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Hyperuricemia increases the risk of acute kidney injury: a systematic review and meta-analysis
Mounting evidence indicated that the elevated serum uric acid level was associated with an increased risk of acute kidney injury (AKI). Our goal was to systematically evaluate the correlation of serum uric acid (SUA) level and incidence of AKI by longitudinal cohort studies. We searched electronic d...
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Published in: | BMC nephrology 2017-01, Vol.18 (1), p.27-27, Article 27 |
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description | Mounting evidence indicated that the elevated serum uric acid level was associated with an increased risk of acute kidney injury (AKI). Our goal was to systematically evaluate the correlation of serum uric acid (SUA) level and incidence of AKI by longitudinal cohort studies.
We searched electronic databases and the reference lists of relevant articles. 18 cohort studies with 75,200 patients were analyzed in this random-effect meta-analysis. Hyperuricemia was defined as SUA levels greater than 360-420 μmol/L (6-7 mg/dl), which was various according to different studies. Data including serum uric acid, serum creatinine, and incidence of AKI and hospital mortality were summarized using random-effects meta-analysis.
The hyperuricemia group significantly exerted a higher risk of AKI compared to the controls (odds ratio OR 2.24, 95% CI 1.76-2.86, p |
doi_str_mv | 10.1186/s12882-016-0433-1 |
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We searched electronic databases and the reference lists of relevant articles. 18 cohort studies with 75,200 patients were analyzed in this random-effect meta-analysis. Hyperuricemia was defined as SUA levels greater than 360-420 μmol/L (6-7 mg/dl), which was various according to different studies. Data including serum uric acid, serum creatinine, and incidence of AKI and hospital mortality were summarized using random-effects meta-analysis.
The hyperuricemia group significantly exerted a higher risk of AKI compared to the controls (odds ratio OR 2.24, 95% CI 1.76-2.86, p < 0.01). Furthermore, there is less difference of the pooled rate of AKI after cardiac surgery between hyperuricemia and control group (34.3% vs 29.7%, OR 1.24, 95% CI 0.96-1.60, p = 0.10), while the rates after PCI were much higher in hyperuricemia group than that in control group (16.0% vs 5.3%, OR 3.24, 95% CI 1.93-5.45, p < 0.01). In addition, there were significant differences in baseline renal function at admission between hyperuricemia and control groups in most of the included studies. The relationship between hyperuricemia and hospital mortality was not significant. The pooled pre-operative SUA levels were higher in AKI group than that in the non-AKI group.
Elevated SUA level showed an increased risk for AKI in patients and measurements of SUA may help identify risks for AKI in these patients.</description><identifier>ISSN: 1471-2369</identifier><identifier>EISSN: 1471-2369</identifier><identifier>DOI: 10.1186/s12882-016-0433-1</identifier><identifier>PMID: 28095822</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Acute Kidney Injury - epidemiology ; Acute renal failure ; Bias ; Cardiac Surgical Procedures ; Cardiovascular disease ; Complications and side effects ; Funding ; Heart surgery ; Hospital Mortality ; Hospitalization ; Humans ; Hyperuricemia ; Hyperuricemia - epidemiology ; Incidence ; Kidney diseases ; Meta-analysis ; Mortality ; Nephrology ; Odds Ratio ; Postoperative Complications - epidemiology ; Risk Factors ; Rodents ; Studies ; Uric acid</subject><ispartof>BMC nephrology, 2017-01, Vol.18 (1), p.27-27, Article 27</ispartof><rights>COPYRIGHT 2017 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2017</rights><rights>The Author(s). 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c560t-7de65dfe50d4ee8f16ae1077fdc126f3c41490fb0b299133324f398e9454a17f3</citedby><cites>FETCH-LOGICAL-c560t-7de65dfe50d4ee8f16ae1077fdc126f3c41490fb0b299133324f398e9454a17f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5240269/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1863953851?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28095822$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Xialian</creatorcontrib><creatorcontrib>Hu, Jiachang</creatorcontrib><creatorcontrib>Song, Nana</creatorcontrib><creatorcontrib>Chen, Rongyi</creatorcontrib><creatorcontrib>Zhang, Ting</creatorcontrib><creatorcontrib>Ding, Xiaoqiang</creatorcontrib><title>Hyperuricemia increases the risk of acute kidney injury: a systematic review and meta-analysis</title><title>BMC nephrology</title><addtitle>BMC Nephrol</addtitle><description>Mounting evidence indicated that the elevated serum uric acid level was associated with an increased risk of acute kidney injury (AKI). Our goal was to systematically evaluate the correlation of serum uric acid (SUA) level and incidence of AKI by longitudinal cohort studies.
We searched electronic databases and the reference lists of relevant articles. 18 cohort studies with 75,200 patients were analyzed in this random-effect meta-analysis. Hyperuricemia was defined as SUA levels greater than 360-420 μmol/L (6-7 mg/dl), which was various according to different studies. Data including serum uric acid, serum creatinine, and incidence of AKI and hospital mortality were summarized using random-effects meta-analysis.
The hyperuricemia group significantly exerted a higher risk of AKI compared to the controls (odds ratio OR 2.24, 95% CI 1.76-2.86, p < 0.01). Furthermore, there is less difference of the pooled rate of AKI after cardiac surgery between hyperuricemia and control group (34.3% vs 29.7%, OR 1.24, 95% CI 0.96-1.60, p = 0.10), while the rates after PCI were much higher in hyperuricemia group than that in control group (16.0% vs 5.3%, OR 3.24, 95% CI 1.93-5.45, p < 0.01). In addition, there were significant differences in baseline renal function at admission between hyperuricemia and control groups in most of the included studies. The relationship between hyperuricemia and hospital mortality was not significant. The pooled pre-operative SUA levels were higher in AKI group than that in the non-AKI group.
Elevated SUA level showed an increased risk for AKI in patients and measurements of SUA may help identify risks for AKI in these patients.</description><subject>Acute Kidney Injury - epidemiology</subject><subject>Acute renal failure</subject><subject>Bias</subject><subject>Cardiac Surgical Procedures</subject><subject>Cardiovascular disease</subject><subject>Complications and side effects</subject><subject>Funding</subject><subject>Heart surgery</subject><subject>Hospital Mortality</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Hyperuricemia</subject><subject>Hyperuricemia - epidemiology</subject><subject>Incidence</subject><subject>Kidney diseases</subject><subject>Meta-analysis</subject><subject>Mortality</subject><subject>Nephrology</subject><subject>Odds Ratio</subject><subject>Postoperative Complications - epidemiology</subject><subject>Risk Factors</subject><subject>Rodents</subject><subject>Studies</subject><subject>Uric acid</subject><issn>1471-2369</issn><issn>1471-2369</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNptkk9vFSEUxYnRtLX2A7gxJG7cTMsFhgEXJk2jtkkTN7qV8JhLy-v8ecJMm_n28vpqbY1hAYHfOTf3cgh5C-wYQKuTDFxrXjFQFZNCVPCCHIBsoOJCmZdPzvvkdc5rxqDRku2Rfa6ZqTXnB-Tn-bLBNKfosY-OxsEndBkzna6Rpphv6Bio8_OE9Ca2Ay4FWc9p-UgdzUuesHdT9DThbcQ76oaW9ji5yg2uW3LMb8ir4LqMRw_7Ifnx5fP3s_Pq8tvXi7PTy8rXik1V06Kq24A1ayWiDqAcAmua0HrgKggvQRoWVmzFjQEhBJdBGI1G1tJBE8Qh-bTz3cyrHluPw5RcZzcp9i4tdnTRPn8Z4rW9Gm9tzSXjyhSDDw8Gafw1Y55sH7PHrnMDjnO2ZdxQK2W0KOj7f9D1OKfS8D0lTC10DX-pK9ehjUMYS12_NbWnstGlO7injv9DldWW7_DjgCGW-2cC2Al8GnNOGB57BGa3obC7UNgSCrsNhd1q3j0dzqPiTwrEbx9msec</recordid><startdate>20170117</startdate><enddate>20170117</enddate><creator>Xu, Xialian</creator><creator>Hu, Jiachang</creator><creator>Song, Nana</creator><creator>Chen, Rongyi</creator><creator>Zhang, Ting</creator><creator>Ding, Xiaoqiang</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170117</creationdate><title>Hyperuricemia increases the risk of acute kidney injury: a systematic review and meta-analysis</title><author>Xu, Xialian ; Hu, Jiachang ; Song, Nana ; Chen, Rongyi ; Zhang, Ting ; Ding, Xiaoqiang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c560t-7de65dfe50d4ee8f16ae1077fdc126f3c41490fb0b299133324f398e9454a17f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acute Kidney Injury - epidemiology</topic><topic>Acute renal failure</topic><topic>Bias</topic><topic>Cardiac Surgical Procedures</topic><topic>Cardiovascular disease</topic><topic>Complications and side effects</topic><topic>Funding</topic><topic>Heart surgery</topic><topic>Hospital Mortality</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Hyperuricemia</topic><topic>Hyperuricemia - epidemiology</topic><topic>Incidence</topic><topic>Kidney diseases</topic><topic>Meta-analysis</topic><topic>Mortality</topic><topic>Nephrology</topic><topic>Odds Ratio</topic><topic>Postoperative Complications - epidemiology</topic><topic>Risk Factors</topic><topic>Rodents</topic><topic>Studies</topic><topic>Uric acid</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xu, Xialian</creatorcontrib><creatorcontrib>Hu, Jiachang</creatorcontrib><creatorcontrib>Song, Nana</creatorcontrib><creatorcontrib>Chen, Rongyi</creatorcontrib><creatorcontrib>Zhang, Ting</creatorcontrib><creatorcontrib>Ding, Xiaoqiang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMC nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xu, Xialian</au><au>Hu, Jiachang</au><au>Song, Nana</au><au>Chen, Rongyi</au><au>Zhang, Ting</au><au>Ding, Xiaoqiang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hyperuricemia increases the risk of acute kidney injury: a systematic review and meta-analysis</atitle><jtitle>BMC nephrology</jtitle><addtitle>BMC Nephrol</addtitle><date>2017-01-17</date><risdate>2017</risdate><volume>18</volume><issue>1</issue><spage>27</spage><epage>27</epage><pages>27-27</pages><artnum>27</artnum><issn>1471-2369</issn><eissn>1471-2369</eissn><abstract>Mounting evidence indicated that the elevated serum uric acid level was associated with an increased risk of acute kidney injury (AKI). Our goal was to systematically evaluate the correlation of serum uric acid (SUA) level and incidence of AKI by longitudinal cohort studies.
We searched electronic databases and the reference lists of relevant articles. 18 cohort studies with 75,200 patients were analyzed in this random-effect meta-analysis. Hyperuricemia was defined as SUA levels greater than 360-420 μmol/L (6-7 mg/dl), which was various according to different studies. Data including serum uric acid, serum creatinine, and incidence of AKI and hospital mortality were summarized using random-effects meta-analysis.
The hyperuricemia group significantly exerted a higher risk of AKI compared to the controls (odds ratio OR 2.24, 95% CI 1.76-2.86, p < 0.01). Furthermore, there is less difference of the pooled rate of AKI after cardiac surgery between hyperuricemia and control group (34.3% vs 29.7%, OR 1.24, 95% CI 0.96-1.60, p = 0.10), while the rates after PCI were much higher in hyperuricemia group than that in control group (16.0% vs 5.3%, OR 3.24, 95% CI 1.93-5.45, p < 0.01). In addition, there were significant differences in baseline renal function at admission between hyperuricemia and control groups in most of the included studies. The relationship between hyperuricemia and hospital mortality was not significant. The pooled pre-operative SUA levels were higher in AKI group than that in the non-AKI group.
Elevated SUA level showed an increased risk for AKI in patients and measurements of SUA may help identify risks for AKI in these patients.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>28095822</pmid><doi>10.1186/s12882-016-0433-1</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acute Kidney Injury - epidemiology Acute renal failure Bias Cardiac Surgical Procedures Cardiovascular disease Complications and side effects Funding Heart surgery Hospital Mortality Hospitalization Humans Hyperuricemia Hyperuricemia - epidemiology Incidence Kidney diseases Meta-analysis Mortality Nephrology Odds Ratio Postoperative Complications - epidemiology Risk Factors Rodents Studies Uric acid |
title | Hyperuricemia increases the risk of acute kidney injury: a systematic review and meta-analysis |
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