Evidence map›Paper›PMID 32500246›Full record

ArticlePediatric nephrology (Berlin, Germany)2020

Follow-up after neonatal heart disease repair: watch out for chronic kidney disease and hypertension!

Louis Huynh, Sara Rodriguez-Lopez, Kelly Benisty, Adrian Dancea, Daniel Garros, Erin Hessey, Ari Joffe, Rachel Joffe, Andrew Mackie, Ana Palijan and 4 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  17. Kidney international reports · 2021
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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

14 authors at 6 institutions in 1 country.

Louis HuynhFaculty of Health Sciences, School of Medicine, Queen's University, Kingston, ON, Canada.
Sara Rodriguez-LopezDepartment of Pediatrics, Division of Nephrology, University of Alberta, Stollery Children's Hospital, Room 4-555, 11405-87 Avenue, Edmonton, AB, T6G 1C9, Canada.
Kelly BenistyFaculty of Medicine, McGill University, Montreal, QC, Canada.
Adrian DanceaDepartment of Pediatrics, Division of Cardiology, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada.
Daniel GarrosDepartment of Pediatrics, Division of Pediatric Critical Care, University of Alberta, Edmonton, AB, Canada.
Erin HesseyFaculty of Medicine, University of Alberta, Edmonton, AB, Canada.
Ari JoffeDepartment of Pediatrics, Division of Pediatric Critical Care, University of Alberta, Edmonton, AB, Canada.
Rachel JoffeFaculty of Medicine, University of Alberta, Edmonton, AB, Canada.
Andrew MackieDepartment of Pediatrics, Division of Cardiology, University of Alberta, Edmonton, AB, Canada.
Ana PalijanMcGill University Health Centre Research Institute, McGill University Health Centre, Montreal, QC, Canada.
Alex PaunMcGill University Health Centre Research Institute, McGill University Health Centre, Montreal, QC, Canada.
Michael PizziMcGill University Health Centre Research Institute, McGill University Health Centre, Montreal, QC, Canada.
Michael ZappitelliDepartment of Pediatrics, Division of Nephrology, Peter Gilgan Centre for Research and Learning, Toronto Hospital for Sick Children, 686 Bay Street, Room 6th floor 9708, Toronto, ON, M5G 0A4, Canada. michael.zappitelli@sickkids.ca.
Catherine MorganDepartment of Pediatrics, Division of Nephrology, University of Alberta, Stollery Children's Hospital, Room 4-555, 11405-87 Avenue, Edmonton, AB, T6G 1C9, Canada. cmorgan@ualberta.ca.ORCID 0000-0001-9169-0593
University of Alberta · CAMcGill University Health Centre · CAHospital for Sick Children · CAMcGill University · CAMontreal Children's Hospital · CAQueen's University · CA

Funding

CIHR 115075
6 · The paper itself

Abstract

backgroundWith advances in care, neonates undergoing cardiac repairs are surviving more frequently. Our objectives were to 1) estimate the prevalence of chronic kidney disease (CKD) and hypertension 6 years after neonatal congenital heart surgery and 2) determine if cardiac surgery-associated acute kidney injury (CS-AKI) is associated with these outcomes.

methodsTwo-center prospective, longitudinal single-visit cohort study including children with congenital heart disease surgery as neonates between January 2005 and December 2012. CKD (estimated glomerular filtration rate < 90 mL/min/1.73m

resultsFifty-eight children with median follow-up of 6 years were evaluated. CS-AKI occurred in 58%. CKD and hypertension prevalence were 17% and 30%, respectively; an additional 15% were classified as having elevated blood pressure. CS-AKI was not associated with CKD or hypertension. Classification as cyanotic postoperatively was the only independent predictor of CKD. Postoperative days in hospital predicted hypertension at follow-up.

conclusionsThe prevalence of CKD and hypertension is high in children having neonatal congenital heart surgery. This is important; early identification of CKD and hypertension can improve outcomes. These children should be systematically followed for the evolution of these negative outcomes. CS-AKI defined by current standards may not be a useful clinical tool to decide who needs follow-up and who does not.

Indexed as

Acute Kidney InjuryCardiac Surgical ProceduresCase-Control StudiesChildCreatinineFemaleGlomerular Filtration RateHeart Defects, CongenitalHumansHypertensionInfant, NewbornLongitudinal StudiesMaleProspective StudiesSingle-Blind MethodCreatinineAcute kidney injuryChronic kidney diseaseCongenital heart diseaseHypertensionNeonateOutcomes

Identifiers

PMID32500246
PMCPMC7515960
OpenAlexW3034118466

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.