Evidence map›Paper›PMID 40681846›Full record

ArticleNature reviews. Nephrology2025

Pregnancy-associated acute kidney injury - consensus report of the 32nd Acute Disease Quality Initiative workgroup.

Cathy Nelson-Piercy, Nattachai Srisawat, Kianoush Kashani, Nuttha Lumlertgul, Raghavan Murugan, Harin Rhee, Raj Chakravarthi, Tarakeswari Surapaneni, Anjali Acharya, Ghada Ankawi and 20 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Nature reviews. Nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Little kidneys amid large global inequities.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  5. Beyond cardiovascular risk: integrating kidney health into the life-course approach to hypertensive disorders of pregnancy.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

30 authors.

Cathy Nelson-PiercyDepartment of Obstetric Medicine, Guy's & St Thomas' Foundation Trust, London, UK.
Nattachai SrisawatExcellence Centre for Critical Care Nephrology, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Kianoush KashaniDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-2184-3683
Nuttha LumlertgulExcellence Centre for Critical Care Nephrology, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.ORCID 0000-0003-1506-4253
Raghavan MuruganProgram for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Harin RheeDepartment of Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Raj ChakravarthiDepartment of Nephrology, Yasodha Hospitals, Hyderabad, India.
Tarakeswari SurapaneniDepartment of Obstetric Medicine, Fernandez Hospitals, Hyderguda, Hyderabad, India.
Anjali AcharyaDivision of Nephrology, Jacobi Medical Center, New York City Health and Hospital Corporation (NYCHHC), Albert Einstein College of Medicine, New York City, NY, USA.
Ghada AnkawiDivision of Nephrology, Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Kate BramhamDepartment of Women & Children's Health, School of Life Course & Population Sciences, King's College London, London, UK.ORCID 0000-0002-6272-7921
Jorge CerdaDivision of Nephrology, Department of Medicine, Albany Medical College, Albany, NY, USA.ORCID 0000-0001-7058-1697
Katherine ClarkDepartment of Women & Children's Health, School of Life Course & Population Sciences, King's College London, London, UK.ORCID 0000-0001-7149-2899
Rolando Claure-Del GranadoDivision of Nephrology, Department of Medicine, Hospital Obrero No 2 - Caja Nacional de Salud, Cochabamba, Bolivia.ORCID 0000-0002-8163-3779
Swarnalata GowrishankarDepartment of Pathology, Apollo Health City, Hyderabad, India.
Valerie LuyckxDepartment of Nephrology, University Children's Hospital, University of Zurich, Zurich, Switzerland.ORCID 0000-0001-7066-8135
Shina MenonDivision of Nephrology, Department of Pediatrics, Lucile Packard Children's Hospital and Stanford University School of Medicine, Palo Alto, CA, USA.
Carlos E Poli-de-FigueiredoDivision of Nephrology, School of Medicine, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, Brazil.ORCID 0000-0002-7333-8884
Raja RamachandranDepartment of Nephrology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Manisha SahayDepartment of Nephrology, Osmania Medical College and General Hospital, Hyderabad, India.ORCID 0000-0001-5534-2516
Srinivas SamavedamRamdev Rao Hospital, Hyderabad, India.ORCID 0000-0001-6737-8663
Rasha ShemiesMansoura Nephrology and Dialysis Unit, Mansoura University, Mansoura, Egypt.ORCID 0000-0002-0770-8023
Manjunath S ShettyDepartment of Nephrology, JSS Medical College, JSSAHER, Mysuru, India.
Kate WilesDepartment of Women's Health, Barts Health NHS Trust, London, UK.
Lizemarie WiumDepartment of Obstetric Medicine, King's College Hospital NHS Trust, London, UK.
Vin-Cent WuDepartment of Nephrology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0001-7935-0991
Manjusha YadlaDepartment of Nephrology, Gandhi Medical College, Hyderabad, India.
Claudio RoncoDepartment of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, International Renal Research Institute of Vicenza, Vicenza, Italy.ORCID 0000-0002-6697-4065
Ravindra L MehtaDepartment of Medicine, University of California San Diego, San Diego, CA, USA.
Marlies OstermannDepartment of Critical Care, King's College London, Guy's & St Thomas' Hospital, London, UK. Marlies.Ostermann@gstt.nhs.uk.ORCID 0000-0001-9500-9080

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI) during pregnancy and the postpartum period, known as pregnancy-associated AKI (PrAKI), is an important health concern and driver of health inequity worldwide. Causes of PrAKI include sepsis, autoimmune disorders and pregnancy-specific pathologies such as hypertensive disorders. Common risk factors include maternal comorbidities and use of nephrotoxic medications. PrAKI accounts for a substantial proportion of maternal mortality and morbidity, particularly in low-income and middle-income countries, and may also adversely affect the fetus, resulting in death, premature birth and small for gestational age. In this Consensus Statement, we present recommendations on the causes, diagnosis, management and follow-up of PrAKI from the 32nd Acute Disease Quality Initiative meeting, which involved international experts in obstetrics, midwifery, obstetric medicine, paediatrics, internal medicine, anaesthesiology, nephrology and critical care. We suggest that pregnant and postpartum women at a high risk of PrAKI should be identified to enable prevention, surveillance and timely diagnosis. The multidisciplinary management of these patients should be tailored to treat their specific causes of PrAKI to optimize short-term and long-term neonatal and maternal outcomes. Further observational and interventional studies are needed to address existing gaps in knowledge of PrAKI and improve maternal and fetal outcomes.

Indexed as

Acute Kidney InjuryPregnancy ComplicationsFemaleHumansPregnancyRisk Factors

Identifiers

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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.