Evidence map›Paper›PMID 25912993›Full record

Trial reportPediatric nephrology (Berlin, Germany)2015

Risk factors for acute kidney injury during aminoglycoside therapy in patients with cystic fibrosis.

Kevin J Downes, Neha R Patil, Marepalli B Rao, Rajesh Koralkar, William T Harris, John P Clancy, Stuart L Goldstein, David J Askenazi

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatric nephrology (Berlin, Germany), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Role of inhaled antibiotics in the era of highly effective CFTR modulators.European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  5. Article
  6. Renal Function in Patients with Cystic Fibrosis: A Single-Center Study.International journal of environmental research and public health · 2022
    Article
  7. Article
  8. Article
  9. Aminoglycoside-induced nephrotoxicity in children.Pediatric nephrology (Berlin, Germany) · 2017
    Review
  10. Drug-associated acute kidney injury: who's at risk?Pediatric nephrology (Berlin, Germany) · 2017
    Review
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

8 authors at 5 institutions in 1 country.

Kevin J DownesDivision of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA, downeskj@email.chop.edu.
Neha R Patil
Marepalli B Rao
Rajesh Koralkar
William T Harris
John P Clancy
Stuart L Goldstein
David J Askenazi
Children's of Alabama · USUniversity of Alabama at Birmingham · USUniversity of Cincinnati · USChildren's Hospital of Philadelphia · USCincinnati Children's Hospital Medical Center · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
Pursuing Perfection in Pediatric TheraputicsU19HS021114 · AHRQ · CINCINNATI CHILDRENS HOSP MED CTR · PI LANNON, CAROLE MARIE · 2011 to 2015
$4.2M
T32 Cincinnati Pediatric Clinical Pharmacology Training ProgramT32HD069054 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI TRACY A GLAUSER, Sonya C Tang Girdwood · 2011 to 2026
$3.0M
AHRQ HHS 1U19HS021114AHRQ HHS U19 HS021114NCATS NIH HHS UL1 TR001425NCRR NIH HHS UL1 RR026314NCRR NIH HHS UL1-RR026314NHLBI NIH HHS HL 12-035NICHD NIH HHS 5T32HD069054NICHD NIH HHS T32 HD069054
6 · The paper itself

Abstract

backgroundAminoglycoside (AG) therapy is a common cause of acute kidney injury (AKI) in cystic fibrosis (CF) patients. The aim of this study was to identify factors associated with AKI during intravenous AG courses in this population.

methodsThis was a matched case-control study utilizing two independent cohorts of hospitalized CF patients receiving ≥ 3 days of intravenous AG at Cincinnati Children's Hospital Medical Center and Children's of Alabama. All admissions with AKI (cases, N = 82) were matched to two randomly selected admissions without AKI (controls, N = 164) by center, gender, and age ±3 years of the case. AKI was defined as a 1.5-fold increase in the baseline serum creatinine (SCr) level or by an increase in SCr level of 0.3 mg/dL within 48 h. Admissions with AKI before day 4 or without at least weekly SCr monitoring were excluded from the analysis. Factors were compared between cases and controls using simple and multiple conditional logistic regression.

resultsMultivariable analysis identified receipt of an AG within 90 days prior to admission, longer duration of AG therapy, low serum albumin, and receipt of trimethoprim/sulfamethoxazole as independent risk factors for developing AKI. Infection with Staphylococcus aureus diminished the odds of developing AKI.

conclusionsThis study identifies risk factors contributing to AG-associated AKI in CF patients. These findings can be used to anticipate high-risk scenarios and limit AKI in CF patients under clinical care.

Indexed as

Acute Kidney InjuryAdolescentAminoglycosidesCystic FibrosisFemaleFollow-Up StudiesHumansIncidenceInjections, IntravenousMaleRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsUnited StatesYoung AdultAminoglycosides

Identifiers

PMID25912993
PMCPMC4576343
OpenAlexW2046493525

What OpenQuestion holds

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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.