Evidence map›Paper›PMID 33752856›Full record

ReviewCritical care clinics2021

Sepsis-Associated Acute Kidney Injury.

Carlos L Manrique-Caballero, Gaspar Del Rio-Pertuz, Hernando Gomez

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Critical care clinics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06570187 (The Effect of Dexmedetomidine on the Renal Functions in Septic Critically Ill Patients), which is not on this map. Cited by 175 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
175citing papers in PubMed, 2 pooled it
23.9field-weighted citation impact, top 1% 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.

NCT06570187 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

The Effect of Dexmedetomidine on the Renal Functions in Septic Critically Ill Patients

TypeinterventionalSponsorCairo UniversityRan2024 to 2026Enrolled128ConditionsSepsis, Septic Shock, Acute Kidney InjuryArmsDexmedetomidine, Propofol
3 · Its place in the literature

Who cites it

175 citing papers in PubMed, 2 syntheses or guidelines pooled it, 269 citations in OpenAlex.

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  14. Patients Experiencing Homelessness Have Higher Complication Rates After Total Shoulder Arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
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115 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

3 authors at 2 institutions in 1 country.

Carlos L Manrique-CaballeroDepartment of Critical Care Medicine, Center for Critical Care Nephrology, University of Pittsburgh School of Medicine, 3347 Forbes Avenue, Suite 220, Room 207, Pittsburgh, PA 15213, USA; Department of Critical Care Medicine, The CRISMA (Clinical Research, Investigation and Systems Modeling of Acute Illness) Center, University of Pittsburgh School of Medicine, 3347 Forbes Avenue, Suite 220, Room 207, Pittsburgh, PA 15213, USA.
Gaspar Del Rio-PertuzDepartment of Critical Care Medicine, Center for Critical Care Nephrology, University of Pittsburgh School of Medicine, 3347 Forbes Avenue, Suite 220, Room 207, Pittsburgh, PA 15213, USA; Department of Critical Care Medicine, The CRISMA (Clinical Research, Investigation and Systems Modeling of Acute Illness) Center, University of Pittsburgh School of Medicine, 3347 Forbes Avenue, Suite 220, Room 207, Pittsburgh, PA 15213, USA; Department of Internal Medicine, Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, TX 79430, USA.
Hernando GomezDepartment of Critical Care Medicine, Center for Critical Care Nephrology, University of Pittsburgh School of Medicine, 3347 Forbes Avenue, Suite 220, Room 207, Pittsburgh, PA 15213, USA; Department of Critical Care Medicine, The CRISMA (Clinical Research, Investigation and Systems Modeling of Acute Illness) Center, University of Pittsburgh School of Medicine, 3347 Forbes Avenue, Suite 220, Room 207, Pittsburgh, PA 15213, USA. Electronic address: gomezh@upmc.edu.
University of Pittsburgh · USTexas Tech University Health Sciences Center · US

Funding

A Randomized Clinical Trial of the Safety and FeasibiLity of Metformin as a Treatment for sepsis induced AKI (LiMiT AKI)R01DK133142 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GOMEZ DANIES, HERNANDO · 2023 to 2025
$941k
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
NIDDK NIH HHS R01 DK133142NIGMS NIH HHS K08 GM117310
6 · The paper itself

Abstract

Sepsis-associated acute kidney injury (S-AKI) is a common and life-threatening complication in hospitalized and critically ill patients. It is characterized by rapid deterioration of renal function associated with sepsis. The pathophysiology of S-AKI remains incompletely understood, so most therapies remain reactive and nonspecific. Possible pathogenic mechanisms to explain S-AKI include microcirculatory dysfunction, a dysregulated inflammatory response, and cellular metabolic reprogramming. In addition, several biomarkers have been developed in an attempt to improve diagnostic sensitivity and specificity of S-AKI. This article discusses the current understanding of S-AKI, recent advances in pathophysiology and biomarker development, and current preventive and therapeutic approaches.

Indexed as

Acute Kidney InjurySepsisBiomarkersHumansMicrocirculationRenal CirculationBiomarkersAKIBiomarkersInflammationMetabolic reprogrammingMicrocirculationSepsis

Identifiers

PMID33752856
PMCPMC7995616
OpenAlexW3129633046

What OpenQuestion holds

Textmetadata
LicenceTDM
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.