Evidence map›Paper›PMID 36823168›Full record

ReviewNature reviews. Nephrology2023

Sepsis-associated acute kidney injury: consensus report of the 28th Acute Disease Quality Initiative workgroup.

Alexander Zarbock, Mitra K Nadim, Peter Pickkers, Hernando Gomez, Samira Bell, Michael Joannidis, Kianoush Kashani, Jay L Koyner, Neesh Pannu, Melanie Meersch and 23 more

Registry-linked trialAbstract readReviewConsensus Statement
PubMed Publisher
In one paragraph

Review in Nature reviews. Nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06375616 (A Comparative Study of Safety and Efficacy of Nafamostat Mesylate and Unfractionated Heparin in Renal Replacement Therapy for Sepsis Associated Acute Kidney Injury), which is not on this map. Cited by 452 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
452citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT06375616 phase4not yet recruitingnot on this mapstarted 2024, after this paper: background citation

A Comparative Study of Safety and Efficacy of Nafamostat Mesylate and Unfractionated Heparin in Renal Replacement Therapy for Sepsis Associated Acute Kidney Injury: A Randomized Controlled Trial

TypeinterventionalSponsorShen LeiRan2024 to 2027Enrolled156ConditionsSepsisArmsNafamostat Mesylate, Unfractionated Heparin
3 · Its place in the literature

Who cites it

452 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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392 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

33 authors.

Alexander Zarbock *Department of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital of Münster, Münster, Germany.
Mitra K Nadim *Division of Nephrology and Hypertension, Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Peter PickkersDept Intensive Care Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands.
Hernando GomezProgram for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0001-5605-3513
Samira BellDivision of Population Health and Genomics, University of Dundee, Dundee, UK.
Michael JoannidisDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Innsbruck, Austria.ORCID 0000-0002-6996-0881
Kianoush KashaniDivision of Nephrology and Hypertension, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-2184-3683
Jay L KoynerDepartment of Medicine, University of Chicago, Chicago, IL, USA.ORCID 0000-0001-6873-8712
Neesh PannuDepartment of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Melanie MeerschDepartment of Anaesthesiology, Intensive Care and Pain Medicine, University Hospital of Münster, Münster, Germany.
Thiago ReisD'Or Institute for Research and Education (IDOR), Division of Kidney Transplantation, DF Star Hospital, SGAS 914, Asa Sul, 70390-140, Brasília, Brazil.ORCID 0000-0002-7071-117X
Thomas RimmeléAnaesthesiology and Critical Care Medicine, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.
Sean M BagshawDepartment of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta and Alberta Health Services, Edmonton, Alberta, Canada.
Rinaldo BellomoDepartment of Critical Care, University of Melbourne, Parkville, Australia.ORCID 0000-0002-1650-8939
Vicenzo CantaluppiNephrology and Kidney Transplantation Unit, Department of Translational Medicine, University of Piemonte Orientale (UPO), "Maggiore della Carità" University Hospital, Novara, Italy.
Akash DeepPaediatric Intensive Care Unit, King's College Hospital NHS Foundation Trust, London, UK.
Silvia De RosaCentre for Medical Sciences - CISMed, University of Trento, Trento, Italy.
Xose Perez-FernandezServei de Medicina Intensiva, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.ORCID 0000-0002-5903-6927
Faeq Husain-SyedDepartment of Internal Medicine II, University Hospital Giessen and Marburg, Justus-Liebig-University Giessen, Giessen, Germany.
Sandra L Kane-GillDepartment of Pharmacy and Therapeutics, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0001-7523-4846
Yvelynne KellyDepartment of Critical Care, Tallaght University Hospital, Tallaght, Dublin, Ireland.
Ravindra L MehtaDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0002-0908-2968
Patrick T MurraySchool of Medicine, University College Dublin, Dublin, Ireland.ORCID 0000-0001-8516-1839
Marlies OstermannDepartment of Intensive Care, King's College London, Guy's & St Thomas' Hospital, London, UK.ORCID 0000-0001-9500-9080
John ProwleWilliam Harvey Research Institute, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.ORCID 0000-0002-5002-2721
Zaccaria RicciDepartment of Anaesthesia and Critical Care, Meyer Children's University Hospital, Florence, Italy.
Emily J SeeDepartment of Critical Care, University of Melbourne, Parkville, Australia.
Antoine SchneiderAdult Intensive Care Unit, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.
Danielle E SorannoDepartment of Paediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Ashita TolwaniDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Gianluca VillaDepartment of Health Sciences, Section of Anaesthesiology, Intensive Care and Pain Medicine. University of Florence. Azienda Ospedaliero Universitaria Careggi, Florence, Italy.
Claudio RoncoDepartment of Medicine, University of Padova, Padua, Italy.ORCID 0000-0002-6697-4065
Lui G ForniDepartment of Critical Care, Royal Surrey Hospital Foundation Trust, Guildford, Surrey, UK. luiforni@nhs.net.ORCID 0000-0002-0617-5309

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis-associated acute kidney injury (SA-AKI) is common in critically ill patients and is strongly associated with adverse outcomes, including an increased risk of chronic kidney disease, cardiovascular events and death. The pathophysiology of SA-AKI remains elusive, although microcirculatory dysfunction, cellular metabolic reprogramming and dysregulated inflammatory responses have been implicated in preclinical studies. SA-AKI is best defined as the occurrence of AKI within 7 days of sepsis onset (diagnosed according to Kidney Disease Improving Global Outcome criteria and Sepsis 3 criteria, respectively). Improving outcomes in SA-AKI is challenging, as patients can present with either clinical or subclinical AKI. Early identification of patients at risk of AKI, or at risk of progressing to severe and/or persistent AKI, is crucial to the timely initiation of adequate supportive measures, including limiting further insults to the kidney. Accordingly, the discovery of biomarkers associated with AKI that can aid in early diagnosis is an area of intensive investigation. Additionally, high-quality evidence on best-practice care of patients with AKI, sepsis and SA-AKI has continued to accrue. Although specific therapeutic options are limited, several clinical trials have evaluated the use of care bundles and extracorporeal techniques as potential therapeutic approaches. Here we provide graded recommendations for managing SA-AKI and highlight priorities for future research.

Indexed as

Acute Kidney InjurySepsisAcute DiseaseHumansMicrocirculation

Identifiers

What OpenQuestion holds

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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.