Evidence map›Paper›PMID 39910862›Full record

ArticleCardiology in the young2025

Urine biomarkers, acute kidney injury, and fluid overload in neonatal cardiac surgery.

Rebecca D Sullenger, Alison G Kilborn, Reid C Chamberlain, Kevin D Hill, Rasheed A Gbadegesin, Christoph P Hornik, Elizabeth J Thompson

Abstract read
In one paragraph

Article in Cardiology in the young, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Rebecca D SullengerDuke University School of Medicine, Durham, NC, USA.ORCID https://orcid.org/0000-0001-8163-3042
Alison G KilbornDuke Clinical Research Institute, Durham, NC, USA.
Reid C ChamberlainDuke University School of Medicine, Durham, NC, USA.ORCID https://orcid.org/0000-0002-3733-2856
Kevin D HillDuke University School of Medicine, Durham, NC, USA.ORCID https://orcid.org/0000-0003-4451-3580
Rasheed A GbadegesinDuke University School of Medicine, Durham, NC, USA.ORCID https://orcid.org/0000-0001-5641-6644
Christoph P HornikDuke University School of Medicine, Durham, NC, USA.ORCID https://orcid.org/0000-0001-7056-8759
Elizabeth J ThompsonDuke University School of Medicine, Durham, NC, USA.ORCID https://orcid.org/0000-0003-3426-1789

Funding

COVID-19 Supplement - Center for Innovative TRIals in ChilDrEN and AdulTs (TRIDENT)U24TR001608 · NCATS · DUKE UNIVERSITY · PI BENJAMIN, DANIEL K., BERNARD, GORDON RAPHAEL · 2016 to 2022
$177.0M
Duke-UNC Collaborative Pediatric Clinical Pharmacology Postdoctoral Training ProgramT32HD104576 · NICHD · DUKE UNIVERSITY · PI BROUWER, KIM L.R., GONZALEZ, DANIEL · 2021 to 2025
$962k
NCATS NIH HHS U24 TR001608NICHD NIH HHS T32 HD104576
6 · The paper itself

Abstract

backgroundCardiac surgery-associated acute kidney injury (CS-AKI) and fluid overload (FO) are common among neonates who undergo cardiopulmonary bypass, and increase mortality risk. Current diagnostic criteria may delay diagnosis. Thus, there is a need to identify urine biomarkers that permit earlier and more accurate diagnosis.

methodsThis single-centre ancillary prospective cohort study describes age- and disease-specific ranges of 14 urine biomarkers at perioperative time points and explores associations with CS-AKI and FO. Neonates (≤28 days) undergoing cardiac surgery were included. Preterm neonates or those who had pre-operative acute kidney injury were excluded. Urine biomarkers were measured pre-operatively, at 0 to < 8 hours after surgery, and at 8 to 24 hours after surgery. Exploratory outcomes included CS-AKI, defined by the modified Kidney Disease Improving Global Outcomes criteria, and>10% FO, both measured at 48 hours after surgery.

resultsOverall, α-glutathione S-transferase, β-2 microglobulin, albumin, cystatin C, neutrophil gelatinase-associated lipocalin, osteopontin, uromodulin, clusterin, and vascular endothelial growth factor concentrations peaked in the early post-operative period; over the sampling period, kidney injury molecule-1 increased and trefoil factor-3 decreased. In the early post-operative period, β-2 microglobulin and α-glutathione S-transferase were higher in neonates who developed CS-AKI; and clusterin, cystatin C, neutrophil gelatinase-associated lipocalin, osteopontin, and α-glutathione S-transferase were higher in neonates who developed FO.

conclusionIn a small, single-centre cohort, age- and disease-specific urine biomarker concentrations are described. These data identify typical trends and will inform future studies.

Indexed as

Acute kidney injurybiomarkerscardiopulmonary bypassneonatepaediatricurine

Identifiers

PMID39910862
PMCPMC12325690

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