Evidence map›Paper›PMID 28068947›Full record

Trial reportBMC pediatrics2017

Urinary Neutrophil Gelatinase-associated Lipocalin in the evaluation of Patent Ductus Arteriosus and AKI in Very Preterm Neonates: a cohort study.

Anna Sellmer, Bodil H Bech, Jesper V Bjerre, Michael R Schmidt, Vibeke E Hjortdal, Gitte Esberg, Søren Rittig, Tine B Henriksen

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Use of urine neutrophil gelatinase-associated lipocalin for nephrotoxic medication acute kidney injury screening in neonates.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  7. Article
  8. Review
  9. Observational
  10. Article
  11. Glyphosate exposures and kidney injury biomarkers in infants and young children.Environmental pollution (Barking, Essex : 1987) · 2020
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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

8 authors at 2 institutions in 1 country.

Anna SellmerDepartment of Pediatrics, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, DK 8200, Aarhus, Denmark. anna.sellmer@clin.au.dk.ORCID 0000-0003-2464-5703
Bodil H BechDepartment of Public Health, Section for Epidemiology, Aarhus University, Bartholins Allé 2, DK-8000, Aarhus, Denmark.
Jesper V BjerreDepartment of Pediatrics, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, DK 8200, Aarhus, Denmark.
Michael R SchmidtDepartment of Cardiology, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, DK 8200, Aarhus, Denmark.
Vibeke E HjortdalDepartment of Cardiothoracic surgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, DK 8200, Aarhus, Denmark.
Gitte EsbergDepartment of Pediatrics, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, DK 8200, Aarhus, Denmark.
Søren RittigDepartment of Pediatrics, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, DK 8200, Aarhus, Denmark.
Tine B HenriksenDepartment of Pediatrics, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, DK 8200, Aarhus, Denmark.
Aarhus University Hospital · DKAarhus University · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA patent ductus arteriosus (PDA) is frequently found in very preterm neonates and is associated with increased risk of morbidity and mortality. A shunt across a PDA can result in an unfavorable distribution of the cardiac output and may in turn result in poor renal perfusion. Urinary Neutrophil Gelatinase-associated Lipocalin (U-NGAL) is a marker of renal ischemia and may add to the evaluation of PDA. Our primary aim was to investigate if U-NGAL is associated with PDA in very preterm neonates. Secondary, to investigate whether U-NGAL and PDA are associated with AKI and renal dysfunction evaluated by fractional excretion of sodium (FENa) and urine albumin in a cohort of very preterm neonates.

methodsA cohort of 146 neonates born at a gestational age less than 32 weeks were consecutively examined with echocardiography for PDA and serum sodium, and urine albumin and sodium were measured on postnatal day 3 and U-NGAL and serum creatinine day 3 and 6. AKI was defined according to modified neonatal Acute Kidney Injury Network (AKIN) criteria. The association between U-NGAL and PDA was investigated. And secondly we investigated if PDA and U-NGAL was associated with AKI and renal dysfunction.

resultsU-NGAL was not associated with a PDA day 3 when adjusted for gestational age and gender. A PDA day 3 was not associated with AKI when adjusted for gestational age and gender; however, it was associated with urine albumin. U-NGAL was not associated with AKI, but was found to be associated with urine albumin and FENa.

conclusionsBased on our study U-NGAL is not considered useful as a diagnostic marker to identify very preterm neonates with a PDA causing hemodynamic changes resulting in early renal morbidity. The interpretation of NGAL in preterm neonates remains to be fully elucidated.

Indexed as

Acute Kidney InjuryAlbuminuriaBiomarkersCohort StudiesCreatinineDuctus Arteriosus, PatentEchocardiographyFemaleHumansInfant, NewbornInfant, PrematureInfant, Premature, DiseasesLipocalin-2MaleSodiumBiomarkersCreatinineLCN2 protein, humanLipocalin-2SodiumAcute kidney injuryNeutrophil gelatinase-associated lipocalinPatent ductus arteriosusVery preterm neonates

Identifiers

PMID28068947
PMCPMC5223413
OpenAlexW2569630991

What OpenQuestion holds

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LicenceCC BY
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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.