Evidence map›Paper›PMID 37955704›Full record

ArticlePediatric nephrology (Berlin, Germany)2024

Low incidence of acute kidney injury in VLBW infants with restrictive use of mechanical ventilation.

Kathrin Burgmaier, Melanie Zeiher, Anna Weber, Zülfü C Cosgun, Aynur Aydin, Benjamin Kuehne, Mathias Burgmaier, Martin Hellmich, Katrin Mehler, Angela Kribs and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Research progress on biomarkers for acute kidney injury in children.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. 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

11 authors at 3 institutions in 1 country.

Kathrin BurgmaierDepartment of Pediatrics, University Hospital Cologne and Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.ORCID http://orcid.org/0000-0001-9787-1096
Melanie ZeiherDepartment of Pediatrics, University Hospital Cologne and Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Anna WeberDepartment of Pediatrics, University Hospital Cologne and Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Zülfü C CosgunDepartment of Pediatrics, University Hospital Cologne and Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.ORCID http://orcid.org/0000-0001-8154-1535
Aynur AydinDepartment of Pediatrics, University Hospital Cologne and Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Benjamin KuehneDepartment of Pediatrics, University Hospital Cologne and Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.ORCID http://orcid.org/0000-0003-3131-8794
Mathias BurgmaierFaculty of Applied Healthcare Science, Deggendorf Institute of Technology, Deggendorf, Germany.
Martin HellmichInstitute of Medical Statistics and Computational Biology (IMSB), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.ORCID http://orcid.org/0000-0001-5174-928X
Katrin MehlerDepartment of Pediatrics, University Hospital Cologne and Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.ORCID http://orcid.org/0000-0002-3052-2147
Angela Kribs *Department of Pediatrics, University Hospital Cologne and Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Sandra Habbig *Department of Pediatrics, University Hospital Cologne and Faculty of Medicine, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany. sandra.habbig@uk-koeln.de.ORCID http://orcid.org/0000-0002-6511-5023
University of Cologne · DEDeggendorf Institute of Technology · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed the incidence of and risk factors for acute kidney injury (AKI) in very low birthweight infants (VLBW) in a center with a specific neonatal management protocol focusing on avoidance of early mechanical ventilation (MV).

methodsThis retrospective single center analysis includes 128 infants born in 2020 with a gestational age ≥ 22 weeks who were screened for AKI using the nKDIGO criteria.

resultsAKI was identified in 25/128 patients (19.5%) with eight of them (6.3%) presenting with severe AKI. Low gestational age, birthweight and 10-minute Apgar score as well as high CRIB-1 score were all associated with incidence of AKI. Forty-five percent of the infants with MV developed AKI vs. 8.9% of those without MV (p < 0.001). Early onset of MV and administration of more than 3 dosages of NSAIDs for patent duct were identified as independent risk factors for AKI in a logistic regression analysis.

conclusionsWe report a substantially lower frequency of AKI in VLBW infants as compared to previous studies, along with a very low rate of MV. A neonatal protocol focusing on avoidance of MV within the first days of life may be a key factor to decrease the risk of AKI in immature infants.

Indexed as

Acute Kidney InjuryRespiration, ArtificialChild, PreschoolHumansIncidenceInfantInfant, NewbornInfant, Very Low Birth WeightRetrospective StudiesRisk FactorsAKILess-invasive surfactant administrationNephrotoxic medicationNSAIDPreterm infant

Identifiers

PMID37955704
PMCPMC10899311
OpenAlexW4388627122

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.