Evidence map›Paper›PMID 34595570›Full record

SynthesisPediatric nephrology (Berlin, Germany)2022

Risk factors for acute kidney injury after pediatric cardiac surgery: a meta-analysis.

Jef Van den Eynde, Boris Delpire, Xander Jacquemyn, Ismat Pardi, Hajar Rotbi, Marc Gewillig, Shelby Kutty, Djalila Mekahli

Open access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pediatric nephrology (Berlin, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 6 pooled it
5.6field-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.

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

44 citing papers in PubMed, 6 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Perioperative Monitoring of Regional Oxygen Saturation in Congenital Heart Disease: Systematic Review of Literature up to 2023.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2026
    Pooled it
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  7. Trial
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  13. Research progress on biomarkers for acute kidney injury in children.Pediatric nephrology (Berlin, Germany) · 2026
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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

8 authors at 3 institutions in 3 countries.

Jef Van den EyndeHelen B. Taussig Heart Center, The Johns Hopkins Hospital and School of Medicine, Baltimore, USA. jef.vandeneynde@student.kuleuven.be.ORCID 0000-0002-5606-376X
Boris DelpireDepartment of Cardiovascular Sciences, University Hospitals Leuven, KU Leuven, Herestraat 49, 3000, Leuven, Belgium.
Xander JacquemynDepartment of Cardiovascular Sciences, University Hospitals Leuven, KU Leuven, Herestraat 49, 3000, Leuven, Belgium.
Ismat PardiDepartment of Cardiovascular Sciences, University Hospitals Leuven, KU Leuven, Herestraat 49, 3000, Leuven, Belgium.
Hajar RotbiFaculty of Medicine, Radboud University, Nijmegen, The Netherlands.
Marc GewilligDepartment of Cardiovascular Sciences, University Hospitals Leuven, KU Leuven, Herestraat 49, 3000, Leuven, Belgium.
Shelby KuttyHelen B. Taussig Heart Center, The Johns Hopkins Hospital and School of Medicine, Baltimore, USA.
Djalila MekahliDepartment of Pediatric Nephrology, University Hospitals of Leuven, Leuven, Belgium.
KU Leuven · BEJohns Hopkins University · USRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac surgery-associated acute kidney injury (AKI) is associated with increased morbidity and mortality in both adults and children.

objectivesThis study aimed to identify clinical risk factors for AKI following cardiac surgery in the pediatric population. DATA SOURCES: PubMed/MEDLINE, Embase, Scopus, and reference lists of relevant articles were searched for studies published by August 2020. STUDY ELIGIBILITY CRITERIA: Studies were included if (1) the population consisted of pediatric patients (< 18 years old), (2) patients underwent cardiac surgery, (3) risk factors were compared between patients who developed AKI and those who did not, and (4) studies were prospective or retrospective observational studies or randomized controlled trials. PARTICIPANTS AND

interventionsChildren undergoing pediatric cardiac surgery. STUDY APPRAISAL AND SYNTHESIS

methodsRandom-effects meta-analysis was performed, comparing potential risk factors between pediatric patients who developed CS-AKI and those who did not.

resultsSixty-one publications including a total of 19,680 participants (AKI: 7257 participants; no AKI: 12,423 participants) were included from studies published between 2008 and 2020. The pooled estimated incidence of AKI was 34.3% (95% confidence interval 30.0-38.8%, I LIMITATIONS: Results are limited by heterogeneity and potential residual confounding. CONCLUSIONS AND IMPLICATIONS OF KEY

findingsOur meta-analysis identified clinical risk factors that are associated with AKI in children undergoing cardiac surgery. This might help clinicians anticipate and manage more carefully this population and implement standardized preventive strategies. SYSTEMATIC REVIEW REGISTRATION NUMBER: CRD42021262699. A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

Acute Kidney InjuryCardiac Surgical ProceduresAdolescentAdultChildFemaleHumansMalePostoperative ComplicationsProspective StudiesRetrospective StudiesRisk FactorsAcute kidney injuryCardiac surgeryMeta-analysisPediatricRisk factors

Identifiers

PMID34595570
OpenAlexW3202515376

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.