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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The clinical relevance of oliguria in the critically ill patient: Analysis of a large observational database
Critical Care, Volume 24, No. 1, Article 171, Year 2020
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Description
Background: Urine output is widely used as one of the criteria for the diagnosis and staging of acute renal failure, but few studies have specifically assessed the role of oliguria as a marker of acute renal failure or outcomes in general intensive care unit (ICU) patients. Using a large multinational database, we therefore evaluated the occurrence of oliguria (defined as a urine output < 0.5 ml/kg/h) in acutely ill patients and its association with the need for renal replacement therapy (RRT) and outcome. Methods: International observational study. All adult (> 16 years) patients in the ICON audit who had a urine output measurement on the day of admission were included. To investigate the association between oliguria and mortality, we used a multilevel analysis. Results: Of the 8292 patients included, 2050 (24.7%) were oliguric during the first 24 h of admission. Patients with oliguria on admission who had at least one additional 24-h urine output recorded during their ICU stay (n = 1349) were divided into three groups: transient - oliguria resolved within 48 h after the admission day (n = 390 [28.9%]), prolonged - oliguria resolved > 48 h after the admission day (n = 141 [10.5%]), and permanent - oliguria persisting for the whole ICU stay or again present at the end of the ICU stay (n = 818 [60.6%]). ICU and hospital mortality rates were higher in patients with oliguria than in those without, except for patients with transient oliguria who had significantly lower mortality rates than non-oliguric patients. In multilevel analysis, the need for RRT was associated with a significantly higher risk of death (OR = 1.51 [95% CI 1.19-1.91], p = 0.001), but the presence of oliguria on admission was not (OR = 1.14 [95% CI 0.97-1.34], p = 0.103). Conclusions: Oliguria is common in ICU patients and may have a relatively benign nature if only transient. The duration of oliguria and need for RRT are associated with worse outcome. © 2020 The Author(s).
Authors & Co-Authors
Vincent, Jean Louis
Belgium, Brussels
Université Libre de Bruxelles
Ferguson, Andrew J.
United Kingdom, Belfast
Belfast City Hospital
Pickkers, Peter P.
Netherlands, Nijmegen
Radboud University Medical Center
Jakob, Stephan Mathias
Switzerland, Bern
University of Bern
Jaschinski, Ulrich
Germany, Augsburg
Universität Augsburg
Almekhlafi, Ghaleb A.
Saudi Arabia, Riyadh
Prince Sultan Military Medical City
Léone, Marc
France, Marseille
Ap-hm Assistance Publique - Hôpitaux de Marseille
Mokhtari, Majid M.
Iran, Tehran
Shahid Beheshti University of Medical Sciences
Fontes, Luís Eduardo Santos
Brazil, Petropolis
Faculdade de Medicina de Petrópolis
Bauer, Philippe R.
United States, Rochester
Mayo Clinic
Sakr, Yasser L.
Germany, Jena
Uniklinikum Jena
Tomas, Esmael
Unknown Affiliation
Bibonge, Eric Amisi
Unknown Affiliation
Charra, Boubaker
Unknown Affiliation
Faroudy, Mamoun
Unknown Affiliation
Doedens, Linda G.
Unknown Affiliation
Farina, Zane
Unknown Affiliation
Adler, David
Unknown Affiliation
Balkema, Cecile A.
Unknown Affiliation
Kok, Adri
Unknown Affiliation
Alaya, Sami
Unknown Affiliation
Gharsallah, Hedi
Unknown Affiliation
Muzha, Dritan
Unknown Affiliation
Temelkov, Atanas
Unknown Affiliation
Georgiev, George
Unknown Affiliation
Simeonov, Georgi
Unknown Affiliation
Tsarianski, Georgy
Unknown Affiliation
Georgiev, Silvi
Unknown Affiliation
Seliman, Ali
Unknown Affiliation
Vranković, Srđan
Unknown Affiliation
Vučičević, Željko
Unknown Affiliation
Gornik, Ivan
Unknown Affiliation
Barŝić, Bruno U.
Unknown Affiliation
Husedžinović, Ino
Unknown Affiliation
Pavlik, Pavel
Unknown Affiliation
Maňák, Jan
Unknown Affiliation
Kieslichová, Eva
Unknown Affiliation
Turek, Radovan
Unknown Affiliation
Fischer, Michal
Unknown Affiliation
Válková, Radka
Unknown Affiliation
Dadák, Lukáš
Unknown Affiliation
Dostál, P.
Unknown Affiliation
Maláska, J.
Unknown Affiliation
Hájek, Roman
Unknown Affiliation
Židková, Alexandra
Unknown Affiliation
Lavička, Pavel
Unknown Affiliation
Starkopf, Joel
Unknown Affiliation
Kheladze, Zurab
Unknown Affiliation
Chkhaidze, Mamuka I.
Unknown Affiliation
Kaloiani, Vakhtang
Unknown Affiliation
Medve, László
Unknown Affiliation
Sárkány, Ágnes
Unknown Affiliation
Krémer, Ildikó
Unknown Affiliation
Marjanek, Zsuzsa
Unknown Affiliation
Tamási, Péter
Unknown Affiliation
Krupnova, Inga
Unknown Affiliation
Vanags, I. E.
Unknown Affiliation
Liguts, Viesturs
Unknown Affiliation
Pilvinis, Vidas
Unknown Affiliation
Vosylius, Saulius
Unknown Affiliation
Kėkštas, Gintautas
Unknown Affiliation
Balčiūnas, Mindaugas
Unknown Affiliation
Kolbusz, Julia
Unknown Affiliation
Kübler, Andrzej
Unknown Affiliation
Mielczarek, Beata
Unknown Affiliation
Mikaszewska-Sokolewicz, Małgorzata Anna
Unknown Affiliation
Kotfis, Katarzyna
Unknown Affiliation
Tamowicz, Barbara
Unknown Affiliation
Sułkowski, Wiktor
Unknown Affiliation
Smuszkiewicz, Piotr
Unknown Affiliation
Pihowicz, Andrzej
Unknown Affiliation
Trejnowska, Ewa
Unknown Affiliation
Hagǎu, Natalia
Unknown Affiliation
Filipescu, Daniela C.
Unknown Affiliation
Droc, Gabriela
Unknown Affiliation
Lupu, Mary Nicoleta
Unknown Affiliation
Nica, Alexandru
Unknown Affiliation
Stoica, Radu T.
Unknown Affiliation
Tomescu, Dana Rodica
Unknown Affiliation
Constantinescu, Dacia Laurentia
Unknown Affiliation
Valcoreanu Zbaganu, Georgica M.
Unknown Affiliation
Slavcovici, A. V.C.
Unknown Affiliation
Bagin, V. A.
Unknown Affiliation
Belsky, Dmitry V.
Unknown Affiliation
Palyutin, Sh Kh
Unknown Affiliation
Shlyapnikov, Sergey
Unknown Affiliation
Bikkulova, D.
Unknown Affiliation
Gritsan, Alexey I.
Unknown Affiliation
Natalia, Gulyaeva
Unknown Affiliation
Makarenko, Evgeny V.
Unknown Affiliation
Kokhno, V. N.
Unknown Affiliation
Tolkach, Alla
Unknown Affiliation
Kokarev, Evgenii A.
Unknown Affiliation
Belotserkovskiy, Boris Z.
Unknown Affiliation
Zolotukhin, Konstantin N.
Unknown Affiliation
Kulabukhov, V. V.
Unknown Affiliation
Šoškić, Ljiljana
Unknown Affiliation
Palibrk, Ivan G.
Unknown Affiliation
Janković, Radmilo J.
Unknown Affiliation
Jovanović, Bojan M.
Unknown Affiliation
Bumbaširević, Vesna D.
Unknown Affiliation
Tan, Huiqiong
Unknown Affiliation
Qin, Bingyu
Unknown Affiliation
Kobe, Yoshiro
Unknown Affiliation
Nishida, Osamu
Unknown Affiliation
Uchino, Shigehiko
Unknown Affiliation
Hashimoto, Satoru
Unknown Affiliation
Palo, Jose Emmanuel M.
Unknown Affiliation
Lee, Chien Chang
Unknown Affiliation
Pothirat, Chaicharn
Unknown Affiliation
Khwannimit, Bodin
Unknown Affiliation
Mukhtar, Ahmed M.
Unknown Affiliation
Hamdy, Ahmad Nabil
Unknown Affiliation
Hosny, Hisham
Unknown Affiliation
Zand, Farid
Unknown Affiliation
Nikandish Noubar, Reza
Unknown Affiliation
Tantawy, Tarek M.
Unknown Affiliation
Algethamy, Haifa Mesfer
Unknown Affiliation
Amr, Anas Ahmad
Unknown Affiliation
Demirkiran, Oktay
Unknown Affiliation
Poirier, Germain
Unknown Affiliation
Marshall, John C.
Unknown Affiliation
Herridge, Margaret S.
Unknown Affiliation
Kashyap, Rahul
Unknown Affiliation
Wunderink, Richard G.
Unknown Affiliation
Jiménez, Edgar J.
Unknown Affiliation
Edington, John P.
Unknown Affiliation
van Haren, Frank M.P.
Unknown Affiliation
Bersten, Andrew D.
Unknown Affiliation
Lipman, Jeffrey
Unknown Affiliation
McAllister, Richard E.
Unknown Affiliation
Williams, Tricia J.
Unknown Affiliation
Parke, Rachael L.
Unknown Affiliation
Seigne, Patrick W.
Unknown Affiliation
Freebairn, Ross C.
Unknown Affiliation
Young, Paul Jeffrey
Unknown Affiliation
Hidalgo, Jorge Luis
Unknown Affiliation
Sandi, Freddy
Unknown Affiliation
Caser, Eliana Bernadete
Unknown Affiliation
Lobo, Suzana Margareth Ajeje
Unknown Affiliation
Maia, Israel Silva
Unknown Affiliation
Costa-Filho, Rubens Carmo
Unknown Affiliation
Tomicic F, Vinko
Unknown Affiliation
Buitrago, Ricardo
Unknown Affiliation
Morocho, Diego
Unknown Affiliation
Villagómez, Asisclo Jesús
Unknown Affiliation
Ñamendys-Silva, Silvio A.
Unknown Affiliation
Hurtado, Javier L.
Unknown Affiliation
Burghi, Gastón
Unknown Affiliation
von der Osten, Ingrid T.
Unknown Affiliation
Sahu, Samir
Unknown Affiliation
Ibrahim, Mohamed Hamdy
Unknown Affiliation
Amin, Pravin R.
Unknown Affiliation
Shah, Bhagyesh Ashwinkumar
Unknown Affiliation
Kapadia, Farhad Nahni
Unknown Affiliation
Patel, Mayur Harshadrai
Unknown Affiliation
Kulkarni, Atul Prabhakar
Unknown Affiliation
Hashmi, Madiha
Unknown Affiliation
Biston, Patrick
Unknown Affiliation
De Waele, Jan J.
Unknown Affiliation
Heytens, Luc G.
Unknown Affiliation
Wittebole, Xavier
Unknown Affiliation
Spapen, Herbert D.M.H.
Unknown Affiliation
Harjola, Veli Pekka
Unknown Affiliation
Zogheib, Élie H.
Unknown Affiliation
François, Bruno
Unknown Affiliation
Lefrant, Jean Yves
Unknown Affiliation
Forceville, Xavier
Unknown Affiliation
Misset, Benoıˆt Y.
Unknown Affiliation
Floccard, Bernard
Unknown Affiliation
Payen, Didier M.
Unknown Affiliation
Durand, Michel
Unknown Affiliation
Ichaï, Carole R.
Unknown Affiliation
Voigt, Ingo
Unknown Affiliation
Kerz, Thomas
Unknown Affiliation
Marx, Gernot
Unknown Affiliation
Kluge, Stefan
Unknown Affiliation
Bracht, Hendrik
Unknown Affiliation
Myrianthefs, Pavlos M.
Unknown Affiliation
Mouloudi, Eleni K.
Unknown Affiliation
Nakos, George
Unknown Affiliation
Donnelly, Maria B.
Unknown Affiliation
Rossi, Sandra
Unknown Affiliation
Stocchetti, Nino
Unknown Affiliation
Citerio, Giuseppe
Unknown Affiliation
Sisillo, Erminio
Unknown Affiliation
Antonelli, Massimo M.
Unknown Affiliation
Girardis, Massimo
Unknown Affiliation
Kuiper, Michaël A.
Unknown Affiliation
Kesecioǧlu, Jozef
Unknown Affiliation
Flaatten, Hans Kristian
Unknown Affiliation
Póvoa, Pedro R.
Unknown Affiliation
González, Javier Mauricio
Unknown Affiliation
Martín-Loeches, Ignacio
Unknown Affiliation
Solé-Violán, Jordi
Unknown Affiliation
Torres, Antoni
Unknown Affiliation
Nín, Nicholas
Unknown Affiliation
Fernández, Noemi Llamas
Unknown Affiliation
Estella-García, Ángel
Unknown Affiliation
Rodríguez, Alejandro H.
Unknown Affiliation
Maseda, Emilio
Unknown Affiliation
Ferrer-Roca, Ricard
Unknown Affiliation
Jones, Simon A.
Unknown Affiliation
Downie, Paul
Unknown Affiliation
Brett, Stephen J.
Unknown Affiliation
Agarwal, Banwari
Unknown Affiliation
Szakmany, Tamas
Unknown Affiliation
Welters, Ingeborg Dorothea M.
Unknown Affiliation
Pearse, Rupert M.
Unknown Affiliation
Statistics
Citations: 19
Authors: 209
Affiliations: 11
Identifiers
Doi:
10.1186/s13054-020-02858-x
ISSN:
13648535
Research Areas
Cancer
Health System And Policy