Serum and Urine Neutrophil Gelatinase-Associated Lipocalin Levels Measured at Admission Predict Progression to Chronic Kidney Disease in Sepsis-Associated Acute Kidney Injury Patients

Background. To evaluate the ratio of acute kidney injury (AKI) to chronic kidney disease (CKD) in sepsis-associated acute kidney injury (SA-AKI) patients of the intensive care unit (ICU) and predictive value of neutrophil gelatinase-associated lipocalin (NGAL) measured at the admission time in the p...

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Veröffentlicht in:Disease markers 2020, Vol.2020 (2020), p.1-8
Hauptverfasser: Thang, Le Viet, Quyet, Do, Dung, Nguyen Huu, Van My, Pham, Loc, Nguyen Duc, Van Khoa, Huynh, Quyen, Dao Bui Quy, Tuan, Pham Ngoc Huy, Toan, Nguyen Duy
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container_issue 2020
container_start_page 1
container_title Disease markers
container_volume 2020
creator Thang, Le Viet
Quyet, Do
Dung, Nguyen Huu
Van My, Pham
Loc, Nguyen Duc
Van Khoa, Huynh
Quyen, Dao Bui Quy
Tuan, Pham Ngoc Huy
Toan, Nguyen Duy
description Background. To evaluate the ratio of acute kidney injury (AKI) to chronic kidney disease (CKD) in sepsis-associated acute kidney injury (SA-AKI) patients of the intensive care unit (ICU) and predictive value of neutrophil gelatinase-associated lipocalin (NGAL) measured at the admission time in the progression of AKI to CKD. Methods. A study of 121 consecutive adult patients admitted to the intensive care unit (ICU) diagnosed as SA-AKI. AKI and CKD were defined based on Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Glomerular filtration rate (GFR) was calculated by the CKD-EPI formula. Serum and urine NGAL was measured using the BioVendor Human Lipocalin-2/NGAL ELISA with a blood sample taken at hospital admission time. Results. The ratio of AKI to CKD in SA-AKI patients was 22.3%. Mean concentration of serum and urine NGAL in AKI to the CKD group was 790.99 ng/ml and 885.72 ng/ml, higher significantly than those of recovery patients (351.86 ng/ml and 264.68 ng/ml), p
doi_str_mv 10.1155/2020/8883404
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To evaluate the ratio of acute kidney injury (AKI) to chronic kidney disease (CKD) in sepsis-associated acute kidney injury (SA-AKI) patients of the intensive care unit (ICU) and predictive value of neutrophil gelatinase-associated lipocalin (NGAL) measured at the admission time in the progression of AKI to CKD. Methods. A study of 121 consecutive adult patients admitted to the intensive care unit (ICU) diagnosed as SA-AKI. AKI and CKD were defined based on Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Glomerular filtration rate (GFR) was calculated by the CKD-EPI formula. Serum and urine NGAL was measured using the BioVendor Human Lipocalin-2/NGAL ELISA with a blood sample taken at hospital admission time. Results. The ratio of AKI to CKD in SA-AKI patients was 22.3%. Mean concentration of serum and urine NGAL in AKI to the CKD group was 790.99 ng/ml and 885.72 ng/ml, higher significantly than those of recovery patients (351.86 ng/ml and 264.68 ng/ml), p&lt;0.001. eGFR, both serum and urine NGAL had a predictive value for AKI to CKD (eGFR: AUC=0.857, Se=74.1%, Spe=92.6%, p&lt;0.001. Serum NGAL: AUC=0.868, Se=77.8%, Spe=91.5%. Urine NGAL: AUC=0.869, Se=77.8%, Spe=92.6%, p&lt;0.001. Conclusion. Serum and urine NGAL, measuring at hospital admission time, were good prognostic biomarkers of AKI to CKD in SA-AKI patients.</description><identifier>ISSN: 0278-0240</identifier><identifier>EISSN: 1875-8630</identifier><identifier>DOI: 10.1155/2020/8883404</identifier><identifier>PMID: 32908617</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Acute Kidney Injury - complications ; Acute Kidney Injury - etiology ; Acute Kidney Injury - metabolism ; Acute Kidney Injury - physiopathology ; Adult ; Aged ; Aged, 80 and over ; Anuria ; Biomarkers ; Biomarkers - blood ; Biomarkers - urine ; Blood pressure ; Chronic kidney failure ; Creatinine ; Diabetes ; Disease Progression ; Dopamine ; Enzymes ; Epidermal growth factor receptors ; Female ; Gelatinase ; Glomerular Filtration Rate ; Hospitals ; Humans ; Hypertension ; Immunoassay ; Infection ; Injuries ; Intensive Care Units ; Kidney diseases ; Kidneys ; Laboratories ; Lipocalin ; Lipocalin-2 - blood ; Lipocalin-2 - urine ; Male ; Measurement ; Medical research ; Medicine, Experimental ; Middle Aged ; Mortality ; Neutrophils ; Oliguria ; Prospective Studies ; Renal Insufficiency, Chronic - diagnosis ; Renal Insufficiency, Chronic - etiology ; Renal Insufficiency, Chronic - metabolism ; Sepsis ; Sepsis - complications ; Urine</subject><ispartof>Disease markers, 2020, Vol.2020 (2020), p.1-8</ispartof><rights>Copyright © 2020 Pham Ngoc Huy Tuan et al.</rights><rights>COPYRIGHT 2020 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2020 Pham Ngoc Huy Tuan et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. http://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Pham Ngoc Huy Tuan et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-28920cb6cf7f9be88d3021f7fa1a716c9c0c18763dbfd7b7b2413fc09c5998c83</citedby><cites>FETCH-LOGICAL-c499t-28920cb6cf7f9be88d3021f7fa1a716c9c0c18763dbfd7b7b2413fc09c5998c83</cites><orcidid>0000-0002-2283-9988</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450319/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450319/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32908617$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Theocharis, Stamatios E.</contributor><contributor>Stamatios E Theocharis</contributor><creatorcontrib>Thang, Le Viet</creatorcontrib><creatorcontrib>Quyet, Do</creatorcontrib><creatorcontrib>Dung, Nguyen Huu</creatorcontrib><creatorcontrib>Van My, Pham</creatorcontrib><creatorcontrib>Loc, Nguyen Duc</creatorcontrib><creatorcontrib>Van Khoa, Huynh</creatorcontrib><creatorcontrib>Quyen, Dao Bui Quy</creatorcontrib><creatorcontrib>Tuan, Pham Ngoc Huy</creatorcontrib><creatorcontrib>Toan, Nguyen Duy</creatorcontrib><title>Serum and Urine Neutrophil Gelatinase-Associated Lipocalin Levels Measured at Admission Predict Progression to Chronic Kidney Disease in Sepsis-Associated Acute Kidney Injury Patients</title><title>Disease markers</title><addtitle>Dis Markers</addtitle><description>Background. To evaluate the ratio of acute kidney injury (AKI) to chronic kidney disease (CKD) in sepsis-associated acute kidney injury (SA-AKI) patients of the intensive care unit (ICU) and predictive value of neutrophil gelatinase-associated lipocalin (NGAL) measured at the admission time in the progression of AKI to CKD. Methods. A study of 121 consecutive adult patients admitted to the intensive care unit (ICU) diagnosed as SA-AKI. AKI and CKD were defined based on Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Glomerular filtration rate (GFR) was calculated by the CKD-EPI formula. Serum and urine NGAL was measured using the BioVendor Human Lipocalin-2/NGAL ELISA with a blood sample taken at hospital admission time. Results. The ratio of AKI to CKD in SA-AKI patients was 22.3%. Mean concentration of serum and urine NGAL in AKI to the CKD group was 790.99 ng/ml and 885.72 ng/ml, higher significantly than those of recovery patients (351.86 ng/ml and 264.68 ng/ml), p&lt;0.001. eGFR, both serum and urine NGAL had a predictive value for AKI to CKD (eGFR: AUC=0.857, Se=74.1%, Spe=92.6%, p&lt;0.001. Serum NGAL: AUC=0.868, Se=77.8%, Spe=91.5%. Urine NGAL: AUC=0.869, Se=77.8%, Spe=92.6%, p&lt;0.001. Conclusion. Serum and urine NGAL, measuring at hospital admission time, were good prognostic biomarkers of AKI to CKD in SA-AKI patients.</description><subject>Acute Kidney Injury - complications</subject><subject>Acute Kidney Injury - etiology</subject><subject>Acute Kidney Injury - metabolism</subject><subject>Acute Kidney Injury - physiopathology</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anuria</subject><subject>Biomarkers</subject><subject>Biomarkers - blood</subject><subject>Biomarkers - urine</subject><subject>Blood pressure</subject><subject>Chronic kidney failure</subject><subject>Creatinine</subject><subject>Diabetes</subject><subject>Disease Progression</subject><subject>Dopamine</subject><subject>Enzymes</subject><subject>Epidermal growth factor receptors</subject><subject>Female</subject><subject>Gelatinase</subject><subject>Glomerular Filtration Rate</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Immunoassay</subject><subject>Infection</subject><subject>Injuries</subject><subject>Intensive Care Units</subject><subject>Kidney diseases</subject><subject>Kidneys</subject><subject>Laboratories</subject><subject>Lipocalin</subject><subject>Lipocalin-2 - blood</subject><subject>Lipocalin-2 - urine</subject><subject>Male</subject><subject>Measurement</subject><subject>Medical research</subject><subject>Medicine, Experimental</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Neutrophils</subject><subject>Oliguria</subject><subject>Prospective Studies</subject><subject>Renal Insufficiency, Chronic - diagnosis</subject><subject>Renal Insufficiency, Chronic - etiology</subject><subject>Renal Insufficiency, Chronic - metabolism</subject><subject>Sepsis</subject><subject>Sepsis - complications</subject><subject>Urine</subject><issn>0278-0240</issn><issn>1875-8630</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><recordid>eNqNkstuEzEUhi0EomlhxxpZYoMEQ32Zi72pNApQKgJUKl1bHs-ZxNHEDvZMqzwZr4ejSS-wYnXkcz7_56IfoVeUfKC0KE4ZYeRUCMFzkj9BMyqqIhMlJ0_RjLBKZITl5Agdx7gmhDKZy-foiDNJREmrGfp9BWHcYO1afB2sA_wdxiH47cr2-Bx6PVinI2R1jN5YPUCLF3brje6twwu4gT7ib6DjGFJFD7huNzZG6x2-TBlrhhT9MsCUGzyer4J31uCvtnWwwx9tTL8BJ7Ur2EYbH3eqzTjAHXnh1mPY4cs0EbghvkDPOt1HeHmIJ-j686ef8y_Z4sf5xbxeZCaXcsiYkIyYpjRd1ckGhGg5YTQ9NNUVLY00xKSLlbxturZqqobllHeGSFNIKYzgJ-hs0t2OzQZak3oH3attsBsddsprq_6uOLtSS3-jqrwgnMok8PYgEPyvEeKg0oUM9L124MeoWJ7TkkhZ7NE3_6BrPwaX1ksUF4WoJC0fqKXuQVnX-dTX7EVVXXLJKj5pvZ8oE3yMAbr7kSlRe9-ovW_UwTcJf_14zXv4zigJeDcBK-tafWv_Uw4SA51-oGmR03TuPxmf14U</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Thang, Le Viet</creator><creator>Quyet, Do</creator><creator>Dung, Nguyen Huu</creator><creator>Van My, Pham</creator><creator>Loc, Nguyen Duc</creator><creator>Van Khoa, Huynh</creator><creator>Quyen, Dao Bui Quy</creator><creator>Tuan, Pham Ngoc Huy</creator><creator>Toan, Nguyen Duy</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>John Wiley &amp; Sons, Inc</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QO</scope><scope>7TK</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2283-9988</orcidid></search><sort><creationdate>2020</creationdate><title>Serum and Urine Neutrophil Gelatinase-Associated Lipocalin Levels Measured at Admission Predict Progression to Chronic Kidney Disease in Sepsis-Associated Acute Kidney Injury Patients</title><author>Thang, Le Viet ; Quyet, Do ; Dung, Nguyen Huu ; Van My, Pham ; Loc, Nguyen Duc ; Van Khoa, Huynh ; Quyen, Dao Bui Quy ; Tuan, Pham Ngoc Huy ; Toan, Nguyen Duy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c499t-28920cb6cf7f9be88d3021f7fa1a716c9c0c18763dbfd7b7b2413fc09c5998c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute Kidney Injury - complications</topic><topic>Acute Kidney Injury - etiology</topic><topic>Acute Kidney Injury - metabolism</topic><topic>Acute Kidney Injury - physiopathology</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anuria</topic><topic>Biomarkers</topic><topic>Biomarkers - blood</topic><topic>Biomarkers - urine</topic><topic>Blood pressure</topic><topic>Chronic kidney failure</topic><topic>Creatinine</topic><topic>Diabetes</topic><topic>Disease Progression</topic><topic>Dopamine</topic><topic>Enzymes</topic><topic>Epidermal growth factor receptors</topic><topic>Female</topic><topic>Gelatinase</topic><topic>Glomerular Filtration Rate</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Immunoassay</topic><topic>Infection</topic><topic>Injuries</topic><topic>Intensive Care Units</topic><topic>Kidney diseases</topic><topic>Kidneys</topic><topic>Laboratories</topic><topic>Lipocalin</topic><topic>Lipocalin-2 - blood</topic><topic>Lipocalin-2 - urine</topic><topic>Male</topic><topic>Measurement</topic><topic>Medical research</topic><topic>Medicine, Experimental</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Neutrophils</topic><topic>Oliguria</topic><topic>Prospective Studies</topic><topic>Renal Insufficiency, Chronic - diagnosis</topic><topic>Renal Insufficiency, Chronic - etiology</topic><topic>Renal Insufficiency, Chronic - metabolism</topic><topic>Sepsis</topic><topic>Sepsis - complications</topic><topic>Urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thang, Le Viet</creatorcontrib><creatorcontrib>Quyet, Do</creatorcontrib><creatorcontrib>Dung, Nguyen Huu</creatorcontrib><creatorcontrib>Van My, Pham</creatorcontrib><creatorcontrib>Loc, Nguyen Duc</creatorcontrib><creatorcontrib>Van Khoa, Huynh</creatorcontrib><creatorcontrib>Quyen, Dao Bui Quy</creatorcontrib><creatorcontrib>Tuan, Pham Ngoc Huy</creatorcontrib><creatorcontrib>Toan, Nguyen Duy</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Disease markers</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thang, Le Viet</au><au>Quyet, Do</au><au>Dung, Nguyen Huu</au><au>Van My, Pham</au><au>Loc, Nguyen Duc</au><au>Van Khoa, Huynh</au><au>Quyen, Dao Bui Quy</au><au>Tuan, Pham Ngoc Huy</au><au>Toan, Nguyen Duy</au><au>Theocharis, Stamatios E.</au><au>Stamatios E Theocharis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum and Urine Neutrophil Gelatinase-Associated Lipocalin Levels Measured at Admission Predict Progression to Chronic Kidney Disease in Sepsis-Associated Acute Kidney Injury Patients</atitle><jtitle>Disease markers</jtitle><addtitle>Dis Markers</addtitle><date>2020</date><risdate>2020</risdate><volume>2020</volume><issue>2020</issue><spage>1</spage><epage>8</epage><pages>1-8</pages><issn>0278-0240</issn><eissn>1875-8630</eissn><abstract>Background. To evaluate the ratio of acute kidney injury (AKI) to chronic kidney disease (CKD) in sepsis-associated acute kidney injury (SA-AKI) patients of the intensive care unit (ICU) and predictive value of neutrophil gelatinase-associated lipocalin (NGAL) measured at the admission time in the progression of AKI to CKD. Methods. A study of 121 consecutive adult patients admitted to the intensive care unit (ICU) diagnosed as SA-AKI. AKI and CKD were defined based on Kidney Disease: Improving Global Outcomes (KDIGO) criteria. Glomerular filtration rate (GFR) was calculated by the CKD-EPI formula. Serum and urine NGAL was measured using the BioVendor Human Lipocalin-2/NGAL ELISA with a blood sample taken at hospital admission time. Results. The ratio of AKI to CKD in SA-AKI patients was 22.3%. Mean concentration of serum and urine NGAL in AKI to the CKD group was 790.99 ng/ml and 885.72 ng/ml, higher significantly than those of recovery patients (351.86 ng/ml and 264.68 ng/ml), p&lt;0.001. eGFR, both serum and urine NGAL had a predictive value for AKI to CKD (eGFR: AUC=0.857, Se=74.1%, Spe=92.6%, p&lt;0.001. Serum NGAL: AUC=0.868, Se=77.8%, Spe=91.5%. Urine NGAL: AUC=0.869, Se=77.8%, Spe=92.6%, p&lt;0.001. Conclusion. Serum and urine NGAL, measuring at hospital admission time, were good prognostic biomarkers of AKI to CKD in SA-AKI patients.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>32908617</pmid><doi>10.1155/2020/8883404</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2283-9988</orcidid><oa>free_for_read</oa></addata></record>
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subjects Acute Kidney Injury - complications
Acute Kidney Injury - etiology
Acute Kidney Injury - metabolism
Acute Kidney Injury - physiopathology
Adult
Aged
Aged, 80 and over
Anuria
Biomarkers
Biomarkers - blood
Biomarkers - urine
Blood pressure
Chronic kidney failure
Creatinine
Diabetes
Disease Progression
Dopamine
Enzymes
Epidermal growth factor receptors
Female
Gelatinase
Glomerular Filtration Rate
Hospitals
Humans
Hypertension
Immunoassay
Infection
Injuries
Intensive Care Units
Kidney diseases
Kidneys
Laboratories
Lipocalin
Lipocalin-2 - blood
Lipocalin-2 - urine
Male
Measurement
Medical research
Medicine, Experimental
Middle Aged
Mortality
Neutrophils
Oliguria
Prospective Studies
Renal Insufficiency, Chronic - diagnosis
Renal Insufficiency, Chronic - etiology
Renal Insufficiency, Chronic - metabolism
Sepsis
Sepsis - complications
Urine
title Serum and Urine Neutrophil Gelatinase-Associated Lipocalin Levels Measured at Admission Predict Progression to Chronic Kidney Disease in Sepsis-Associated Acute Kidney Injury Patients
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