Evidence map›Paper›PMID 41883766›Full record

ArticleWorld journal of critical care medicine2026

Burden and impact of acute kidney injury in acute liver failure: A systematic review.

Armin Ahmed, Medhavi Gautam, Afzal Azim, Banadana Chakravarti, Meenakshi Tiwari

Abstract read
In one paragraph

Article in World journal of critical care medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Armin AhmedDepartment of Critical Care Medicine, King George's Medical University, Lucknow 226003, Uttar Pradesh, India. drarminahmed@gmail.com.
Medhavi GautamDepartment of Medicine, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.
Afzal AzimDepartment of Critical Care Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, Uttar Pradesh, India.
Banadana ChakravartiCentre for Advance Research, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.
Meenakshi TiwariCentre for Advance Research, King George's Medical University, Lucknow 226003, Uttar Pradesh, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) affects 40%-80% of patients with acute liver failure (ALF) and arises from complex mechanisms, including hemodynamic instability, drug toxicity, and direct renal insults. Unlike chronic liver disease, AKI in ALF is poorly studied.

aimTo consolidate current evidence and guide future research and interventions to improve outcomes in ALF patients with AKI.

methodsThis systematic review followed PRISMA guidelines, searching databases from 2000 to 2024 for studies on AKI in ALF. We included studies focused on adult, English-language, full-length epidemiological studies. Data were extracted on study design, patient demographics, risk factors, and outcomes. Methodological quality was assessed using a tailored 5-point tool. Data were summarized using descriptive statistics and analyzed with GraphPad Prism and MedCalc software.

resultsThis systematic review analyzed nine studies published between 2009 and 2024, encompassing 6031 patients with ALF, of whom 62.9% developed AKI. Most studies were retrospective and varied in methodology, setting, and population. Only three studies reported independent risk factors for the development of AKI among ALF patients, with significant variation in the risk factors studied. AKI in ALF patients significantly increased mortality, with hazard ratios ranging from 2.77 to 11.61. The review highlights the need for standardized diagnostic criteria and risk stratification to guide prevention and improve clinical outcomes in ALF.

conclusionAKI is common in ALF, increasing morbidity and mortality; standardised diagnosis and targeted management strategies are urgently needed.

Indexed as

Acute kidney injuryAcute liver failureParacetamol related acute liver failurePersistent kidney injurySystematic reviewTransient kidney injury

Identifiers

PMID41883766
PMCPMC13010469

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