimental and clinical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Jing WangDepartment of Nephrology, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, China.
Xiaohui YanDepartment of Nephrology, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, China.
Hai WangThe Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Long TangDepartment of Emergency, Shaanxi Provincial People's Hospital, Xi'an, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Anion gap (AG) is a cheap blood test, but the relationship between the AG at the onset of AKI and the progression and prognosis of AKI is unclear. This study explored the relationship between the AG at the onset of AKI and the progression and prognosis of AKI. MATERIAL AND METHODS We retrospectively analyzed data from a multicenter randomized study on an AKI early warning system. Univariate analysis, multivariate logistic regression, and curve fitting were used to assess the relationship between the AG at the onset of AKI and the AKI progression and prognosis of patients with AKI. RESULTS A total 5731 patients were included in our study. We found that AG at the onset of AKI was associated with 14-day AKI progression, 14-day dialysis, and 14-day mortality, and the adjusted ORs were 1.07 (1.04, 1.09), 1.09 (1.04, 1.15), and 1.10 (1.07, 1.14), respectively. Further curve fitting analysis found that there was a nonlinear correlation between the AG at the onset of AKI and 14-day AKI progression and 14-day mortality, and there was a linear correlation between the AG at the onset of AKI and 14-day dialysis. When the AG was >10 mmol/L, 14-day AKI progression and 14-day mortality were significantly increased. CONCLUSIONS An increase of AG at the onset of AKI was associated with an increased risk of 14-day AKI progression, 14-day dialysis, and 14-day mortality. Especially when the AG exceeded 10 mmol/L, the 14-day AKI progression and 14-day mortality were significantly increased, and the AG showed a linear correlation with 14-day dialysis.

Indexed as

Acid-Base EquilibriumAcute Kidney InjuryAgedDisease ProgressionFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisRenal DialysisRetrospective StudiesRisk Factors

Identifiers

PMID40515395
PMCPMC12175626

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