Evidence map›Paper›PMID 37971515›Full record

ArticleEuropean journal of pediatrics2024

The efficacy and safety of continuous blood purification in neonates with septic shock and acute kidney injury: a two-center retrospective study.

Jinglin Xu, Yifan Sun, Weifeng Zhang, Xiaoyun Chu, Hongyuan Yang, Cheng Cai, Dongmei Chen

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Article in European journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

7 authors at 1 institution in 1 country.

Jinglin XuQuanzhou Maternity and Children's Hospital, Department of Neonatology, Quanzhou, 362000, Fujian Province, China.
Yifan SunShanghai Children's Hospital, Department of Neonatology, Affiliated Children's Hospital of Shanghai Jiaotong University School of Medicine, Shanghai, 200062, China.
Weifeng ZhangQuanzhou Maternity and Children's Hospital, Department of Neonatology, Quanzhou, 362000, Fujian Province, China.
Xiaoyun ChuShanghai Children's Hospital, Department of Neonatology, Affiliated Children's Hospital of Shanghai Jiaotong University School of Medicine, Shanghai, 200062, China.
Hongyuan YangQuanzhou Maternity and Children's Hospital, Department of Neonatology, Quanzhou, 362000, Fujian Province, China.
Cheng CaiShanghai Children's Hospital, Department of Neonatology, Affiliated Children's Hospital of Shanghai Jiaotong University School of Medicine, Shanghai, 200062, China.
Dongmei ChenQuanzhou Maternity and Children's Hospital, Department of Neonatology, Quanzhou, 362000, Fujian Province, China. chendm9090@163.com.
Shanghai Children's Hospital · CN

Funding

Quanzhou health Science and Technology Program 2023NS064
6 · The paper itself

Abstract

To investigate the efficacy and safety of continuous blood purification (CBP) in neonates with septic shock and acute kidney injury (AKI). This retrospective study was conducted at two tertiary care children's hospitals between January 2015 and May 2022. A total of 26 neonates with septic shock and AKI were included in this study, with a mortality rate of 50%. Fourteen neonates (53.8%) received continuous veno-venous hemodiafiltration, and 12 (46.2%) received continuous veno-venous hemofiltration. Compared with the indices before CBP, urine output increased 12 h after CBP initiation (P = 0.003) and serum creatinine decreased (P = 0.019). After 24 h of CBP, blood urea nitrogen had decreased (P = 0.006) and mean arterial pressure had increased (P = 0.007). At the end of CBP, the vasoactive-inotropic score and blood lactate were decreased (P = 0.035 and 0.038, respectively) and PH was increased (P = 0.015). Thrombocytopenia was the most common complication of CBP.  Conclusion: CBP can efficiently maintain hemodynamic stability, improve renal function, and has good safety in neonates with septic shock and AKI. However, the mortality rate remains high, and whether CBP improves the prognosis of neonates with septic shock and AKI remains unclear. What is Known: • Over 50% of children with septic shock have severe AKI, of which 21.6% required CBP. • The clinical application of CBP in septic shock has attracted increasing attention. What is New: • CBP can efficiently maintain hemodynamic stability, improve renal function, and has good safety in neonates with septic shock and AKI. • The mortality rate in neonates with septic shock and AKI receiving CBP remains high.

Indexed as

Acute Kidney InjuryShock, SepticBlood Urea NitrogenChildHumansInfant, NewbornPrognosisRetrospective StudiesAcute kidney injuryContinuous blood purificationNeonateSepsisSeptic shock

Identifiers

PMID37971515
OpenAlexW4388733240

What OpenQuestion holds

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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.