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10.1038/srep33077

http://scihub22266oqcxt.onion/10.1038/srep33077
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C5015077!5015077 !27605390
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suck abstract from ncbi


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pmid27605390
      Sci+Rep 2016 ; 6 (ä): 33077
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  • Impact of clinical context on acute kidney injury biomarker performances: differences between neutrophil gelatinase-associated lipocalin and L-type fatty acid-binding protein #MMPMID27605390
  • Asada T ; Isshiki R ; Hayase N ; Sumida M ; Inokuchi R ; Noiri E ; Nangaku M ; Yahagi N ; Doi K
  • Sci Rep 2016[Sep]; 6 (ä): 33077 PMID27605390 show ga
  • Application of acute kidney injury (AKI) biomarkers with consideration of nonrenal conditions and systemic severity has not been sufficiently determined. Herein, urinary neutrophil gelatinase-associated lipocalin (NGAL), L-type fatty acid-binding protein (L-FABP) and nonrenal disorders, including inflammation, hypoperfusion and liver dysfunction, were evaluated in 249 critically ill patients treated at our intensive care unit. Distinct characteristics of NGAL and L-FABP were revealed using principal component analysis: NGAL showed linear correlations with inflammatory markers (white blood cell count and C-reactive protein), whereas L-FABP showed linear correlations with hypoperfusion and hepatic injury markers (lactate, liver transaminases and bilirubin). We thus developed a new algorithm by combining urinary NGAL and L-FABP with stratification by the Acute Physiology and Chronic Health Evaluation score, presence of sepsis and blood lactate levels to improve their AKI predictive performance, which showed a significantly better area under the receiver operating characteristic curve [AUC-ROC 0.940; 95% confidential interval (CI) 0.793-0.985] than that under NGAL alone (AUC-ROC 0.858, 95% CI 0.741-0.927, P?=?0.03) or L-FABP alone (AUC-ROC 0.837, 95% CI 0.697-0.920, P?=?0.007) and indicated that nonrenal conditions and systemic severity should be considered for improved AKI prediction by NGAL and L-FABP as biomarkers.
  • |Acute Kidney Injury/*blood/*metabolism [MESH]
  • |Aged [MESH]
  • |Area Under Curve [MESH]
  • |Biomarkers/*blood/*metabolism [MESH]
  • |C-Reactive Protein/metabolism [MESH]
  • |Critical Illness [MESH]
  • |Fatty Acid-Binding Proteins/*metabolism [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Intensive Care Units [MESH]
  • |Lactic Acid/blood [MESH]
  • |Leukocyte Count/methods [MESH]
  • |Lipocalin-2/*metabolism [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Prospective Studies [MESH]
  • |ROC Curve [MESH]


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