Evidence map›Paper›PMID 41475417›Full record

ReviewAmerican journal of perinatology2026

Understanding the Impact of Patent Ductus Arteriosus and Treatment Strategies on Acute Kidney Injury in Preterm Infants.

Vignesh Gunasekaran, Soowan Woo, Andrew M South, Jeffrey Shenberger, David Askenazi, Parvesh M Garg

Abstract readReview
In one paragraph

Review in American journal of perinatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Vignesh Gunasekaran *Department of Pediatrics/Neonatology, West Virginia University School of Medicine, Martinsburg, West Virginia, United States.ORCID 0000-0003-1263-1822
Soowan Woo *Department of Pediatrics, Gyeongsang National University College of Medicine, Jinju, Republic of Korea.ORCID 0009-0004-4038-7673
Andrew M SouthDepartment of Pediatrics/Section of Nephrology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, United States.
Jeffrey ShenbergerDepartment of Pediatrics/Neonatology, Connecticut Children's, Hartford, Connecticut, United States.
David AskenaziDepartment of Pediatrics/Division of Nephrology, The Children's of Alabama, UAB Medicine, Birmingham, Alabama, United States.
Parvesh M GargDepartment of Pediatrics/Neonatology, Atrium Health Wake Forest Baptist, Wake Forest School of Medicine, Winston Salem, North Carolina, United States.

Funding

Tracking and Evaluation CoreU54GM115428 · NIGMS · UNIVERSITY OF MISSISSIPPI MED CTR · PI COMPRETTA, CAROLINE E. · 2016 to 2025
$38.2M
Uric Acid, Klotho and Salt Sensitivity in Young Adults Born PretermR01HL146818 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CHAPPELL, MARK C, SHALTOUT, HOSSAM · 2019 to 2023
$4.0M
Developmental Origins of Cardiovascular Disease in Offspring from Non-Human Primate Pregnancies at Advanced Maternal AgeR01HL164434 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Sarah N Cilvik · 2023 to 2026
$3.0M
The role of angiotensin-(1-7) in hypertension and hypertension-induced heart and kidney damageK23HL148394 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SOUTH, ANDREW MICHAEL · 2020 to 2024
$783k
NHLBI NIH HHS K23 HL148394NHLBI NIH HHS R01 HL146818NHLBI NIH HHS R01 HL164434NIGMS NIH HHS U54 GM115428NIGMS of the NIH U54GM115428NIH NHLBI K23HL148394NIH NHLBI R01HL146818NIH NHLBI R01HL164434
6 · The paper itself

Abstract

Acute kidney injury (AKI) is a clinically significant complication in preterm neonates, leading to increased morbidity, mortality, and risk of long-term kidney dysfunction. Within this vulnerable population, the presence of a hemodynamically significant patent ductus arteriosus (PDA) may further exacerbate AKI risk. The relationship between PDA and AKI is complex, involving both the pathophysiological consequences of altered hemodynamics (e.g., ductal steal) causing renal ischemia and the potential nephrotoxic effects of therapeutic interventions. However, the existing literature provided limited insight into the impact of PDA and its management on AKI in preterm infants, with most studies relying on retrospective designs. There is a notable absence of consensus regarding the comparative effects of conservative, pharmacologic, and surgical PDA management strategies on AKI outcomes. This study directly addresses these knowledge gaps by synthesizing findings from diverse clinical trials, cohort studies, and meta-analyses into a single, comprehensive resource, aiming to inform future research and guide best practices for managing PDA-related AKI in preterm neonates. · AKI in PDA involves ductal steal and nephrotoxic treatment effects.. · Early AKI detection in hsPDA requires monitoring and balanced treatment.. · hsPDA is a major risk factor for AKI in preterm infants.. · Understanding intervention impact on AKI needs well-designed studies..

Indexed as

Acute Kidney InjuryDuctus Arteriosus, PatentCyclooxygenase InhibitorsHumansIbuprofenIndomethacinInfant, NewbornInfant, PrematureRisk FactorsCyclooxygenase InhibitorsIbuprofenIndomethacin

Identifiers

PMID41475417
PMCPMC12814995

What OpenQuestion holds

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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.