Evidence map›Paper›PMID 31443997›Full record

ReviewKidney international2019

Acute kidney injury from sepsis: current concepts, epidemiology, pathophysiology, prevention and treatment.

Sadudee Peerapornratana, Carlos L Manrique-Caballero, Hernando Gómez, John A Kellum

4 registry-linked trialsAbstract readReview
In one paragraph

Review in Kidney international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 834 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
834citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT04073771 completednot on this map

A Multiple Centre, Cohort Study of New Continuous Renal Replacement Therapy (CRRT) Membranes oXiris for Patients With Septic Shock

TypeobservationalSponsorSoutheast University, ChinaRan2019 to 2021Enrolled590ConditionsAcute Kidney Injury Due to Sepsis (Disorder)ArmsContinuous renal replacement therapy with oXiris
NCT05941624 nacompletednot on this mapstarted 2023, after this paper: background citation

Comparison Between HA330 Hemoperfusion Filter Hemodialysis and Conventional High-Flux Filter Hemodialysis in Reducing Inflammatory Mediators in Renal Dysfunction Due to Sepsis

TypeinterventionalSponsorIndonesia UniversityRan2023 to 2024Enrolled33ConditionsRenal Dysfunction, Sepsis, HemodialysisArmsHa-330 Hemoperfusion Filter Hemodialysis, Conventional Hemodialysis
NCT06253377 unknown statusnot on this mapstarted 2023, after this paper: background citation

Exploring Clinical Management and Outcomes of Continuous Renal Replacement Therapy With Oxiris in Acute Kidney Injury and Sepsis

TypeobservationalSponsorNefro Consultoria de Doenças Renais LtdaRan2023 to 2025Enrolled50ConditionsAcute Kidney Injury, SepsisArmsAdsorption membrane filter Oxiris™
NCT07481097 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Hemodynamic Resuscitation Guided by Non-Invasive Mean Systemic Filling Pressure to Prevent Acute Kidney Injury in Septic Shock: A Randomized Controlled Trial Integrating Renal Doppler Indices

TypeinterventionalSponsorAssiut UniversityRan2026 to 2028Enrolled100ConditionsAcute Kidney Injury Due to SepsisArmsHemodynamic measurements during reduction in Norepinephrine and fluid boli.
3 · Its place in the literature

Who cites it

834 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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774 more citing papers are in PubMed but not listed here.

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

4 authors.

Sadudee PeerapornratanaCenter for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; The Clinical Research, Investigation and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; Excellence Center for Critical Care Nephrology, Division of Nephrology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Department of Laboratory Medicine, Chulalongkorn University, Bangkok, Thailand.
Carlos L Manrique-CaballeroCenter for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; The Clinical Research, Investigation and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Hernando GómezCenter for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; The Clinical Research, Investigation and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
John A KellumCenter for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA; The Clinical Research, Investigation and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA. Electronic address: kellum@pitt.edu.

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Phenotyping REnal Cases In Sepsis and surgery for Early Acute Kidney Injury (PReCISE AKI)UG3DK114861 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KELLUM, JOHN A, PALEVSKY, PAUL M · 2017 to 2018
$747k
The role of energy regulation in the epithelial cell response to sepsis and the origin of multiple organ dysfuntionK08GM117310 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GOMEZ DANIES, HERNANDO · 2016 to 2018
$560k
NCATS NIH HHS UL1 TR001857NIDDK NIH HHS UG3 DK114861NIGMS NIH HHS K08 GM117310
6 · The paper itself

Abstract

Sepsis-associated acute kidney injury (S-AKI) is a frequent complication of the critically ill patient and is associated with unacceptable morbidity and mortality. Prevention of S-AKI is difficult because by the time patients seek medical attention, most have already developed acute kidney injury. Thus, early recognition is crucial to provide supportive treatment and limit further insults. Current diagnostic criteria for acute kidney injury has limited early detection; however, novel biomarkers of kidney stress and damage have been recently validated for risk prediction and early diagnosis of acute kidney injury in the setting of sepsis. Recent evidence shows that microvascular dysfunction, inflammation, and metabolic reprogramming are 3 fundamental mechanisms that may play a role in the development of S-AKI. However, more mechanistic studies are needed to better understand the convoluted pathophysiology of S-AKI and to translate these findings into potential treatment strategies and add to the promising pharmacologic approaches being developed and tested in clinical trials.

Indexed as

Acute Kidney InjuryBiomarkersHumansRenal Replacement TherapySepsisBiomarkersepidemiologyinflammationmetabolic reprogrammingmicrovascular dysfunctionpreventionsepsis-associated acute kidney injurysepsis-induced acute kidney injurytreatment

Identifiers

PMID31443997
PMCPMC6920048

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.