Prediction models for sepsis-associated acute kidney injury: a systematic review and meta-analysis - Takeaways - MDSpire
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Systematic Review and Meta-Analysis of Predictive Models for Acute Kidney Injury Linked to Sepsis

  • By

  • Muze Huang

  • Shiyuan Wu

  • Zi-Han Shen

  • Sarena Jiayao Zhang

  • Yaw-syan Fu

  • Jingyi Wu

  • September 14, 2026

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  • 1

    The systematic review evaluated predictive models for sepsis-associated acute kidney injury (SA-AKI) using data from 15 studies with 46,490 patients.

  • 2

    The pooled C-statistic for the predictive models was 0.817, indicating moderate-to-good discrimination for SA-AKI, but substantial heterogeneity was observed.

  • 3

    Models developed in Asian regions showed a higher pooled C-statistic than those from North America, although the difference was not statistically significant.

  • 4

    Studies with a low risk of bias demonstrated better predictive performance compared to those with a high risk of bias, with C-statistics of 0.847 and 0.762, respectively.

  • 5

    The review suggests prioritizing external validation and developing population-specific models to enhance clinical utility and generalizability of SA-AKI prediction.

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