Evidence map›Paper›PMID 39122822›Full record

ArticlePediatric research2025

ADVANCE: a biomedical informatics approach to investigate acute kidney injury in infants.

Jennifer A Rumpel, Sofia Perazzo, Jonathan Bona, Andrew M South, Matthew W Harer, Daniel Liu, Michelle C Starr, Mona Khattab, Rachel Han, Cara Slagle and 19 more

Abstract readMulticenter Study
In one paragraph

Article in Pediatric research, 2025. 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
–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
  2. Kidney care at NICU discharge and follow-up recommendations for preterm infants<34 weeks.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
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

29 authors.

Jennifer A RumpelUniversity of Arkansas for Medical Sciences, Little Rock, AR, USA. JARumpel@uams.edu.
Sofia PerazzoChildren's National Hospital, Washington, DC, USA.
Jonathan BonaUniversity of Arkansas for Medical Sciences, Little Rock, AR, USA.
Andrew M SouthWake Forest University School of Medicine, Winston Salem, NC, USA.
Matthew W HarerUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Daniel LiuUniversity of Arkansas for Medical Sciences, Little Rock, AR, USA.
Michelle C StarrIndiana University School of Medicine and Riley Children's Health, Indianapolis, IN, USA.
Mona KhattabBaylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Rachel HanIndiana University School of Medicine and Riley Children's Health, Indianapolis, IN, USA.
Cara SlagleIndiana University School of Medicine and Riley Children's Health, Indianapolis, IN, USA.
Eileen CicciaWashington University School of Medicine, St. Louis, MO, USA.
Tasnim NajafWashington University School of Medicine, St. Louis, MO, USA.
Matthew GillenEmory University School of Medicine, Atlanta, GA, USA.
Mimily HarsonoThe University of Tennessee Health Science Center, Le Bonheur Children's Hospital, Memphis, TN, USA.
Arwa NadaThe University of Tennessee Health Science Center, Le Bonheur Children's Hospital, Memphis, TN, USA.
Kiran DwarakanathChildren's Minnesota, Minneapolis, MN, USA.
Semsa GogcuWake Forest University School of Medicine, Winston Salem, NC, USA.
Tahagod MohamedThe Ohio State University, Nationwide Children's Hospital, Columbus, OH, USA.
Christine StoopsUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Elizabeth BonacheaThe Ohio State University, Nationwide Children's Hospital, Columbus, OH, USA.
Mary RevenisChildren's National Hospital, Washington, DC, USA.
Jessica RobertsEmory University School of Medicine, Atlanta, GA, USA.
Robert Michael LenziniBaylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Anne DebuyserieBaylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Catherine JosephBaylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Karna MurthyFeinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.
Patricio RayUniversity of Virginia School of Medicine, Charlottesville, VA, USA.
Mario Schootman *University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Corey Nagel *University of Arkansas for Medical Sciences, Little Rock, AR, USA.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Institutional Career Development CoreKL2TR002374 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI Bo Liu, Marin Leigh Schweizer · 2017 to 2026
$9.7M
Uric Acid, Klotho and Salt Sensitivity in Young Adults Born PretermR01HL146818 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CHAPPELL, MARK C, SHALTOUT, HOSSAM · 2019 to 2023
$4.0M
Atlanta Network for Training In KUH Scientific Research (ATLANTIS)TL1DK136047 · NIDDK · EMORY UNIVERSITY · PI Vivien Andrea Sheehan · 2022 to 2026
$3.0M
Developmental Origins of Cardiovascular Disease in Offspring from Non-Human Primate Pregnancies at Advanced Maternal AgeR01HL164434 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Sarah N Cilvik · 2023 to 2026
$3.0M
Institutional Career DevelopmentKL2TR003108 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI ARTHUR, JOHN M., BORSHEIM, ELISABET · 2019 to 2023
$2.3M
The role of angiotensin-(1-7) in hypertension and hypertension-induced heart and kidney damageK23HL148394 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SOUTH, ANDREW MICHAEL · 2020 to 2024
$783k
Improving the prediction of bronchopulmonary dysplasia by identifying kidney-based risk factorsK23HL168362 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Michelle C Starr · 2024 to 2026
$547k
NCATS NIH HHS KL2 TR002374NCATS NIH HHS KL2 TR003108NCATS NIH HHS UL1 TR002373NHLBI NIH HHS K23 HL148394NHLBI NIH HHS K23 HL168362NHLBI NIH HHS L40 HL148910NHLBI NIH HHS R01 HL146818NHLBI NIH HHS R01 HL164434NIDDK NIH HHS TL1 DK136047
6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) occurs in up to half of infants admitted to the neonatal intensive care unit (NICU) and is associated with increased risks of death and more days of mechanical ventilation, hospitalization, and vasopressor drug support. Our objective was to build a granular relational database to study the impact that AKI has on infants admitted to Level-IV NICUs.

methodsA relational database was created by linking data from the Children's Hospitals Neonatal Database with AKI-focused data from electronic health records from 9 centers.

resultsThe current cohort consists of 24,870 infants with a median (IQR) gestational age of birth of 37 weeks (32 weeks, 39 weeks), and a median birth weight of 2.720 kg (1.750 kg, 3.310 kg). There was a male predominance with 14,214 (57%) males. In all, 2434 (9.8%) of the mothers were of Hispanic ethnicity. The maternal race breakdown of the cohort was as follows: 741 (3.0%) Asian, 5911 (24%) Black, and 14,945 (60%) White. Overall mortality was 5.8%.

conclusionThe ADVANCE relational database is an innovative research tool to rigorously study the epidemiology of AKI in a large national cohort of infants admitted to Level-IV NICUs involved in the Children's Hospital Neonatal Consortium. IMPACT: We used a biomedical informatics approach to build a relational database to study acute kidney injury in infants. We highlight our methodology linking Children's Hospital Neonatal Consortium and electronic health record data from nine neonatal intensive care units. The ADVANCE relational database is a granular and innovative research tool to study risk factors and in-hospital outcomes of acute kidney injury and mortality in a vulnerable patient population.

Indexed as

Acute Kidney InjuryMedical InformaticsCohort StudiesDatabases, FactualElectronic Health RecordsFemaleGestational AgeHospital MortalityHumansInfantInfant, NewbornIntensive Care Units, NeonatalMaleRisk Factors

Identifiers

PMID39122822
PMCPMC12024515

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Registered trials

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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.