{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T19:39:57Z","timestamp":1778614797565,"version":"3.51.4"},"reference-count":60,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Semin Cardiothorac Vasc Anesth"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      Postoperative acute kidney injury (AKI) is a common postoperative complication in cardiac surgery, with varying reported incidences and prognostic factors. Renal hypoperfusion is believed to be a key factor contributing to postoperative AKI. Near-infrared spectroscopy (NIRS) monitoring, which assesses regional tissue saturation (RSO\n                      <jats:sub>2<\/jats:sub>\n                      ), has been suggested as a tool to predict postoperative AKI. The aim of this systematic review was to examine the prognostic value of perioperative NIRS monitoring in predicting postoperative AKI in pediatric patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>After a systematic search in PubMed, EMBASE, and Cochrane library, twenty studies (1517 patients) were included. The inter-rater agreement on study quality was strong, yet a high risk of bias was identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The heterogeneity of the results\u2014in part attributable to several potential confounding factors regarding study population, monitoring technique and the definition of AKI\u2014together with the lack of a clear and consistent association between RSO\n                      <jats:sub>2<\/jats:sub>\n                      \u00a0values and AKI, currently preclude recommending NIRS monitoring as a reliable and valid clinical tool to \u201cpredict\u201d AKI in the individual patient.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10892532251316682","type":"journal-article","created":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T14:44:32Z","timestamp":1739198672000},"page":"209-218","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Prognostic Value of Perioperative Near-Infrared Spectroscopy Monitoring for Postoperative Acute Kidney Injury in Pediatric Cardiac Surgery: A Systematic Review"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5349-169X","authenticated-orcid":false,"given":"Cornelia K.","family":"Niezen","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands"},{"name":"Department of Anesthesiology, Isala Hospital, Zwolle, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Modestini","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dario","family":"Massari","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arend F.","family":"Bos","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Beatrix Children\u2019s Hospital, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas W. 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