Evidence map›Paper›PMID 39887836›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2025

Employing a Haemodynamic Score to Predict Acute Kidney Injury in Infants With Patent Ductus Arteriosus.

Dermot Wildes, Rachel Mullaly, Caoimhe Costigan, Atif Awan, Afif El-Khuffash, Michael A Boyle

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Stealing nephrons-a review on how patent ductus arteriosus physiology impacts neonatal kidney health.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
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

6 authors.

Dermot WildesDepartment of Paediatrics, RCSI University of Medicine & Health Sciences, Dublin 2, Ireland.ORCID 0000-0001-6281-5713
Rachel MullalyDepartment of Paediatrics, RCSI University of Medicine & Health Sciences, Dublin 2, Ireland.
Caoimhe CostiganDepartment of Paediatric Nephrology & Transplantation, Children's Health Ireland, Dublin, Ireland.
Atif AwanDepartment of Paediatrics, RCSI University of Medicine & Health Sciences, Dublin 2, Ireland.
Afif El-KhuffashDepartment of Paediatrics, RCSI University of Medicine & Health Sciences, Dublin 2, Ireland.
Michael A BoyleDepartment of Paediatrics, RCSI University of Medicine & Health Sciences, Dublin 2, Ireland.ORCID 0000-0002-2960-7653

Funding

Taighde Éireann - Research Ireland GOIPG 2024/3145
6 · The paper itself

Abstract

aimThis study hypothesised that infants with a haemodynamically significant patent ductus arteriosus (hsPDA) as defined by a validated score have a higher incidence of acute kidney injury (AKI).

methodsA retrospective study was conducted including infants < 29 weeks' gestation, born at the Rotunda Hospital. The El-Khuffash patent ductus arteriosus (PDA) severity score was applied following an echocardiographic assessment. Mann Whitney-U and χ

resultsWe report a cohort of n = 86 infants with PDA of a mean (standard deviation) gestation of 27 (1) weeks and birth weight of 957 g (235 g). Ten (11.6%) of infants developed AKI. Birth weight, gestation, death-by-discharge, high-risk PDA score, PDA treatment, and ibuprofen receipt were associated with AKI. The presence of a high-risk PDA score was independently associated with the occurrence of AKI. Therapeutic intervention and ibuprofen use proved significant in their associations with AKI.

conclusionA high-risk El-Khuffash PDA score is predictive of AKI in our cohort. Ductal diameter in isolation is ineffective as a measure of haemodynamic significance in the context of AKI prediction. Both PDA treatment and ibuprofen-use are associated with an increased risk of AKI. Further work to validate the use of this score for AKI prediction is warranted.

Indexed as

Acute Kidney InjuryDuctus Arteriosus, PatentHemodynamicsFemaleHumansIbuprofenInfant, NewbornMaleRetrospective StudiesSeverity of Illness IndexIbuprofenneonatal acute kidney injury (AKI)neonatal echocardiographyneonatal haemodynamicspatent ductus arteriosus (PDA)

Identifiers

PMID39887836
PMCPMC12147435

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