Evidence map›Paper›PMID 40040641›Full record

ArticleFrontiers in neurology2024

Association between early coagulation disorders and the risk of severe acute kidney injury in traumatic brain injury patients: a retrospective cohort study using the MIMIC-IV database.

Yu Gao, Yong Li, Hai Zhou, Xin Wang, Guojun Wang, Lin Zhu

Abstract read
In one paragraph

Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Brain-kidney cross-talk: A call for action!World journal of critical care medicine · 2026
    Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Association Between Early Coagulation Disorder and All-Cause Mortality in Critically Ill Stroke Patients: A Retrospective Study Based on the MIMIC-IV Database.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

6 authors.

Yu Gao *Department of Critical Care Medicine, Binhai County People's Hospital, Affiliated Binhai Hospital, Kangda College of Nanjing Medical University, Yancheng, Jiangsu, China.
Yong Li *Department of Critical Care Medicine, Binhai County People's Hospital, Affiliated Binhai Hospital, Kangda College of Nanjing Medical University, Yancheng, Jiangsu, China.
Hai ZhouDepartment of Neurosurgery, Binhai County People's Hospital, Affiliated Binhai Hospital, Kangda College of Nanjing Medical University, Yancheng, Jiangsu, China.
Xin WangDepartment of Critical Care Medicine, Binhai County People's Hospital, Affiliated Binhai Hospital, Kangda College of Nanjing Medical University, Yancheng, Jiangsu, China.
Guojun WangDepartment of Neurosurgery, Binhai County People's Hospital, Affiliated Binhai Hospital, Kangda College of Nanjing Medical University, Yancheng, Jiangsu, China.
Lin ZhuDepartment of Traditional Chinese Medicine, Binhai County People's Hospital, Affiliated Binhai Hospital, Kangda College of Nanjing Medical University, Yancheng, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Acute kidney injury (AKI) and coagulation disorders are two common complications of traumatic brain injury (TBI) that are associated with poor prognosis. However, the relationship between early coagulation disorders and the risk of severe AKI in TBI patients remains unclear. This study aimed to explore the association between early coagulation disorders and the risk of severe AKI in TBI patients admitted to the intensive care unit (ICU). Methods: In this retrospective cohort study, adults diagnosed with TBI were selected from the Medical Information Mart for Intensive Care (MIMIC)-IV database. The outcome was the risk of severe AKI within 7 days of ICU admission in TBI patients. Covariates including sociodemographic information, vital signs, scoring systems, and laboratory parameters were extracted from the database. Univariable and multivariable Cox proportional hazard regression models were used to assess the association between early coagulation disorders and the risk of severe AKI within 7 days of admission to the ICU in TBI patients. Subgroup analyses based on age and the Glasgow Coma Scale (GCS) score were further conducted to assess the association. Results: A total of 846 patients were finally included, of whom 187 (22.10%) had severe AKI. After adjusting for all covariates, the TBI patients with early coagulation disorders had a higher risk of developing severe AKI within 7 days of ICU admission compared to the TBI patients without early coagulation disorders (hazard ratio (HR) = 1.40, 95% confidence interval (CI): 1.04-1.89), particularly among those aged ≥65 years (HR = 1.46, 95%CI: 1.01-2.04) and those with a GCS score ≤ 13 (HR = 1.91, 95%CI: 1.16-3.15). Conclusion: TBI patients with early coagulation disorders had a higher risk of developing severe AKI within 7 days of ICU admission. This may serve as a promising biomarker and could be helpful for managing kidney health in TBI patients.

Indexed as

acute kidney injuryearly coagulation disorderMIMIC-IV databaseretrospective cohort studytraumatic brain injury

Identifiers

PMID40040641
PMCPMC11876056

What Socratic holds

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LicenceCC BY
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Registered trials

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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 Socratic graph.