Neutrophil Gelatinase‐Associated Lipocalin for Assessment of Acute Kidney Injury in Cirrhosis: A Prospective Study

Hepatology ◽  
2019 ◽  
Author(s):  
Patricia Huelin ◽  
Elsa Solà ◽  
Chiara Elia ◽  
Cristina Solé ◽  
Alessandro Risso ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Prospective Study ◽  
Kidney Injury ◽  
Neutrophil Gelatinase Associated Lipocalin ◽  
A Prospective Study ◽  
Neutrophil Gelatinase

scholarly journals Diagnostic Utility of Serum Neutrophil Gelatinase-Associated Lipocalin in Polytraumatized Patients Suffering Acute Kidney Injury: A Prospective Study

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Lukas Leopold Negrin ◽  
Reinhard Hahn ◽  
Thomas Heinz ◽  
Stefan Hajdu
Keyword(s):  
Acute Kidney Injury ◽  
Prospective Study ◽  
Kidney Injury ◽  
Neutrophil Gelatinase Associated Lipocalin ◽  
Patients At Risk ◽  
Level I ◽  
A Prospective Study ◽  
Neutrophil Gelatinase ◽  
Observation Period ◽  
Time Point

Introduction. The incidence of acute kidney injury (AKI) considerably increases the mortality rate in polytrauma victims. Undoubtedly, early identification of patients at risk is crucial for timely implementation of preventive strategies in order to improve their prognosis. Therefore, we aimed to investigate if serum neutrophil gelatinase-associated lipocalin (sNGAL) may serve as a diagnostic biomarker of early AKI in polytrauma victims, especially considering patients needing renal replacement theory (RRT).Material and Methods. Forty consecutive polytrauma victims (ISS ≥ 16,AISThorax≥ 1, age ≥ 18 years, survival time ≥ 48 hours), directly admitted to our level I trauma center within one posttraumatic hour, were enrolled in our prospective study. sNGAL-levels were assessed at admission (initial) and on day 2 after trauma. AKI was diagnosed by an increase of serum creatinine (sCr) level of at least 0.3 mg/dl within 48 hours.Results. Out of 30 men and 10 women (mean age, 43 years; mean ISS, 29), seven patients developed AKI, four of them needing RRT. AKI was diagnosed in 86% of the affected individuals until day 2. Day2-sNGAL-levels were higher in the AKI-group, compared to the no-AKI-group (p=0.049), and in patients treated with RRT than in individuals not needing RRT (p=0.037). Noteworthy, in patients not needing RRT sNGAL-levels significantly decreased from initial to day2-measurement (p=0.040). Furthermore, at any time point during our observation period polytraumatized patients with AKI and day2-sNGAL-levels of at least 181.0 ng/mL presented with higher sCr-levels compared to polytraumatized patients without AKI and day2-sNGAL-levels lower than 181.0 ng/mL (p≤0.029).Conclusion. In polytrauma victims suffering AKI an increase in sNGAL-level from initial to day2-assessment may signalize deterioration in kidney function and thus indicate AKI progression. Unlike initial sNGAL-levels day2-sNGAL-levels might be an appropriate tool to define AKI and to signify the need of RRT in polytraumatized patients.

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