Evidence map›Paper›PMID 31537011›Full record

Observational studyPediatric research2020

Defining pediatric community-acquired acute kidney injury: an observational study.

Erika R O'Neil, Sridevi Devaraj, Lesby Mayorquin, Hannah E Starke, Gregory J Buffone, Laura L Loftis, Ayse Akcan Arikan, Andrea T Cruz

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

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.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Observational
  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

8 authors.

Erika R O'NeilDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA. erika.oneil.md@gmail.com.ORCID http://orcid.org/0000-0002-2747-7760
Sridevi DevarajDepartment of Pathology, Baylor College of Medicine, Houston, TX, USA.
Lesby MayorquinDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Hannah E StarkeDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Gregory J BuffoneDepartment of Pathology, Baylor College of Medicine, Houston, TX, USA.
Laura L LoftisDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Ayse Akcan ArikanDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Andrea T CruzDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric acute kidney injury (AKI) is associated with long-term morbidity and mortality; however, outcomes improve when AKI is detected earlier. Current definitions of AKI use baseline creatinine; community-acquired AKI (CA-AKI) is difficult to define and detect in the pediatric emergency department (ED) when no baseline creatinine is available. Our objective was to compare age- and gender-based creatinine norms to the traditional baseline (lowest creatinine in previous 3 months) to diagnose CA-AKI.

methodsThis was a retrospective cross-sectional study conducted in children 1 month-18 years of age seen in the pediatric ED in whom a creatinine was obtained.

resultsPer the Kidney Disease Improving Global Outcomes AKI definition in encounters with baseline creatinine available, 343/2338 (14.7%) had CA-AKI. When the upper limit of the age- and gender-based creatinine norm was applied as a surrogate baseline creatinine, CA-AKI was diagnosed in 1.5% of encounters (239/15,486). Additionally, CA-AKI was diagnosed in 178 cases using the upper limit of age- and gender-based creatinine norms only, as these cases did not have a baseline creatinine.

conclusionsAge- and gender-based creatinine norms can be applied as a surrogate baseline to detect CA-AKI in all children regardless of whether baseline creatinine is available, potentially detecting it earlier.

Indexed as

Kidney Function TestsAcute Kidney InjuryAdolescentAge FactorsBiomarkersChildChild, PreschoolCreatinineCross-Sectional StudiesEarly DiagnosisFemaleHumansInfantMalePredictive Value of TestsReference ValuesBiomarkersCreatinine

Identifiers

What OpenQuestion holds

Textmetadata
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.