Evidence map›Paper›PMID 39093456›Full record

ArticlePediatric nephrology (Berlin, Germany)2024

Urine dipstick blood and acute kidney injury in infants undergoing cardiopulmonary bypass.

Amy E Strong, Jarcy Zee, Benjamin L Laskin, Kathryn Howarth, Joshua Blinder, Elizabeth A Chrischilles, Daniella Levy Erez, Michelle R Denburg

Abstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–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.

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.

  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

8 authors.

Amy E StrongDivision of Nephrology, Department of Pediatrics, University of Iowa Stead Family Children's Hospital, Iowa City, IA, USA. amy-strong@uiowa.edu.ORCID 0000-0002-8827-1774
Jarcy ZeeChildren's Hospital of Philadelphia Research Institute, Philadelphia, PA, USA.
Benjamin L LaskinDivision of Nephrology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kathryn HowarthDivision of Nephrology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Joshua BlinderDivision of Cardiology, Stanford Medicine Children's Health, Palo Alto, CA, USA.
Elizabeth A ChrischillesDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA, USA.
Daniella Levy ErezDivision of Nephrology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Michelle R DenburgDivision of Nephrology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Funding

Research Project Core 2P50DK114786 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI Michelle Denburg · 2017 to 2026
$9.6M
Training in Renal ResearchT32DK007006 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI HOLZMAN, LAWRENCE B. · 1986 to 2023
$8.5M
Mentoring of Early Career Researchers from Diverse BackgroundsK26DK138375 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI Michelle Denburg · 2023 to 2026
$424k
Children's Hospital of Philadelphia P50DK114786Division of Diabetes, Endocrinology, and Metabolic Diseases T32-DK007006-43NIDDK NIH HHS K26 DK138375NIDDK NIH HHS P50 DK114786NIDDK NIH HHS T32 DK007006
6 · The paper itself

Abstract

backgroundCardiopulmonary bypass (CPB) is associated with hemolysis and acute kidney injury (AKI). The study aim was to determine if urine dipstick blood in infants after CPB was associated with AKI and urine neutrophil gelatinase-associated lipocalin (NGAL).

methodsInfants who underwent CPB at a single center were enrolled prospectively between October 2017 and June 2019. Urine samples prior to CPB and 6 h after CPB cessation were analyzed in batch for NGAL and dipstick blood. AKI was defined using creatinine-based KDIGO criteria within 72 h of CPB. Spearman correlation examined associations between urine dipstick blood and NGAL at each time point. Linear regression estimated the associations between urine dipstick blood and log-transformed NGAL 6 h after CPB. Logistic regression estimated associations and compared discrimination between urine dipstick blood and NGAL for predicting AKI.

resultsAt baseline, 7/63 samples (11%) had > trace blood. Six hours after CPB, 62/98 samples (63%) had > trace blood and 26% had 3 + (large) blood. In total, 18/98 (18%) with a 6-h post-CPB sample had postoperative AKI. Urine dipstick blood values correlated with urine NGAL 6 h after CPB (r = 0.52, p < 0.01), but not at baseline (r = 0.06, p = 0.66). Those with 3 + (large) blood on urine dipstick had 6 times higher mean NGAL values compared to those with negative/trace blood (mean ratio 6.6, 95%CI 3.1-14.4, p < 0.01). Those with 3 + (large) blood had 8 times higher odds of AKI (OR 7.99, 95%CI 1.5-41.9, p = 0.01).

conclusionsUrine dipstick blood post CPB may be a simple and inexpensive tool to help predict AKI in infants.

Indexed as

Acute Kidney InjuryBiomarkersCardiopulmonary BypassLipocalin-2CreatinineFemaleHumansInfantInfant, NewbornMalePostoperative ComplicationsProspective StudiesUrinalysisBiomarkersCreatinineLCN2 protein, humanLipocalin-2AKICardiopulmonary bypassHemolysisInfantsUrine dipstick

Identifiers

PMID39093456
PMCPMC11511656

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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.