Evidence map›Paper›PMID 40931061›Full record

Trial reportJournal of perinatology : official journal of the California Perinatal Association2025

Acute kidney injury and subsequent risk of late-onset infection among extremely low gestational age newborns.

Megan J Turner, Russell Griffin, Meredith Schuh, Keia Sanderson, Cara Slagle, Shina Menon, David Askenazi, Katja Gist

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report 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 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. Review
  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

8 authors.

Megan J TurnerUniversity of Colorado School of Medicine, Department of Pediatrics, Aurora, CO, USA. Megan.turner@dhha.org.ORCID http://orcid.org/0000-0001-9349-9960
Russell GriffinUniversity of Alabama at Birmingham, School of Public Health, Birmingham, AL, USA.
Meredith SchuhDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0001-7854-8138
Keia SandersonUniversity of North Carolina at Chapel Hill, Division of Nephrology, Chapel Hill, NC, USA.
Cara SlagleDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Shina MenonDepartment of Nephrology, Stanford Medicine Children's Health, Palo Alto, CA, USA.
David AskenaziUniversity of Alabama at Birmingham, Division of Pediatric Nephrology, Birmingham, AL, USA.
Katja GistUniversity of Colorado School of Medicine, Department of Pediatrics, Aurora, CO, USA.

Funding

Machine Learning Risk Prediction of Kidney Disease After Extremely Preterm BirthK23DK131289 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SANDERSON, KEIA · 2023 to 2025
$602k
NIDDK NIH HHS K23 DK131289
6 · The paper itself

Abstract

objectiveDetermine whether acute kidney injury (AKI) is associated with subsequent late-onset infection (LOI) among extremely low gestational age newborns (ELGAN). STUDY

designSecondary analysis of participants in the Preterm Erythropoietin for Neuroprotection Trial. Infants surviving ≥7 days with sufficient serum creatinine data were included. The primary outcome was any LOI, starting ≥72 h after AKI. Time-varying Cox proportional hazards modeling estimated adjusted hazard ratios of AKI and LOI.

results332/872 (38%) study infants experienced AKI. 552/872 (63%) experienced LOI. 336/552 (60.9%) of late-onset infections were culture-positive, and 216/552 (39.1%) were culture-negative. After adjusting for gestational age, sex, postnatal steroids, vancomycin/gentamicin receipt ≥72 h, birthweight, and 5-min APGAR, any AKI was associated with 1.47x increased hazard of subsequent LOI (adjusted HR: 1.47; 95% CI: 1.15-1.87).

conclusionPrior AKI increased hazard of subsequent LOI in a large cohort of ELGANs. Clinicians may anticipate higher risk of infectious complications after AKI.

Indexed as

Acute Kidney InjuryInfant, Premature, DiseasesErythropoietinFemaleGestational AgeHumansInfant, Extremely PrematureInfant, NewbornMaleProportional Hazards ModelsRisk FactorsErythropoietin

Identifiers

What OpenQuestion holds

Textmetadata
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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.