Evidence map›Paper›PMID 40719889›Full record

ReviewIntensive care medicine2025

State of the art: Renal recovery after AKI - from basic science to clinical practice.

Marlies Ostermann, Lui G Forni, Michael Joannidis, Sandra L Kane-Gill, Matthieu Legrand, Nuttha Lumlertgul, Bairbre McNicholas, Melanie Meersch, Celine Monard, Peter Pickkers and 5 more

Abstract readReview
In one paragraph

Review in Intensive care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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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

15 authors.

Marlies OstermannDepartment of Intensive Care, King's College London, Guy's & St Thomas' Hospital, London, UK. m.ostermann@nhs.net.ORCID 0000-0001-9500-9080
Lui G ForniSchool of Medicine, University of Surrey, Guildford, Surrey, UK.ORCID 0000-0002-0617-5309
Michael JoannidisDivision of Intensive Care and Emergency Medicine, Department of Internal Medicine, Medical University Innsbruck, Innsbruck, Austria.ORCID 0000-0002-6996-0881
Sandra L Kane-GillDepartment of Pharmacy and Therapeutics, School of Pharmacy, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0001-7523-4846
Matthieu LegrandDivision of Critical Care Medicine, Department of Anesthesia and Peri-Operative Care, University of California San Francisco, San Francisco, USA.ORCID 0000-0001-9788-5316
Nuttha LumlertgulDivision of Nephrology, Excellence Centre for Critical Care Nephrology, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.ORCID 0000-0003-1506-4253
Bairbre McNicholasDepartment of Anaesthesia and Intensive Care Medicine, School of Medicine, University of Galway, Galway, Ireland.ORCID 0000-0001-9524-4021
Melanie MeerschDepartment of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Münster, Germany.ORCID 0000-0002-6011-8049
Celine MonardService d'anesthésie-Réanimation, Hôpital Edouard Herriot, Hospices Civils de Lyon, Lyon, France.ORCID 0000-0003-2240-0905
Peter PickkersDepartment of Intensive Care, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-1104-4303
John ProwleCritical Care and Perioperative Medicine Research Group, Faculty of Medicine and Dentistry, William Harvey Research Institute, Queen Mary University of London, London, UK.ORCID 0000-0002-5002-2721
Thomas RimmeléDepartment of Anesthesiology and Critical Care Medicine, Pasteur 2 University Hospital, Nice, France.ORCID 0000-0001-7578-1073
Antoine SchneiderAdult Intensive Care Unit, Centre Hospitalier Universitaire Vaudois, University Hospital of Lausanne, 1011, Lausanne, Switzerland.ORCID 0000-0003-0576-7094
Alexander ZarbockDepartment of Anesthesiology, Intensive Care and Pain Medicine, University Hospital Münster, Münster, Germany.ORCID 0000-0002-2124-1714
John A KellumCenter for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0003-1995-2653

Funding

The choice of vasopressor to prevent postoperative acute kidney injury after major non-cardiac surgery: a multicenter pragmatic cluster cross-over randomized trial (the VEGA-2 trial)R01DK139484 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SACHIN KHETERPAL, Matthieu Legrand · 2024 to 2026
$2.0M
NIDDK NIH HHS R01 DK139484
6 · The paper itself

Abstract

purposeAcute kidney injury (AKI) is common in critically ill patients and associated with a high risk of mortality, chronic kidney disease (CKD) and cardiovascular morbidity. The risks are higher in patients with incomplete or no renal recovery. The purpose of this review is to summarize the current understanding of the mechanisms of renal recovery, list some key risk factors for nonrecovery and highlight knowledge gaps.

methodsNarrative review of key data in the literature.

resultsRecovery from AKI is an active process. When damage to the kidney is mild, full regeneration is possible; with extensive damage, fibrosis sets in. Current strategies to achieve renal recovery focus on identification of the mechanism of injury and minimizing further insults. Nephrotoxic exposures and various forms of dialytrauma impair recovery. The likelihood that repair will be maladaptive increases with age and extent/duration of injury. Return of glomerular filtration rate to pre-injury levels does not exclude nephron loss and development of CKD. Post-discharge follow-up of AKI survivors is important, but there are ongoing uncertainties and clinical practice is variable. Research is ongoing to determine the role of pharmacological interventions.

conclusionsThe prognosis of AKI is critically tied to renal recovery, and there is great urgency to identify effective therapies.

Indexed as

Acute Kidney InjuryKidneyRecovery of FunctionCritical IllnessGlomerular Filtration RateHumansPrognosisRisk FactorsAcute kidney injuryAKIPersistent AKIRecoveryRenal repair

Identifiers

PMID40719889
PMCPMC13492638

What OpenQuestion holds

Textmetadata
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.