Evidence map›Paper›PMID 40759728›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Evaluation of risk factors and outcomes of neonates with hypoxic ischemic encephalopathy and acute kidney injury.

Sara Todo Bom Costa, Patrícia Costa Reis, André Mendes Graça

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Article in Journal of perinatology : official journal of the California Perinatal Association, 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

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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.

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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

3 authors.

Sara Todo Bom CostaNeonatology Service, Pediatrics Department, Hospital Santa Maria, Unidade Local de Saúde Santa Maria, Lisbon, Portugal. sara.tbferreiracosta@gmail.com.ORCID http://orcid.org/0000-0002-4194-7095
Patrícia Costa ReisFaculty of Medicine, University of Lisbon, Lisbon, Portugal.
André Mendes GraçaNeonatology Service, Pediatrics Department, Hospital Santa Maria, Unidade Local de Saúde Santa Maria, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess risk factors for acute kidney injury (AKI) in neonates with hypoxic ischemic encephalopathy (HIE) using KDIGO and Gupta definitions, and evaluate long-term kidney function.

methodsRetrospective study including 72 neonates with HIE and prospective evaluation of long-term kidney health data of 33 survivors.

resultsAKI was detected in 49% using KDIGO and 32% using Gupta's definition. KDIGO-defined AKI correlated with thrombocytopenia, low pH, transfusions need, nephrotoxic drugs, and furosemide use (p < 0.05). The Gupta definition showed additional associations with hypotension, cardiac dysfunction, and death (p < 0.05). In a logistic regression model, both definitions linked AKI to nephrotoxic drug exposure and transfusions. Follow-up assessments revealed elevated blood pressure in 12%, hyperfiltration in 18%, and proteinuria in 6% of survivors.

conclusionsThe Gupta definition may help identify AKI in an additional number of neonates with HIE. Long-term monitoring is essential for the early detection of kidney dysfunction.

Indexed as

Acute Kidney InjuryHypoxia-Ischemia, BrainFemaleFurosemideHumansInfant, NewbornLogistic ModelsMaleProspective StudiesRetrospective StudiesRisk FactorsFurosemide

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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.