Evidence map›Paper›PMID 18228043›Full record

ReviewPediatric nephrology (Berlin, Germany)2008

Nephrotoxicity as a cause of acute kidney injury in children.

Ludwig Patzer

Open access · hybridAbstract readReview
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 4 pooled it
6.3field-weighted citation impact, top 3% of its field
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

51 citing papers in PubMed, 4 syntheses or guidelines pooled it, 151 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. ISFM and AAFP consensus guidelines: long-term use of NSAIDs in cats.Journal of feline medicine and surgery · 2010
    Guideline
  5. Article
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  7. Evaluation of the protective role ofOpen veterinary journal · 2025
    Article
  8. Tubulointerstitial nephritis in children and adolescents.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Ameliorative Effect ofInternational journal of nephrology · 2023
    Article
  15. Acute kidney injury and childhood acute myeloid leukemia.Pediatric nephrology (Berlin, Germany) · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

1 author at 1 institution in 2 countries.

Ludwig PatzerChildren's Hospital St. Elisabeth and St. Barbara, Mauerstrasse 5, 06110, Halle/S., Germany. patzer@krankenhaus-halle-saale.de
Krankenhaus St. Elisabeth und St. Barbara · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many different drugs and agents may cause nephrotoxic acute kidney injury (AKI) in children. Predisposing factors such as age, pharmacogenetics, underlying disease, the dosage of the toxin, and concomitant medication determine and influence the severity of nephrotoxic insult. In childhood AKI, incidence, prevalence, and etiology are not well defined. Pediatric retrospective studies have reported incidences of AKI in pediatric intensive care units (PICU) of between 8% and 30%. It is widely recognized that neonates have higher rates of AKI, especially following cardiac surgery, severe asphyxia, or premature birth. The only two prospective studies in children found incidence rates of 4.5% and 2.5% of AKI in children admitted to PICU, respectively. Nephrotoxic drugs account for about 16% of all AKIs most commonly associated with AKI in older children and adolescents. Nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics, amphotericin B, antiviral agents, angiotensin-converting enzyme (ACE) inhibitors, calcineurin inhibitors, radiocontrast media, and cytostatics are the most important drugs to indicate AKI as significant risk factor in children. Direct pathophysiological mechanisms of nephrotoxicity include constriction of intrarenal vessels, acute tubular necrosis, acute interstitial nephritis, and-more infrequently-tubular obstruction. Furthermore, AKI may also be caused indirectly by rhabdomyolysis. Frequent therapeutic measures consist of avoiding dehydration and concomitant nephrotoxic medication, especially in children with preexisting impaired renal function.

Indexed as

Acute Kidney InjuryAdolescentAngiotensin-Converting Enzyme InhibitorsAngiotensin II Type 1 Receptor BlockersAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-SteroidalAntiviral AgentsChildChild, PreschoolContrast MediaCytostatic AgentsFluid TherapyHumansInfantInfant, NewbornKidneyAngiotensin-Converting Enzyme InhibitorsAngiotensin II Type 1 Receptor BlockersAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-SteroidalAntiviral AgentsContrast MediaCytostatic Agents

Identifiers

PMID18228043
PMCPMC6904399
OpenAlexW2054425949

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.