Evidence map›Paper›PMID 24989970›Full record

ArticleHeart and vessels2015

Urinary KIM-1, NGAL and L-FABP for the diagnosis of AKI in patients with acute coronary syndrome or heart failure undergoing coronary angiography.

Isidro Torregrosa, Carmina Montoliu, Amparo Urios, María Jesús Andrés-Costa, Carla Giménez-Garzó, Isabel Juan, María Jesús Puchades, María Luisa Blasco, Arturo Carratalá, Rafael Sanjuán and 1 more

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In one paragraph

Article in Heart and vessels, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  18. Real-Time Prediction of Acute Kidney Injury in Hospitalized Adults: Implementation and Proof of Concept.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Isidro TorregrosaServicio de Nefrología, Hospital Clínico Universitario de Valencia, Av Blasco Ibáñez 17, 46010, Valencia, Spain. isist67@gmail.com.
Carmina MontoliuFundación Investigación Clínico de Valencia Instituto de Investigación Sanitaria, INCLIVA, Valencia, Spain.
Amparo UriosFundación Investigación Clínico de Valencia Instituto de Investigación Sanitaria, INCLIVA, Valencia, Spain.
María Jesús Andrés-CostaFundación Investigación Clínico de Valencia Instituto de Investigación Sanitaria, INCLIVA, Valencia, Spain.
Carla Giménez-GarzóLaboratorio de Neurobiología, Centro Investigación Príncipe Felipe, Valencia, Spain.
Isabel JuanServicio de Nefrología, Hospital Clínico Universitario de Valencia, Av Blasco Ibáñez 17, 46010, Valencia, Spain.
María Jesús PuchadesServicio de Nefrología, Hospital Clínico Universitario de Valencia, Av Blasco Ibáñez 17, 46010, Valencia, Spain.
María Luisa BlascoUnidad Coronaria, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Arturo CarrataláLaboratorio de Bioquímica Clínica y Patología Molecular, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Rafael SanjuánUnidad Coronaria, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Alfonso MiguelServicio de Nefrología, Hospital Clínico Universitario de Valencia, Av Blasco Ibáñez 17, 46010, Valencia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI) is a common complication after coronary angiography. Early biomarkers of this disease are needed since increase in serum creatinine levels is a late marker. To assess the usefulness of urinary kidney injury molecule-1 (uKIM-1), neutrophil gelatinase-associated lipocalin (uNGAL) and liver-type fatty acid-binding protein (uL-FABP) for early detection of AKI in these patients, comparing their performance with another group of cardiac surgery patients. Biomarkers were measured in 193 patients, 12 h after intervention. In the ROC analysis, AUC for KIM-1, NGAL and L-FABP was 0.713, 0.958 and 0.642, respectively, in the coronary angiography group, and 0.716, 0.916 and 0.743 in the cardiac surgery group. Urinary KIM-1 12 h after intervention is predictive of AKI in adult patients undergoing coronary angiography, but NGAL shows higher sensitivity and specificity. L-FABP provides inferior discrimination for AKI than KIM-1 or NGAL in contrast to its performance after cardiac surgery. This is the first study showing the predictive capacity of KIM-1 for AKI after coronary angiography. Further studies are still needed to answer relevant questions about the clinical utility of biomarkers for AKI in different clinical settings.

Indexed as

Acute Coronary SyndromeAcute Kidney InjuryAcute-Phase ProteinsAgedAged, 80 and overArea Under CurveBiomarkersCardiac Surgical ProceduresCoronary AngiographyCreatinineFatty Acid-Binding ProteinsFemaleHeart FailureHepatitis A Virus Cellular Receptor 1HumansLipocalin-2Acute-Phase ProteinsBiomarkersCreatinineFABP1 protein, humanFatty Acid-Binding ProteinsHAVCR1 protein, humanHepatitis A Virus Cellular Receptor 1LCN2 protein, humanLipocalin-2LipocalinsMembrane GlycoproteinsProto-Oncogene ProteinsReceptors, VirusAcute kidney injuryBiomarkersCardiac surgeryCoronary angiographyKIM-1L-FABPNGAL

Identifiers

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.