{"id":"https://openalex.org/W7166317095","doi":"https://doi.org/10.22141/2224-0586.22.4.2026.2024","title":"Mutually aggravating complications in the development of hepatorenal syndrome in decompensated portal hypertension","display_name":"Mutually aggravating complications in the development of hepatorenal syndrome in decompensated portal hypertension","publication_year":2026,"publication_date":"2026-06-27","ids":{"openalex":"https://openalex.org/W7166317095","doi":"https://doi.org/10.22141/2224-0586.22.4.2026.2024"},"language":"uk","primary_location":{"id":"doi:10.22141/2224-0586.22.4.2026.2024","doi":"https://doi.org/10.22141/2224-0586.22.4.2026.2024","is_oa":true,"landing_page_url":"https://doi.org/10.22141/2224-0586.22.4.2026.2024","pdf_url":"https://emergency-journal.com/index.php/journal/article/download/2024/2023","source":{"id":"https://openalex.org/S4210175529","display_name":"EMERGENCY MEDICINE","issn_l":"2224-0586","issn":["2224-0586","2307-1230"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4310321456","host_organization_name":"Publishing House Zaslavsky","host_organization_lineage":["https://openalex.org/P4310321456"],"host_organization_lineage_names":["Publishing House Zaslavsky"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"EMERGENCY MEDICINE","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://emergency-journal.com/index.php/journal/article/download/2024/2023","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007145936","display_name":"Mykola I. Tutchenko","orcid":"https://orcid.org/0000-0002-5050-6494","observed_orcids":["https://orcid.org/0000-0002-5050-6494","https://orcid.org/0000-0002-9368-9139"]},"institutions":[{"id":"https://openalex.org/I84407627","display_name":"Bogomolets National Medical University","ror":"https://ror.org/03edafd86","country_code":"UA","type":"education","lineage":["https://openalex.org/I84407627"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"M.I. Tutchenko","raw_affiliation_strings":["Bogomolets National Medical University, Kyiv, Ukraine"],"raw_orcid":"https://orcid.org/0000-0002-5050-6494","affiliations":[{"raw_affiliation_string":"Bogomolets National Medical University, Kyiv, Ukraine","institution_ids":["https://openalex.org/I84407627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5092601744","display_name":"Denys Mykhailovych Patrakh","orcid":"https://orcid.org/0000-0001-9724-0470","observed_orcids":["https://orcid.org/0000-0001-9724-0470"]},"institutions":[{"id":"https://openalex.org/I84407627","display_name":"Bogomolets National Medical University","ror":"https://ror.org/03edafd86","country_code":"UA","type":"education","lineage":["https://openalex.org/I84407627"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"D.M. Patrakh","raw_affiliation_strings":["Bogomolets National Medical University, Kyiv, Ukraine"],"raw_orcid":"https://orcid.org/0000-0001-9724-0470","affiliations":[{"raw_affiliation_string":"Bogomolets National Medical University, Kyiv, Ukraine","institution_ids":["https://openalex.org/I84407627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039353016","display_name":"D.V. Rudyk","orcid":"https://orcid.org/0000-0001-9736-3614","observed_orcids":["https://orcid.org/0000-0001-9736-3614","https://orcid.org/0000-0002-9429-1798"]},"institutions":[{"id":"https://openalex.org/I84407627","display_name":"Bogomolets National Medical University","ror":"https://ror.org/03edafd86","country_code":"UA","type":"education","lineage":["https://openalex.org/I84407627"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"D.V. Rudyk","raw_affiliation_strings":["Bogomolets National Medical University, Kyiv, Ukraine"],"raw_orcid":"https://orcid.org/0000-0001-9736-3614","affiliations":[{"raw_affiliation_string":"Bogomolets National Medical University, Kyiv, Ukraine","institution_ids":["https://openalex.org/I84407627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5095770032","display_name":"Mykola S. Besedinskyi","orcid":"https://orcid.org/0009-0009-8618-1458","observed_orcids":["https://orcid.org/0009-0009-8618-1458"]},"institutions":[{"id":"https://openalex.org/I84407627","display_name":"Bogomolets National Medical University","ror":"https://ror.org/03edafd86","country_code":"UA","type":"education","lineage":["https://openalex.org/I84407627"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"M.S. Besedinskyi","raw_affiliation_strings":["Bogomolets National Medical University, Kyiv, Ukraine"],"raw_orcid":"https://orcid.org/0009-0009-8618-1458","affiliations":[{"raw_affiliation_string":"Bogomolets National Medical University, Kyiv, Ukraine","institution_ids":["https://openalex.org/I84407627"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064530127","display_name":"A. Lovin","orcid":"https://orcid.org/0000-0003-1109-6581","observed_orcids":["https://orcid.org/0000-0003-1109-6581"]},"institutions":[{"id":"https://openalex.org/I84407627","display_name":"Bogomolets National Medical University","ror":"https://ror.org/03edafd86","country_code":"UA","type":"education","lineage":["https://openalex.org/I84407627"]}],"countries":["UA"],"is_corresponding":false,"raw_author_name":"A.V. Lovin","raw_affiliation_strings":["Bogomolets National Medical University, Kyiv, Ukraine"],"raw_orcid":"https://orcid.org/0000-0003-1109-6581","affiliations":[{"raw_affiliation_string":"Bogomolets National Medical University, Kyiv, Ukraine","institution_ids":["https://openalex.org/I84407627"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5082897663","display_name":"\u0406.V. Klyuzko","orcid":"https://orcid.org/0000-0001-8253-9349","observed_orcids":["https://orcid.org/0000-0001-8253-9349"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"I.V. Klyuzko","raw_affiliation_strings":["Vyshhorod Central District Hospital, Vyshhorod, Kyiv region, Ukraine"],"raw_orcid":"https://orcid.org/0000-0001-8253-9349","affiliations":[{"raw_affiliation_string":"Vyshhorod Central District Hospital, Vyshhorod, Kyiv region, Ukraine","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.49245531,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"22","issue":"4","first_page":"376","last_page":"382"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10337","display_name":"Liver Disease and Transplantation","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10337","display_name":"Liver Disease and Transplantation","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2721","display_name":"Hepatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10198","display_name":"Heart Failure Treatment and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11967","display_name":"Electrolyte and hormonal disorders","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hepatorenal-syndrome","display_name":"hepatorenal syndrome","score":0.9990000128746033},{"id":"https://openalex.org/keywords/liver-cirrhosis","display_name":"liver cirrhosis","score":0.8970000147819519},{"id":"https://openalex.org/keywords/spontaneous-bacterial-peritonitis","display_name":"spontaneous bacterial peritonitis","score":0.9890000224113464},{"id":"https://openalex.org/keywords/nosocomial-infections","display_name":"nosocomial infections","score":0.8870000243186951},{"id":"https://openalex.org/keywords/ascites","display_name":"ascites","score":0.7870000004768372},{"id":"https://openalex.org/keywords/liberal-transfusion-strategy","display_name":"liberal transfusion","score":0.7419999837875366},{"id":"https://openalex.org/keywords/restrictive-transfusion-strategy","display_name":"restrictive transfusion","score":0.8880000114440918},{"id":"https://openalex.org/keywords/risk-factors-for-mortality","display_name":"mortality risk factors","score":0.8029999732971191},{"id":"https://openalex.org/keywords/oliguria","display_name":"oliguria","score":0.7360000014305115},{"id":"https://openalex.org/keywords/kidney-failure","display_name":"renal failure","score":0.6129999756813049},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.6050000190734863},{"id":"https://openalex.org/keywords/liver-transplantation","display_name":"liver transplantation","score":0.3100000023841858},{"id":"https://openalex.org/keywords/liver-resection","display_name":"hepatectomy","score":0.43299999833106995},{"id":"https://openalex.org/keywords/prognostic-factors","display_name":"prognostic factors","score":0.6510000228881836},{"id":"https://openalex.org/keywords/child-pugh-score","display_name":"Child-Pugh score","score":0.47099998593330383}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.946399986743927},{"id":"https://openalex.org/C2776988256","wikidata":"https://www.wikidata.org/wiki/Q247131","display_name":"Hepatorenal syndrome","level":3,"score":0.891700029373169},{"id":"https://openalex.org/C2779744138","wikidata":"https://www.wikidata.org/wiki/Q961326","display_name":"Oliguria","level":3,"score":0.836899995803833},{"id":"https://openalex.org/C2780496750","wikidata":"https://www.wikidata.org/wiki/Q193889","display_name":"Ascites","level":2,"score":0.5733000040054321},{"id":"https://openalex.org/C2780306776","wikidata":"https://www.wikidata.org/wiki/Q426660","display_name":"Creatinine","level":2,"score":0.5479000210762024},{"id":"https://openalex.org/C2777364826","wikidata":"https://www.wikidata.org/wiki/Q3128789","display_name":"Spontaneous bacterial peritonitis","level":3,"score":0.5412999987602234},{"id":"https://openalex.org/C2778808290","wikidata":"https://www.wikidata.org/wiki/Q124604","display_name":"Portal hypertension","level":3,"score":0.5054000020027161},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.47350001335144043},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4674000144004822},{"id":"https://openalex.org/C2780199535","wikidata":"https://www.wikidata.org/wiki/Q223102","display_name":"Peritonitis","level":2,"score":0.3402000069618225},{"id":"https://openalex.org/C159641895","wikidata":"https://www.wikidata.org/wiki/Q108377937","display_name":"Renal function","level":2,"score":0.31859999895095825},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.31700000166893005},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.3093999922275543},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.30869999527931213},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.29429998993873596},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2921000123023987},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2816999852657318},{"id":"https://openalex.org/C2779541074","wikidata":"https://www.wikidata.org/wiki/Q185643","display_name":"Renal replacement therapy","level":2,"score":0.27900001406669617},{"id":"https://openalex.org/C2777075537","wikidata":"https://www.wikidata.org/wiki/Q929737","display_name":"Liver disease","level":2,"score":0.2782999873161316},{"id":"https://openalex.org/C2781309322","wikidata":"https://www.wikidata.org/wiki/Q5038718","display_name":"Cardiorenal syndrome","level":3,"score":0.26019999384880066}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.22141/2224-0586.22.4.2026.2024","doi":"https://doi.org/10.22141/2224-0586.22.4.2026.2024","is_oa":true,"landing_page_url":"https://doi.org/10.22141/2224-0586.22.4.2026.2024","pdf_url":"https://emergency-journal.com/index.php/journal/article/download/2024/2023","source":{"id":"https://openalex.org/S4210175529","display_name":"EMERGENCY MEDICINE","issn_l":"2224-0586","issn":["2224-0586","2307-1230"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4310321456","host_organization_name":"Publishing House Zaslavsky","host_organization_lineage":["https://openalex.org/P4310321456"],"host_organization_lineage_names":["Publishing House Zaslavsky"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"EMERGENCY MEDICINE","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:a30ca7b3eb5345b380577343a0cd096b","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/a30ca7b3eb5345b380577343a0cd096b","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"\u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430 \u043d\u0435\u043e\u0442\u043b\u043e\u0436\u043d\u044b\u0445 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0439, Vol 22, Iss 4, Pp 376-382 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.22141/2224-0586.22.4.2026.2024","doi":"https://doi.org/10.22141/2224-0586.22.4.2026.2024","is_oa":true,"landing_page_url":"https://doi.org/10.22141/2224-0586.22.4.2026.2024","pdf_url":"https://emergency-journal.com/index.php/journal/article/download/2024/2023","source":{"id":"https://openalex.org/S4210175529","display_name":"EMERGENCY MEDICINE","issn_l":"2224-0586","issn":["2224-0586","2307-1230"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/P4310321456","host_organization_name":"Publishing House Zaslavsky","host_organization_lineage":["https://openalex.org/P4310321456"],"host_organization_lineage_names":["Publishing House Zaslavsky"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"EMERGENCY MEDICINE","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","score":0.8386162519454956,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7166317095.pdf","grobid_xml":"https://content.openalex.org/works/W7166317095.grobid-xml"},"referenced_works_count":35,"referenced_works":["https://openalex.org/W22470172","https://openalex.org/W2091600198","https://openalex.org/W2091651178","https://openalex.org/W3074840432","https://openalex.org/W3159795713","https://openalex.org/W3164951260","https://openalex.org/W4226191413","https://openalex.org/W4229926281","https://openalex.org/W4281795539","https://openalex.org/W4294845497","https://openalex.org/W4362522959","https://openalex.org/W4368340905","https://openalex.org/W4381988646","https://openalex.org/W4384341687","https://openalex.org/W4385357604","https://openalex.org/W4385836547","https://openalex.org/W4388976684","https://openalex.org/W4389789013","https://openalex.org/W4390404556","https://openalex.org/W4392454273","https://openalex.org/W4393204019","https://openalex.org/W4400256882","https://openalex.org/W4402330192","https://openalex.org/W4402962797","https://openalex.org/W4406735423","https://openalex.org/W4406923991","https://openalex.org/W4408102862","https://openalex.org/W4409338775","https://openalex.org/W4413721563","https://openalex.org/W4413858411","https://openalex.org/W4414692621","https://openalex.org/W4415987940","https://openalex.org/W4417087309","https://openalex.org/W7135011024","https://openalex.org/W7150834902"],"related_works":[],"abstract_inverted_index":{"Background.":[0],"Hepatorenal":[1],"syndrome":[2],"(HRS)":[3],"developing":[4],"in":[5,28,104,114,131,161,192,225,294,299,304,309,326,334,366],"the":[6,56,79,85,132,173,234,289,300,310,327,335,345,392],"setting":[7],"of":[8,31,58,68,72,87,134,138,141,203,214,236,256,376,394,401,416],"decompensated":[9,75,377],"portal":[10],"hypertension":[11],"(PH)":[12],"is":[13,372,408],"characterized":[14],"by":[15],"progressive":[16],"renal":[17,143],"failure,":[18],"elevated":[19],"serum":[20,115,405],"creatinine":[21,116,406],"levels,":[22],"and":[23,46,60,64,84,97,136,164,177,195,205,219,240,273,303,330,389,397,404,414],"worsening":[24],"oliguria.":[25],"HRS":[26,59,101,163,194,226,258,292,371],"occurs":[27],"approximately":[29],"one-third":[30],"patients":[32,73,160,308,367],"with":[33,74,251,264,321,368,380],"Child-Pugh":[34],"class":[35],"C":[36],"liver":[37],"cirrhosis.":[38],"The":[39,153,184,212],"purpose":[40],"was":[41,102,182,210,228,260,315],"to":[42,51,342],"optimize":[43],"early":[44],"diagnosis":[45],"treatment,":[47],"as":[48,50,221],"well":[49],"identify":[52],"risk":[53,255,364,393],"factors":[54,224],"for":[55,351,363,410],"development":[57,227,259,396],"associated":[61,250,263,379],"mortality.":[62,257,382],"Materials":[63],"methods.":[65],"A":[66,383],"total":[67],"126":[69,281],"medical":[70],"records":[71],"PH":[76,378],"treated":[77],"at":[78],"Kyiv":[80],"City":[81],"Emergency":[82],"Hospital":[83],"Department":[86],"Surgery,":[88],"Dental":[89],"Faculty,":[90],"Bogomolets":[91],"National":[92],"Medical":[93],"University,":[94],"between":[95],"2022":[96],"2024":[98],"were":[99,148,170,198],"analyzed.":[100],"diagnosed":[103,171,199],"51":[105],"(40.5":[106],"%)":[107,159,190,285,297,307,325,333],"cases.":[108],"Diagnostic":[109],"criteria":[110],"included":[111,156],"an":[112,246],"increase":[113,391],">":[117],"150":[118],"\u00b5mol/L":[119,125],"(1.69":[120],"mg/dL)":[121,127],"or":[122],"\u2265":[123],"26.5":[124],"(0.3":[126],"within":[128,172],"48":[129],"hours":[130],"presence":[133],"oliguria":[135],"absence":[137],"other":[139],"signs":[140],"intrinsic":[142],"injury,":[144],"particularly":[145],"hematuria.":[146],"Patients":[147],"divided":[149],"into":[150],"two":[151],"groups.":[152],"first":[154,174,301,328],"group":[155,186,302,329,337],"24":[157,175,331],"(47.1":[158],"whom":[162,193],"community-acquired":[165],"spontaneous":[166],"bacterial":[167],"peritonitis":[168],"(SBP)":[169],"hours,":[176],"a":[178,206,241,252,274,373],"restrictive":[179],"transfusion":[180,208,215,243,276,385],"strategy":[181,209,244,277],"applied.":[183],"second":[185,311,336],"comprised":[187],"27":[188,283],"(52.9":[189,278],"participants":[191],"nosocomial":[196,269],"SBP":[197,220,270,390],"on":[200],"days":[201],"3\u20135":[202],"hospitalization,":[204],"liberal":[207,242,275,384],"used.":[211],"impact":[213],"strategy,":[216,386],"ascites":[217,266],"severity,":[218],"mutually":[222],"aggravating":[223],"assessed.":[229],"Results.":[230],"Analysis":[231],"showed":[232],"that":[233],"combination":[235],"large-volume":[237,265],"ascites,":[238,388],"SBP,":[239],"forms":[245],"unfavorable":[247],"prognostic":[248],"complex":[249],"significantly":[253],"increased":[254],"more":[261],"frequently":[262],"(70.8":[267],"%),":[268,272],"(37.0":[271],"%).":[279],"Among":[280],"patients,":[282],"(21.4":[284],"underwent":[286],"surgery.":[287],"In":[288],"postoperative":[290],"period,":[291],"developed":[293],"1":[295],"(4.2":[296],"patient":[298],"2":[305],"(7.4":[306],"group.":[312],"Overall":[313],"mortality":[314,352],"74.5":[316],"%":[317],"(n":[318],"=":[319,339,354],"38),":[320],"14":[322],"deaths":[323],"(58.3":[324],"(88.9":[332],"(p":[338],"0.03).":[340],"According":[341],"ROC":[343],"analysis,":[344],"model":[346],"demonstrated":[347],"high":[348,381],"predictive":[349],"performance":[350],"(AUC":[353],"0.909;":[355],"95%":[356],"CI":[357],"0.831\u20130.987),":[358],"confirming":[359],"strong":[360],"discriminative":[361],"ability":[362],"stratification":[365],"HRS.":[369,417],"Conclusions.":[370],"severe":[374,387],"complication":[375],"its":[395],"progression.":[398],"Early":[399],"monitoring":[400],"urine":[402],"output":[403],"levels":[407],"critical":[409],"timely":[411],"diagnosis,":[412],"prevention,":[413],"management":[415]},"counts_by_year":[],"updated_date":"2026-10-13T10:08:12.033832","created_date":"2026-06-28T00:00:00"}