Evidence map›Paper›PMID 39834999›Full record

ReviewCureus2024

Sepsis-Associated Acute Kidney Injury: Pathophysiology and Treatment Modalities.

Martin Gerardo Aguilar, Hassen A AlHussen, Prenika Devadas Gandhi, Priyadeep Kaur, Mounica A Pothacamuri, Mariam Altaf Husain Talikoti, Nandita Avula, Pallavi Shekhawat, Alisson Barbosa Silva, Arshpreet Kaur and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 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.

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

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Scrotal hernia in a doguera baboon with diabetes mellitus.The Journal of veterinary medical science · 2026
    Article
  16. Review
  17. Article
  18. Clinical Profile and Survival Outcomes of Children with Acute Kidney Injury Requiring Renal Replacement Therapy: A Retrospective Study from a Tertiary Pediatric Intensive Care Unit.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    Article
  19. Article
  20. 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

11 authors.

Martin Gerardo AguilarInternal Medicine, Garci︠a PCP Universidad de Durango Campus Ciudad Jua︠rez, Chihuahua, MEX.
Hassen A AlHussenCritical Care Medicine, Sulieman Alhabib Medical Academy, Riyadh, SAU.
Prenika Devadas GandhiInternal Medicine, Metropolitan University College of Medicine, Antigua, ATG.
Priyadeep KaurInternal Medicine, Punjab Institute of Medical Sciences, Jalandhar, IND.
Mounica A PothacamuriInternal Medicine, Trinity West Medical Center, Steubenville, USA.
Mariam Altaf Husain TalikotiInternal Medicine, Kanachur Institute of Medical Sciences, Mangaluru, IND.
Nandita AvulaInternal Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.
Pallavi ShekhawatObstetrics and Gynecology, Employees State Insurance-Post Graduate Institute of Medical Sciences and Research Delhi, Delhi, IND.
Alisson Barbosa SilvaInternal Medicine, UNIME School of Medicine, Bahia, BRA.
Arshpreet KaurSurgery, School of Medical Sciences and Research, Sharda University, Greater Noida, IND.
Manju RaiBiotechnology, Shri Venkateshwara University, Gajraula, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis-associated acute kidney injury (S-AKI) is a critical complication that significantly contributes to the morbidity and mortality of sepsis patients. This narrative review explores the complex and multifactorial pathophysiology of S-AKI, which involves hemodynamic alterations, microcirculatory dysfunction, endothelial damage, inflammatory responses, oxidative stress, and direct tubular injury. Conventional perspectives linking S-AKI primarily to reduced renal blood flow are now being reconsidered, with growing insights highlighting the significance of microcirculatory dysfunction and endothelial activation as key contributors. The review also discusses the current diagnostic approaches for S-AKI, emphasizing the limitations of existing biomarkers and the need for earlier and more accurate detection methods. Standard treatment strategies focus on supportive care, including fluid management, vasopressor therapy, and renal replacement therapy. However, these approaches often fail to address the underlying mechanisms of S-AKI, resulting in persistently high mortality rates. Emerging therapies, including the use of antioxidants, anti-inflammatory agents, and stem cell-based treatments, offer the potential for improved outcomes. These innovative approaches aim to target the pathophysiological processes at the molecular level, offering hope for better management of S-AKI. The review highlights the need for ongoing research to further understand the mechanisms driving S-AKI and to develop more effective therapeutic strategies.

Indexed as

cytokine stormemerging therapiesendothelial activationfluid managementinflammatory responsemicrocirculatory dysfunctionoxidative stressrenal replacement therapys-aki pathophysiologysepsis-associated acute kidney injury

Identifiers

PMID39834999
PMCPMC11743060

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.