Evidence map›Paper›PMID 31828471›Full record

Observational studyPediatric nephrology (Berlin, Germany)2020

Prognostic role of acute kidney injury on long-term outcome in infants with hypoxic-ischemic encephalopathy.

Francesco Cavallin, Giulia Rubin, Enrico Vidal, Elisa Cainelli, Luca Bonadies, Agnese Suppiej, Daniele Trevisanuto

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric nephrology (Berlin, Germany), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05295784 (Pharmacokinetics), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.6field-weighted citation impact, top 3% 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.

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

20 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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
  10. Acute kidney injury in infants with hypoxic-ischemic encephalopathy.Pediatric nephrology (Berlin, Germany) · 2024
    Article
  11. Observational
  12. Article
  13. Article
  14. Neonatal Acute Kidney Injury.Frontiers in pediatrics · 2022
    Review
  15. Article
  16. Article
  17. Review
  18. Positive fluid balance is associated with death and severity of brain injury in neonates with hypoxic-ischemic encephalopathy.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Observational
  19. Observational
  20. 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 3 institutions in 1 country.

Francesco CavallinIndependent statistician, Solagna, Italy.
Giulia RubinDepartment of Woman's and Child's Health, University of Padova, Via Giustiniani, 3, 35128, Padua, Italy.
Enrico VidalDivision of Pediatrics, Department of Medicine, University of Udine, Udine, Italy.
Elisa CainelliDepartment of Developmental and Social Psychology, University ofPadova, Padua, Italy.
Luca BonadiesDepartment of Woman's and Child's Health, University of Padova, Via Giustiniani, 3, 35128, Padua, Italy.
Agnese SuppiejDepartment of Woman's and Child's Health, University of Padova, Via Giustiniani, 3, 35128, Padua, Italy.
Daniele TrevisanutoDepartment of Woman's and Child's Health, University of Padova, Via Giustiniani, 3, 35128, Padua, Italy. daniele.trevisanuto@unipd.it.ORCID http://orcid.org/0000-0002-6462-0079
University of Padua · ITIstituto Nazionale di Statistica · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objective of this study was to evaluate the prognostic role of postnatal acute kidney injury (AKI) on neurodevelopmental outcome in infants with hypoxic-ischemic encephalopathy (HIE) receiving therapeutic hypothermia (TH).

methodsThis is a prospective observational study including all neonates with HIE receiving TH between 2009 and 2016 at a single center. AKI was classified according to the Kidney Disease: Improving Global Outcomes definition modified for neonatal age. Child development was assessed using the Griffiths Mental Development Scales (GMDS). Study outcome was defined as unfavorable outcome (including death or disability according to GMDS) or favorable otherwise, at 12 and 24 months.

resultsOne-hundred and one neonates (median gestational age 39 weeks) were included. AKI was diagnosed in 10 neonates (10%). Seven patients died within the first year, 35 patients had disability at 12 months, and 45 patients at 24 months. AKI was associated with increased likelihood of unfavorable outcome at 24 months (100% vs. 59% in neonates without AKI; p = 0.01). AKI showed good positive predictive value (1.00, 95% CI 0.71-1.00) and specificity (1.00, 95% CI 0.88-1.00), but poor negative predictive value (0.41, 95% CI 0.30-0.52) and sensitivity (0.19, 95% CI 0.11-0.32) at 24 months.

conclusionsAKI might be a reliable indicator of death or long-term disability in infants with HIE receiving TH, but the absence of AKI does not guarantee a favorable long-term outcome.

Indexed as

Acute Kidney InjuryAsphyxia NeonatorumChild DevelopmentCreatinineFemaleHumansHypothermia, InducedHypoxia-Ischemia, BrainInfantInfant, NewbornLength of StayMaleNeurodevelopmental DisordersPrognosisProspective StudiesRisk AssessmentCreatinineAcute kidney injuryHypoxic-ischemic encephalopathyInfant newbornOutcomePrognosis

Identifiers

PMID31828471
OpenAlexW2994916563

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.