Evidence map›Paper›PMID 34970682›Full record

SynthesisPediatrics2022

Renal Dysfunction Criteria in Critically Ill Children: The PODIUM Consensus Conference.

Julie C Fitzgerald, Rajit K Basu, Dana Y Fuhrman, Stephen M Gorga, Amanda B Hassinger, L Nelson Sanchez-Pinto, David T Selewski, Scott M Sutherland, Ayse Akcan-Arikan, Pediatric Organ Dysfunction Information Update Mandate (PODIUM) Collaborative

Open access · greenAbstract readSystematic ReviewConsensus Statement
In one paragraph

Synthesis in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 32 citations in OpenAlex.

  1. Time Course of Kidney Injury Biomarkers in Children With Septic Shock: Nested Cohort Study Within the Pragmatic Pediatric Trial of Balanced Versus Normal Saline Fluid in Sepsis Trial.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
    Trial
  2. Review
  3. Article
  4. Plasma Linoleic Acid Is Associated With Pediatric Sepsis Phenotype and Acute Kidney Injury.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
    Article
  5. Article
  6. Observational
  7. Derivation and Validation of Pediatric Sepsis-Associated Acute Kidney Injury Subphenotypes With Prognostic Relevance.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
    Observational
  8. Article
  9. Kidney Outcomes in Children Receiving Extracorporeal Membrane Oxygenation: A Single-Center Acute Cohort From 2009 to 2019, Followed to 2021.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Observational
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

10 authors at 9 institutions in 1 country.

Julie C FitzgeraldDepartment of Anesthesiology and Critical Care, Perelman School of Medicine, The University of Pennsylvania and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Rajit K BasuDepartment of Pediatrics, Emory School of Medicine, Atlanta, Georgia.
Dana Y FuhrmanDepartment of Critical Care Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.
Stephen M GorgaDepartment of Pediatrics, Medical School, University of Michigan, Ann Arbor, Michigan.
Amanda B HassingerDepartment of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, John R. Oishei Children's Hospital, Buffalo, New York.
L Nelson Sanchez-PintoDepartment of Pediatrics, Feinberg School of Medicine, Northwestern University and Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
David T SelewskiDepartment of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Scott M SutherlandDepartment of Pediatrics, Division of Nephrology, School of Medicine, Stanford University, Stanford, California.
Ayse Akcan-ArikanDepartment of Pediatrics, Divisions of Nephrology and Critical Care Medicine, Baylor College of Medicine, Houston, Texas.
Pediatric Organ Dysfunction Information Update Mandate (PODIUM) Collaborative
Baylor College of Medicine · USEmory University · USMedical University of South Carolina · USNorthwestern University · USStanford University · USUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · USUniversity of Pittsburgh · USWomen & Children's Hospital of Buffalo · US

Funding

Renal Fitness in Young Adults with Congenital Heart DiseaseK23DK116973 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FUHRMAN, DANA YOUNG · 2019 to 2023
$1.2M
Pediatric septic acute kidney injury: personalizing antibiotic dosing through understanding acute kidney injury risk factors and biomarker profilesK23DK119463 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI FITZGERALD, JULIE C. HOLLOWS · 2020 to 2024
$810k
NIDDK NIH HHS K23 DK116973NIDDK NIH HHS K23 DK119463NIDDK NIH HHS L30 DK122411
6 · The paper itself

Abstract

contextRenal dysfunction is associated with poor outcomes in critically ill children.

objectiveTo evaluate the current evidence for criteria defining renal dysfunction in critically ill children and association with adverse outcomes. To develop contemporary consensus criteria for renal dysfunction in critically ill children. DATA SOURCES: PubMed and Embase were searched from January 1992 to January 2020. STUDY SELECTION: Included studies evaluated critically ill children with renal dysfunction, performance characteristics of assessment tools for renal dysfunction, and outcomes related to mortality, functional status, or organ-specific or other patient-centered outcomes. Studies with adults or premature infants (≤36 weeks' gestational age), animal studies, reviews, case series, and studies not published in English with inability to determine eligibility criteria were excluded. DATA EXTRACTION: Data were extracted from included studies into a standard data extraction form by task force members.

resultsThe systematic review supported the following criteria for renal dysfunction: (1) urine output <0.5 mL/kg per hour for ≥6 hours and serum creatinine increase of 1.5 to 1.9 times baseline or ≥0.3 mg/dL, or (2) urine output <0.5 mL/kg per hour for ≥12 hours, or (3) serum creatinine increase ≥2 times baseline, or (4) estimated glomerular filtration rate <35 mL/minute/1.73 m2, or (5) initiation of renal replacement therapy, or (6) fluid overload ≥20%. Data also support criteria for persistent renal dysfunction and for high risk of renal dysfunction. LIMITATIONS: All included studies were observational and many were retrospective.

conclusionsWe present consensus criteria for renal dysfunction in critically ill children.

Indexed as

BiomarkersCritical IllnessGlomerular Filtration RateHumansKidney DiseasesMultiple Organ FailureOrgan Dysfunction ScoresRenal Replacement TherapyBiomarkers

Identifiers

PMID34970682
PMCPMC9722270
OpenAlexW4206119689

What OpenQuestion holds

Textmetadata
LicenceTDM
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.