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10.1186/s12882-017-0532-7 http://scihub22266oqcxt.onion/10.1186/s12882-017-0532-7 C5379711!5379711!28372541     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       BMC+Nephrol 2017 ; 18 (ä): ä Nephropedia Template TP {{tp|p=28372541|t=2017. Nephrotoxicity-induced proteinuria increases biomarker diagnostic thresholds in acute kidney injury |pdf=|usr=}}{{28372541}} gab.com Text Nephrotoxicity-induced proteinuria increases biomarker diagnostic thresholds in acute kidney injury JO: BMC Nephrol http://www.kidney.de/pget.php?&tw=1&pmid=28372541 #FOAvip Background: Paraquat ingestion is frequently fatal. While biomarkers of kidney damage increase during paraquat-induced acute kidney injury (AKI), significant concurrent proteinuria may alter diagnostic thresholds for diagnosis and prognosis to an unknown extent. This study evaluated the effect of albuminuria on biomarker cutoffs for diagnosis and outcome prediction. Methods: This was a multi-centre prospective clinical study of patients following acute paraquat self-poisoning in 5 Sri Lankan hospitals. Biomarker concentrations were quantified using ELISA and microbead assays and correlated with urinary albumin. Functional-AKI was defined by the Acute Kidney Injury Network serum creatinine definition and alternatively by a ?50% increase in serum cystatin C. Albuminuria was defined as albumin-creatinine ratio >30 mg/g. The study outcomes were compared with a retrospective analysis of a pre-clinical study of paraquat-induced nephrotoxicity with appropriate controls. Results: Albuminuria was detected in 34 of 50 patients, and increased with functional-AKI severity. The concentrations of uNGAL, uCysC, uClusterin, u?2M, and uKIM-1 were higher in albuminuric compared to non-albuminuric patients (p?<?0.001). Albuminuria correlated with biomarker concentration (r?>?0.6, p?<?0.01) and was associated with death (p?=?0.006). Optimal biomarker cutoffs for prediction of death were higher in the albuminuric group. Similar outcomes with more detailed analysis were obtained in experimental paraquat nephrotoxicity. Conclusion: Albuminuria was associated with paraquat-induced nephrotoxicity and increased excretion of low-molecular weight protein biomarkers. AKI biomarker cutoffs for diagnosis, outcome prediction and AKI stratification increased in the presence of albuminuria. This may lead to over-diagnosis of AKI in conditions independently associated with proteinuria. Electronic supplementary material: The online version of this article (doi:10.1186/s12882-017-0532-7) contains supplementary material, which is available to authorized users. Twit Text FOAVip Nephrotoxicity-induced proteinuria increases biomarker diagnostic thresholds in acute kidney injury ????BMC Nephrol http://www.kidney.de/pget.php?&tw=1&pmid=28372541 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28372541 #FOAvip English Wikipedia <ref>{{Cite pmid|28372541}}</ref> Nephrotoxicity-induced proteinuria increases biomarker diagnostic thresholds in acute kidney injury #MMPMID28372541 Mohamed F; Buckley NA; Pickering JW; Wunnapuk K; Dissanayake S; Chathuranga U; Gawarammana I; Jayamanne S; Endre ZH BMC Nephrol 2017[]; 18 (ä): ä PMID28372541show ga Background: Paraquat ingestion is frequently fatal. While biomarkers of kidney damage increase during paraquat-induced acute kidney injury (AKI), significant concurrent proteinuria may alter diagnostic thresholds for diagnosis and prognosis to an unknown extent. This study evaluated the effect of albuminuria on biomarker cutoffs for diagnosis and outcome prediction. Methods: This was a multi-centre prospective clinical study of patients following acute paraquat self-poisoning in 5 Sri Lankan hospitals. Biomarker concentrations were quantified using ELISA and microbead assays and correlated with urinary albumin. Functional-AKI was defined by the Acute Kidney Injury Network serum creatinine definition and alternatively by a ?50% increase in serum cystatin C. Albuminuria was defined as albumin-creatinine ratio >30 mg/g. The study outcomes were compared with a retrospective analysis of a pre-clinical study of paraquat-induced nephrotoxicity with appropriate controls. Results: Albuminuria was detected in 34 of 50 patients, and increased with functional-AKI severity. The concentrations of uNGAL, uCysC, uClusterin, u?2M, and uKIM-1 were higher in albuminuric compared to non-albuminuric patients (p??0.6, p? äNephrotoxicity-induced proteinuria increases biomarker diagnostic thre(epmc).pdf DeepDyve Pubget Overpricing