Evidence mapPaperPMID 32993548Full record

ArticleBMC nephrology2020

Methods to estimate baseline creatinine and define acute kidney injury in lean Ugandan children with severe malaria: a prospective cohort study.

Anthony Batte, Michelle C Starr, Andrew L Schwaderer, Robert O Opoka, Ruth Namazzi, Erika S Phelps Nishiguchi, John M Ssenkusu, Chandy C John, Andrea L Conroy

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.8field-weighted citation impact, top 5% of its field
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

31 citing papers in PubMed, 38 citations in OpenAlex.

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  10. Multiple Organ Dysfunction Syndrome in Malawian Children with Cerebral Malaria.The American journal of tropical medicine and hygiene · 2024
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  18. Acute Kidney Injury Interacts With Coma, Acidosis, and Impaired Perfusion to Significantly Increase Risk of Death in Children With Severe Malaria.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
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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

9 authors at 3 institutions in 2 countries.

Anthony BatteChild Health and Development Center, Makerere University College of Health Sciences, Kampala, Uganda.
Michelle C StarrDepartment of Pediatrics, Division of Nephrology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Andrew L SchwadererDepartment of Pediatrics, Division of Nephrology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Robert O OpokaDepartment of Paediatrics and Child Health, Makerere University College of Health Sciences, Kampala, Uganda.
Ruth NamazziDepartment of Paediatrics and Child Health, Makerere University College of Health Sciences, Kampala, Uganda.
Erika S Phelps NishiguchiDevelopmental Behavioral Pediatrics, University of Washington, Seattle, Washington, USA.
John M SsenkusuDepartment of Epidemiology and Biostatistics, Makerere University School of Public Health, Kampala, Uganda.
Chandy C JohnDepartment of Pediatrics, Ryan White Center for Pediatric Infectious Disease and Global Health, Indiana University School of Medicine, 1044 W. Walnut St., Indianapolis, IN, 46202, USA.
Andrea L ConroyDepartment of Pediatrics, Ryan White Center for Pediatric Infectious Disease and Global Health, Indiana University School of Medicine, 1044 W. Walnut St., Indianapolis, IN, 46202, USA. conroya@iu.edu.ORCID 0000-0002-5328-6511
Indiana University School of MedicineMakerere University · UGUniversity of Washington · US

Funding

Severe Malaria And Risk to The Brain (SMART Brain)R01NS055349 · NINDS · INDIANA UNIVERSITY INDIANAPOLIS · 2022 to 2025
$2.9M
Research training in infection and neurodevelopment in UgandaD43TW010928 · INDIANA UNIVERSITY INDIANAPOLIS · 2025 to 2025
$284k
FIC NIH HHS D43 TW010928NINDS NIH HHS D43 NS078280NINDS NIH HHS R01 NS055349
6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) is increasingly recognized as a consequential clinical complication in children with severe malaria. However, approaches to estimate baseline creatinine (bSCr) are not standardized in this unique patient population. Prior to wide-spread utilization, bSCr estimation methods need to be evaluated in many populations, particularly in children from low-income countries.

methodsWe evaluated six methods to estimate bSCr in Ugandan children aged 6 months to 12 years of age in two cohorts of children with severe malaria (n = 1078) and healthy community children (n = 289). Using isotope dilution mass spectrometry (IDMS)-traceable creatinine measures from community children, we evaluated the bias, accuracy and precision of estimating bSCr using height-dependent and height-independent estimated glomerular filtration (eGFR) equations to back-calculate bSCr or estimating bSCr directly using published or population-specific norms.

resultsWe compared methods to estimate bSCr in healthy community children against the IDMS-traceable SCr measure. The Pottel-age based equation, assuming a normal GFR of 120 mL/min per 1.73m

conclusionsWe recommend using height-independent age-based approaches to estimate bSCr in hospitalized children in sub-Saharan Africa due to challenges in accurate height measurements and undernutrition which may impact bSCr estimates. In this population the Pottel-age based GFR estimating equation obtained comparable bSCr estimates to population-based estimates in healthy children.

Indexed as

Glomerular Filtration RateAcute Kidney InjuryAnalysis of VarianceBiomarkersBlood Chemical AnalysisBody WeightCase-Control StudiesChildChild, PreschoolCreatinineFemaleHumansInfantMalariaMaleModels, StatisticalBiomarkersCreatinineAcute kidney injuryBaseline creatinineMethodsMortalityPediatricPottelSchwartzSevere malariaSub-Saharan AfricaUndernutrition

Identifiers

PMID32993548
PMCPMC7526147
OpenAlexW3090120216

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.