Evidence map›Paper›PMID 40594000›Full record

ArticleScientific reports2025

Urine pH is associated with the development of acute kidney injury in crush syndrome.

Fei She, Qianqian Zhu, Jianying Guo, Liwei Pang, Li Yan, Yuhong Wang, Shuangqing Liu

Abstract read
In one paragraph

Article in Scientific reports, 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

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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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Fei She *Department of Emergency, The Fourth Medical Center of the Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, China.
Qianqian Zhu *Department of Emergency, The Fourth Medical Center of the Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, China.
Jianying GuoDepartment of Surgical Intensive Care Unit, The Fourth Medical Center of the Chinese PLA General Hospital, Beijing, China.
Liwei PangDepartment of Anesthesiology, The Fourth Medical Center of the Chinese PLA General Hospital, Beijing, China.
Li YanDepartment of Emergency, The Fourth Medical Center of the Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, China.
Yuhong WangDepartment of Emergency, The Fourth Medical Center of the Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, China.
Shuangqing LiuDepartment of Emergency, The Fourth Medical Center of the Chinese PLA General Hospital, No.51 Fucheng Road, Haidian District, Beijing, China. shuangqliu@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI) is a critical complication in crush syndrome (CS). This retrospective study, performed from May 1st, 2019, to April 30th, 2024, analyzed 231 CS patients to identify AKI predictors. We compared urine pH, creatine kinase (CK), and serum creatinine on days 1, 3, 5, and 7 between AKI and non-AKI groups. AKI patients were older and had more severe trauma (p < 0.05). Urine pH progressively declined in the AKI group, remaining lower than non-AKI (except admission day), while CK and creatinine rose continuously (p < 0.05). Multivariable analysis identified urine pH on day 5 [odds ratio (OR) 0.301, p = 0.001], CK on day 1 (OR 1.000, p = 0.023) and Injury Severe Score (ISS) scores (OR 1.082, p = 0.008) as independent AKI predictors. The area under the ROC curve (AUC) for urine pH (day 5), CK (day 1) and ISS scores were 0.975, 0.838 and 0.761, respectively. The current study showed that urine pH persistently decreases in CS-related AKI, whereas CK increases. Urine pH on day 5, CK on day 1 and ISS scores independently predict AKI, highlighting potential ability of urine pH for early intervention and risk assessment in CS patients.

Indexed as

Acute Kidney InjuryCrush SyndromeUrineAdultAgedBiomarkersCreatine KinaseCreatinineFemaleHumansHydrogen-Ion ConcentrationMaleMiddle AgedRetrospective StudiesROC CurveBiomarkersCreatine KinaseCreatinine

Identifiers

PMID40594000
PMCPMC12216074

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