Evidence map›Paper›PMID 40025507›Full record

Observational studyBMC pediatrics2025

Diazepam exposure associated with an increased risk of acute kidney injury in children: an observational cohort study.

Miao Zhang, Liang Huang, Yu Zhu, Linan Zeng, Guo Cheng, Hailong Li, Lingli Zhang

Abstract readObservational Study
In one paragraph

Observational study in BMC pediatrics, 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. 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

7 authors.

Miao ZhangDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, China.
Liang HuangDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, China.
Yu ZhuKey Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.
Linan ZengDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, China.
Guo ChengKey Laboratory of Birth Defects and Related Diseases of Women and Children, Sichuan University, Ministry of Education, Chengdu, China.
Hailong LiDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, China. lhl_stat@scu.edu.cn.
Lingli ZhangDepartment of Pharmacy, West China Second University Hospital, Sichuan University, Chengdu, China.

Funding

National Natural Science Foundation for Young Scholars of China 72004151Sichuan Natural Science Foundation Youth Fund Project 23NSFSC4810
6 · The paper itself

Abstract

backgroundPotentially nephrotoxic drugs play an important role in acute kidney injury (AKI) in children. In the previous pharmacovigilance study, we found a statistical correlation between diazepam and AKI in children, but the causality needs to be further verified.

methodsAn observational cohort study was conducted to investigate the association between diazepam exposure and the risk of AKI in hospitalized children. The exposed group received diazepam while the control group did not. The outcome was AKI in accordance with the Kidney Disease Improving Global Outcomes (KDIGO) guidelines. Logistic regression was used to explore the association between diazepam exposure and the risk of AKI in children after adjusting for covariates.

resultsA total of 3018 hospitalized children were included, 148 in the diazepam group and 2870 in the control group. After adjusting for covariates, diazepam exposure was associated with an increased risk of AKI in children (OR = 1.85, 95%CI: 1.11-3.09, P = 0.019). Multivariate logistic regression showed that age (P < 0.001), low baseline serum creatinine (P < 0.001), chronic kidney disease (P = 0.039), diuretics (P = 0.009), Non-steroidal anti-inflammatory drugs (NSAIDs, P = 0.046), proton pump inhibitors (P = 0.007) and vasoactive drugs (P = 0.007) were risk factors for diazepam-associated AKI in children.

conclusionsThe use of diazepam in children is associated with an increased risk of AKI. The risk factors for diazepam-associated AKI in children included age, low baseline serum creatinine, chronic kidney disease, diuretics, NSAIDs, proton pump inhibitors, and vasoactive drugs.

trial registrationChiCTR2400085281 2024-06-04 (retrospectively registered).

Indexed as

Acute Kidney InjuryDiazepamAdolescentChildChild, PreschoolCohort StudiesFemaleHumansInfantLogistic ModelsMaleRisk FactorsDiazepamAcute kidney injuryChildrenCohort studyDiazepam

Identifiers

PMID40025507
PMCPMC11871768

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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.