Evidence map›Paper›PMID 42768944›Full record

ArticleAnnals of medicine2026

Association between early systolic blood pressure and clinical outcomes in non-critically ill patients with sepsis-associated acute kidney injury: a retrospective cohort study.

Teerawat Sriwalosakul, Surachet Vongsanim, Karn Pongsuwan, Prit Kusirisin, Surapon Nochaiwong, Chidchanok Ruengorn, Kajohnsak Noppakun

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Article in Annals of 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

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Teerawat SriwalosakulDivision of Nephrology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0009-0009-1605-7961
Surachet VongsanimDivision of Nephrology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-4551-393X
Karn PongsuwanDivision of Nephrology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-3967-2918
Prit KusirisinDivision of Nephrology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-3885-9377
Surapon NochaiwongPharmacoepidemiology and Statistics Research Center, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0003-1100-7171
Chidchanok RuengornPharmacoepidemiology and Statistics Research Center, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0001-7927-1425
Kajohnsak NoppakunDivision of Nephrology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-5783-8766

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSepsis-associated acute kidney injury (SA-AKI) is associated with poor outcomes. Evidence regarding the relationship between early systolic blood pressure (BP) and clinical outcomes in non-critically ill patients with SA-AKI remains limited. This study aimed to investigate the association between mean systolic BP during the first 48 h after admission and one-year clinical outcomes in this population.

methodsWe conducted a single-center retrospective cohort study of non-critically ill adults with SA-AKI admitted between 2011 and 2020. SA-AKI was defined by a sequential organ failure assessment (SOFA) score increase ≥2 and AKI occurring within 48 h of admission. The exposure was mean systolic BP over the first 48 h (seven measurements at baseline and every 8 h), categorized as ≤100, 101-120, 121-140, and >140 mmHg. Patients were followed for one year. The primary outcome was a composite of ≥25% decline in estimated glomerular filtration rate, long-term dialysis, and one-year mortality.

resultsOf 2,920 screened patients, 476 were included. Mean age was 68.4 ± 14.5 years, and 55% were male. AKI stages I, II, and III occurred in 55%, 21%, and 24%, respectively. The primary composite outcome was most frequent in the ≤100 mmHg group (80%) compared with 101-120 (51%), 121-140 (50%), and >140 mmHg (46%) (

conclusionIn non-critically ill patients with SA-AKI, early mean systolic BP ≤100 mmHg within 48 h was associated with worse one-year outcomes, driven largely by higher mortality. Early systolic BP may serve as a prognostic marker for high-risk patients.

Indexed as

Acute Kidney InjuryBlood PressureSepsisAgedAged, 80 and overFemaleGlomerular Filtration RateHumansMaleMiddle AgedOrgan Dysfunction ScoresPrognosisRenal DialysisRetrospective StudiesAcute kidney diseaseacute renal failureacute tubular necrosisblood pressurehemodynamicsepsis

Identifiers

PMID42768944
PMCPMC13600295

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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.