Evidence map›Paper›PMID 40913274›Full record

ArticleJournal of the American Heart Association2025

Kidney Tubular Biomarkers Predict Risk of Death and Heart Failure Readmission in Acute Heart Failure.

Nicholas Wettersten, Stephen Duff, Yu Horiuchi, Dirk J van Veldhuisen, Michelle M Estrella, Michael G Shlipak, Alan Maisel, Patrick T Murray, Joachim H Ix

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

9 authors.

Nicholas WetterstenDivision of Cardiovascular Medicine San Diego Veterans Affairs Medical Center San Diego CA USA.ORCID 0000-0002-6122-1152
Stephen DuffSchool of Medicine University College Dublin Dublin Ireland.ORCID 0000-0003-1270-1181
Yu HoriuchiDivision of Cardiology Mitsui Memorial Hospital Tokyo Japan.ORCID 0000-0001-9053-1099
Dirk J van VeldhuisenDepartment of Cardiology University Medical Center Groningen, University of Groningen Groningen the Netherlands.ORCID 0000-0003-1611-7935
Michelle M EstrellaNephrology Section Veterans Affairs San Francisco Healthcare System San Francisco CA USA.ORCID 0000-0002-8902-9576
Michael G ShlipakKidney Health Research Collaborative, Department of Medicine, San Francisco VA Health Care System University of California San Francisco CA USA.ORCID 0000-0002-9559-204X
Alan MaiselDivision of Cardiovascular Medicine University of California San Diego CA USA.
Patrick T MurraySchool of Medicine University College Dublin Dublin Ireland.ORCID 0000-0001-8516-1839
Joachim H IxDivision of Nephrology-Hypertension, Department of Medicine University of California San Diego San Diego CA USA.ORCID 0000-0002-8084-9869

Funding

CSRD VA IK2 CX002105
6 · The paper itself

Abstract

backgroundKidney dysfunction, defined by measures of glomerular health, in patients hospitalized with acute heart failure (HF) is associated with death and HF readmission. We aimed to determine if kidney tubule damage and dysfunction are associated with these outcomes in acute HF.

methodsIn AKINESIS (Acute Kidney Injury Neutrophil Gelatinase-Associated Lipocalin [NGAL] Evaluation of Symptomatic Heart Failure Study), 218 individuals admitted with acute HF experiencing acute kidney injury were matched with 218 individuals without acute kidney injury. Fourteen urine tubular damage and dysfunction biomarkers were measured at hospital admission in this case-control cohort. Associations between biomarkers and the composite outcome of death or HF readmission, death alone, and HF readmission alone were evaluated adjusting for confounders including kidney and cardiac biomarkers.

resultsThe mean age was 71±12 years, 64% were men, and mean admission estimated glomerular filtration rate was 55±23 mL/min per 1.73 m

conclusionsBiomarkers of kidney tubular health are associated with risk of death and HF readmission among people admitted with acute HF independent of measures of glomerular function and cardiac risk.

Indexed as

Acute Kidney InjuryHeart FailureKidney TubulesPatient ReadmissionAcute DiseaseAgedAged, 80 and overBiomarkersCase-Control StudiesFemaleGlomerular Filtration RateHumansInsulin-Like Growth Factor Binding ProteinsLipocalin-2MaleMiddle AgedBiomarkersinsulin-like growth factor binding protein-related protein 1Insulin-Like Growth Factor Binding ProteinsLCN2 protein, humanLipocalin-2Tissue Inhibitor of Metalloproteinase-2biomarkersdeathheart failure readmissionkidney tubule healthrisk prediction

Identifiers

PMID40913274
PMCPMC12554412

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.