Evidence map›Paper›PMID 31206501›Full record

Trial reportPediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2019

Plasma Neutrophil Gelatinase-Associated Lipocalin Is Associated With Acute Kidney Injury and Clinical Outcomes in Neonates Undergoing Cardiopulmonary Bypass.

Luke W Schroeder, Jason R Buckley, Robert E Stroud, Renee H Martin, Elizabeth K Nadeau, Ryan Barrs, Eric M Graham

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Gut microbiota and neonatal acute kidney injury biomarkers.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  4. 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
    Article
  5. Article
  6. 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

7 authors at 1 institution in 1 country.

Luke W SchroederDivision of Cardiology, Department of Pediatrics, Medical University of South Carolina, Charleston, SC.
Jason R BuckleyDivision of Cardiology, Department of Pediatrics, Medical University of South Carolina, Charleston, SC.
Robert E StroudDepartment of Surgery, Medical University of South Carolina, Charleston, SC.
Renee H MartinDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC.
Elizabeth K NadeauDepartment of Surgery, Medical University of South Carolina, Charleston, SC.
Ryan BarrsDepartment of Surgery, Medical University of South Carolina, Charleston, SC.
Eric M GrahamDivision of Cardiology, Department of Pediatrics, Medical University of South Carolina, Charleston, SC.
Medical University of South Carolina · US

Funding

TRAINING TO IMPROVE CARDIOVASCULAR THERAPIEST32HL007260 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MENICK, DONALD R. · 1985 to 2021
$11.1M
Corticosteroid Therapy in Neonates Undergoing Cardiopulmonary BypassR01HL112968 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GRAHAM, ERIC M. · 2012 to 2016
$1.8M
NHLBI NIH HHS R01 HL112968NHLBI NIH HHS T32 HL007260
6 · The paper itself

Abstract

objectivesAcute kidney injury is a frequent complication following neonatal cardiac surgery and is associated with significant morbidity and mortality. The objectives of this study were to determine if plasma neutrophil gelatinase-associated lipocalin levels were associated with acute kidney injury and clinical outcomes in neonates with congenital heart disease undergoing cardiopulmonary bypass.

designRetrospective single-center observational study.

settingA pediatric cardiac ICU within a tertiary-care academic hospital. PATIENTS: Patients age less than 30 days undergoing cardiac surgery requiring cardiopulmonary bypass.

interventionsNone. MEASUREMENTS AND MAIN

resultsPlasma neutrophil gelatinase-associated lipocalin peaked at 12 hours postcardiopulmonary bypass and more than doubled compared with preoperative levels. Higher preoperative and 24-hour postoperative neutrophil gelatinase-associated lipocalin levels were associated with acute kidney injury (r = 0.30, r = 0.49), longer duration of mechanical ventilation (r = 0.40, r = 0.51), ICU (r = 0.32, r = 0.33) and hospital lengths of stay (r = 0.28, r = 0.32), and total hospital charges (r = 0.35, r = 0.30; all p values < 0.05).

conclusionsBoth preoperative and 24-hour postoperative plasma neutrophil gelatinase-associated lipocalin levels are associated with acute kidney injury and worse clinical outcomes in neonates undergoing cardiac surgery. Plasma neutrophil gelatinase-associated lipocalin levels may have a role in risk stratification for predicting postoperative renal dysfunction as well as providing a potential clinical trajectory in the postoperative period.

Indexed as

Acute Kidney InjuryCardiac Surgical ProceduresCardiopulmonary BypassCreatinineFemaleHeart Defects, CongenitalHospital CostsHumansInfant, NewbornIntensive Care Units, PediatricLength of StayLipocalin-2MalePostoperative ComplicationsProspective StudiesRespiration, ArtificialCreatinineLipocalin-2

Identifiers

PMID31206501
PMCPMC6776671
OpenAlexW2949190933

What OpenQuestion holds

Textmetadata
LicenceTDM
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.