Evidence map›Paper›PMID 40868897›Full record

ReviewLife (Basel, Switzerland)2025

Acute Kidney Injury in Patients with Liver Cirrhosis: From Past to Present Definition and Diagnosis.

Andreea Lungu, Georgiana-Elena Sarbu, Alexandru Sebastian Cotlet, Ilie-Andreas Savin, Ioana-Roxana Damian, Simona Juncu, Cristina Muzica, Irina Girleanu, Ana-Maria Sîngeap, Carol Stanciu and 2 more

Abstract readReview
In one paragraph

Review in Life (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. 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

12 authors.

Andreea LunguDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.
Georgiana-Elena SarbuDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.ORCID 0009-0008-1372-707X
Alexandru Sebastian CotletInstitute of Gastroenterology and Hepatology, "St. Spiridon" Emergency County Hospital, Bd. Independentei No. 1, 700111 Iasi, Romania.
Ilie-Andreas SavinDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.
Ioana-Roxana DamianDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.
Simona JuncuDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.
Cristina MuzicaDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.ORCID 0000-0003-0891-5961
Irina GirleanuDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.ORCID 0000-0001-5925-1232
Ana-Maria SîngeapDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.ORCID 0000-0001-5621-548X
Carol StanciuDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.
Anca TrifanDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.ORCID 0000-0001-9144-5520
Camelia CojocariuDepartment of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Universitatii Street No. 16, 700115 Iasi, Romania.ORCID 0000-0001-6395-335X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI) is a serious clinical condition that is linked to markedly higher rates of morbidity and mortality in cirrhosis patients. Its diagnosis is challenging due to overlapping clinical and laboratory features among causes such as hepatorenal syndrome (HRS), acute tubular injury (ATI), and prerenal hypovolemia. In order to address the distinct pathophysiology and clinical context of cirrhosis, the definitions and classification of AKI have changed over time, moving from RIFLE and AKIN to KDIGO and ICA-AKI. Because cirrhosis patients have altered muscle mass and fluid retention, traditional markers like serum creatinine (sCr) and urine output have significant limitations. Neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), interleukin-18 (IL-18), and cystatin C (CysC) are some of the new biomarkers that have shown promise in early AKI detection and in differentiating structural from functional kidney injury. NGAL and KIM-1 are sensitive indicators of tubular damage with potential prognostic implications. IL-18 reflects inflammatory injury, and CysC offers a more reliable measure of glomerular filtration. Incorporating these markers may improve early diagnosis, risk stratification, and treatment decisions, representing a key direction for future research in managing AKI in cirrhosis.

Indexed as

acute kidney diseaseacute kidney injurybiomarkers

Identifiers

PMID40868897
PMCPMC12387486

What OpenQuestion holds

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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.