Evidence map›Paper›PMID 41491476›Full record

ArticleBMC nephrology2026

Relationship between urine output and 28-day mortality in patients with acute kidney injury receiving continuous renal replacement therapy.

LangJing Zheng, Licai Liang, Xu Wang, Yongan Xu

Abstract read
In one paragraph

Article in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

LangJing ZhengDepartment of Emergency Medicine, the Second Affiliated Hospital of Zhejiang, University School of Medicine, Hangzhou, 310009, China.
Licai LiangDepartment of Emergency Medicine, the Second Affiliated Hospital of Zhejiang, University School of Medicine, Hangzhou, 310009, China.
Xu WangDepartment of Emergency Medicine, the Second Affiliated Hospital of Zhejiang, University School of Medicine, Hangzhou, 310009, China.
Yongan XuDepartment of Emergency Medicine, the Second Affiliated Hospital & Institute of Emergency Medicine, Zhejiang University School of Medicine, Hangzhou, 310009, China. xuyongan2000@zju.edu.cn.

Funding

Key Research and Development Program of Zhejiang Province 2024C3186Major Project of National-Zhejiang Provincial Administration of Traditional Chinese Medicine GZY-ZJ-KJ-24030Zhejiang Provincial Medical and Health Science and Technology Project 2022RC156
6 · The paper itself

Abstract

backgroundMost critically ill patients with acute kidney injury (AKI) can be controlled with continuous renal replacement therapy (CRRT), but the timing of CRRT initiation is debatable and there is no specific indication. The aim of this study was to investigate whether there is a correlation between different urine output levels at the start of CRRT and the prognosis of critically ill patients with AKI who require CRRT.

methodsThis was a secondary analysis that retrieved the clinical, biochemical, and 28-day mortality rates of critically ill AKI patients who required CRRT from 2009 to 2016, and grouped the patients into two groups of patients with 2-hour urine output at the start of CRRT, and explored the effect of urine output at the onset of CRRT on 28-day all-cause mortality through univariate, multivariate, Kaplan-Meier curves, and subgroup analyses.

resultsA total of 1138 participants were enrolled in this study. Multivariate Cox proportional hazards regression analysis showed a significantly lower 28-day risk of death in the non-oliguria group compared with the oliguria group after fully adjusting for confounding variables (P = 0.0014), with an adjusted hazard ratio (95% confidence interval) of 0.75 (0.63–0.89). Subgroup analyses showed that oliguria and an increased risk of 28-day mortality were associated in patients requiring CRRT due to hyperkalemia and AKI due to sepsis, but this result was not found in patients with other indications for CRRT and other causes of AKI.

conclusionOliguria is associated with an increased risk of 28-day mortality in critically ill AKI patients requiring CRRT, especially in patients requiring CRRT due to hyperkalemia, and in patients with AKI due to sepsis. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Acute Kidney InjuryContinuous Renal Replacement TherapyOliguriaAgedCritical IllnessFemaleHumansMaleMiddle AgedPrognosisRetrospective Studies28-Day mortalityAcute kidney injuryContinuous renal replacement therapySubgroupUrine output

Identifiers

PMID41491476
PMCPMC12870117

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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.