Evidence map›Paper›PMID 30155763›Full record

ArticlePediatric nephrology (Berlin, Germany)2019

Acute kidney injury in neonatal encephalopathy: an evaluation of the AWAKEN database.

Megan J Kirkley, Louis Boohaker, Russell Griffin, Danielle E Soranno, Jason Gien, David Askenazi, Katja M Gist, Neonatal Kidney Collaborative (NKC)

Erratum issued 3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
12.7field-weighted citation impact, top 1% 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.

NCT02443389 completednot on this map

Assessment of Worldwide Acute Kidney Injury Epidemiology in Neonates

Typeobservational_patient_registrySponsorUniversity of Alabama at BirminghamRan2015 to 2016Enrolled2,186ConditionsAcute Kidney Injury
NCT04816331 unknown statusnot on this mapstarted 2020, after this paper: background citation

Follow-up of Inflammatory Responses and Multiorgan Outcomes FoLlowing Neonatal Brain injurY

Typeobservational_patient_registrySponsorUniversity of Dublin, Trinity CollegeRan2020 to 2022Enrolled200ConditionsNeonatal EncephalopathyArmsMedical records and clinical measurements
NCT05295784 phase1withdrawnnot on this mapstarted 2024, after this paper: background citation

Pharmacokinetics (PK) and Safety of Caffeine in Neonates With Hypoxic Ischemic Encephalopathy Receiving Therapeutic Hypothermia

TypeinterventionalSponsorUniversity of ArkansasRan2024 to 2024Enrolled0ConditionsAcute Kidney Injury, Hypoxic-Ischemic Encephalopathy, CaffeineArmsCaffeine citrate
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 80 citations in OpenAlex.

  1. Trial
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  10. Urine biomarkers of acute kidney injury and association with brain MRI abnormalities in neonatal hypoxic-ischemic encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  11. Article
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  13. Acute kidney injury in infants with hypoxic-ischemic encephalopathy.Pediatric nephrology (Berlin, Germany) · 2024
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  18. Clinical impact of severe acute kidney injury on post-operative and brain injury outcomes in preterm infants following surgical necrotizing enterocolitis.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Megan J KirkleySection of Neonatology, Department of Pediatrics, University of Colorado, Aurora, CO, USA. Megan.Kirkley@childrenscolorado.org.ORCID 0000-0001-9349-9960
Louis BoohakerPediatric and Infant Center for Acute Nephrology, University of Alabama, Birmingham, AL, USA.
Russell GriffinDepartment of Epidemiology, University of Alabama, Birmingham, AL, USA.
Danielle E SorannoSection of Nephrology, Department of Pediatrics, University of Colorado, Aurora, CO, USA.
Jason GienSection of Neonatology, Department of Pediatrics, University of Colorado, Aurora, CO, USA.
David AskenaziPediatric and Infant Center for Acute Nephrology, Department of Pediatrics, University of Alabama, Birmingham, AL, USA.
Katja M GistSection of Pediatric Cardiology, Department of Pediatrics, University of Colorado, Aurora, CO, USA.
Neonatal Kidney Collaborative (NKC)
University of Colorado Anschutz Medical Campus · USUniversity of Alabama · USChildren's Hospital Colorado · USUniversity of Alabama at Birmingham · US

Funding

UNM HSC Clinical and Translational Science CenterUL1TR001449 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CAMPEN, MATTHEW J, PANDHI, NANCY · 2015 to 2024
$36.9M
UAB Center for Clinical and Translational Science (CCTS)UL1TR001417 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2015 to 2018
$31.4M
The University of Iowa Clinical and Translational Science AwardU54TR001356 · NCATS · UNIVERSITY OF IOWA · PI WINOKUR, PATRICIA · 2015 to 2016
$7.1M
Recombinant Erythropoietin for Protection of Infant Renal Disease(REPAIReD)R01DK103608 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI ASKENAZI, DAVID JOSEPH, GOLDSTEIN, STUART L · 2014 to 2019
$3.0M
Local delivery of mesenchymal stem cells via injectable hyaluronic acid hydrogels to treat acute kidney injury and prevent progression of chronic kidney diseaseK08DK109226 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI SORANNO, DANIELLE ELISE · 2017 to 2021
$860k
FDA HHS R01 FD005092NCATS NIH HHS U54 TR001356NCATS NIH HHS UL1 TR001417NCATS NIH HHS UL1 TR001449NIDDK NIH HHS K08 DK109226NIDDK NIH HHS R01 DK103608NIH HHS UL1TR001417
6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) is common in neonatal encephalopathy (NE) and is associated with worse outcomes. Our objectives were to determine the incidence, risk factors, and outcomes of AKI in infants with NE.

methodsWe performed a retrospective analysis of infants ≥ 34 weeks' gestational age with a diagnosis of NE from the Analysis of Worldwide Acute Kidney injury Epidemiology in Neonates (AWAKEN) database. AKI was defined using the modified Kidney Disease Improving Global Outcomes criteria. Perinatal and postnatal factors were evaluated. Multivariate logistic and linear regressions were performed.

resultsOne hundred and thirteen patients with NE were included. 41.6% (47) developed AKI. Being born outside the admitting institution (OR 4.3; 95% CI 1.2-14.8; p = 0.02), intrauterine growth restriction (OR 10.3, 95% CI 1.1-100.5; p = 0.04), and meconium at delivery (OR 2.8, 95% CI 1.04-7.7; p = 0.04) conferred increased odds of AKI. After controlling for confounders, infants with AKI stayed in the hospital an average of 8.5 days longer than infants without AKI (95% CI 0.79-16.2 days; p = 0.03).

conclusionsIn this multi-national analysis, several important perinatal factors were associated with AKI and infants with both NE and AKI had longer length of stay than NE alone. Future research aimed at early AKI detection, renoprotective management strategies, and understanding the long-term renal consequences is warranted in this high-risk group of patients.

Indexed as

Acute Kidney InjuryAsphyxia NeonatorumBrain DiseasesDatabases, FactualDatasets as TopicFemaleFetal Growth RetardationGestational AgeHumansIncidenceInfant, NewbornInfant, PrematureLength of StayMalePregnancyRetrospective StudiesAcute kidney injuryHypoxic-ischemic encephalopathyNeonatal encephalopathyNeonate

Identifiers

PMID30155763
PMCPMC6986688
OpenAlexW2888847691

What OpenQuestion holds

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Registered trials

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.