Evidence map›Paper›PMID 32487237›Full record

ArticleCritical care (London, England)2020

Urine cell cycle arrest biomarkers distinguish poorly between transient and persistent AKI in early septic shock: a prospective, multicenter study.

Dimitri Titeca-Beauport, Delphine Daubin, Ly Van Vong, Guillaume Belliard, Cédric Bruel, Sami Alaya, Karim Chaoui, Maud Andrieu, Isabelle Rouquette-Vincenti, Frederic Godde and 5 more

Erratum issued Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02812784 (Can Nephrocheck™ Predict the Reversibility of Early, Acute Kidney Injury During Septic Shock?), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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.

NCT02812784 completednot on this map

Can Nephrocheck™ Predict the Reversibility of Early, Acute Kidney Injury During Septic Shock?

TypeobservationalSponsorCentre Hospitalier Universitaire, AmiensRan2015 to 2019Enrolled184ConditionsHeadingArmsNephrocheck TM
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Biological attributes of zinc-dependent endopeptidases in endothelial dysfunction associated with sepsis: a narrative review.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Dimitri Titeca-BeauportBoReal Study Group, Medical Intensive Care Unit and EA7517, Amiens University Hospital, F-80054, Amiens, France. titeca.dimitri@chu-amiens.fr.ORCID http://orcid.org/0000-0003-2514-4193
Delphine DaubinDepartment of Intensive Care Medicine, Lapeyronie University Hospital, Montpellier, France.
Ly Van VongIntensive Care Unit, Groupe Hospitalier Sud Ile de France, 270 avenue Marc Jacquet, 77000, Melun, France.
Guillaume BelliardMedical-Surgical Intensive Care Unit, Centre Hospitalier de Bretagne Sud, Lorient, France.
Cédric BruelMedical and Surgical Intensive Care Unit, Groupe Hospitalier Paris Saint Joseph, Paris, France.
Sami AlayaIntensive Care Unit, Centre Hospitalier Général, 13300, Salon-de-Provence, France.
Karim ChaouiIntensive Care Unit, Jean Rougier Hospital, 335, rue du Président Wilson, 46000, Cahors, France.
Maud AndrieuMedical and Surgical Intensive Care Unit, Centre Hospitalier de Dax-Côte d'Argent, Dax, France.
Isabelle Rouquette-VincentiDepartment of Anesthesia and Intensive Care, Princess Grace Hospital, Avenue Pasteur, Monaco (Principality), Monaco.
Frederic GoddeDépartement de Réanimation Polyvalente, Centre Hospitalier Avranches-Granville, Granville, France.
Michel PascalIntensive Care Unit, Centre Hospitalier de Mont De Marsan, 40000, Mont-de-Marsan, France.
Momar DioufClinical Research and Innovation Directorate, Amiens University Hospital, Amiens, France.
Christophe VinsonneauBoReal Study Group, Intensive Care Unit, Hôpital de Bethune, 62408, Bethune, France.
Kada KloucheDepartment of Intensive Care Medicine, Lapeyronie University Hospital, Montpellier, France.
Julien MaizelBoReal Study Group, Medical Intensive Care Unit and EA7517, Amiens University Hospital, F-80054, Amiens, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe urine biomarkers tissue inhibitor of metalloproteinases-2 (TIMP-2) and insulin-like growth factor-binding protein 7 (IGFBP7) have been validated for predicting and stratifying AKI. In this study, we analyzed the utility of these biomarkers for distinguishing between transient and persistent AKI in the early phase of septic shock.

methodsWe performed a prospective, multicenter study in 11 French ICUs. Patients presenting septic shock, with the development of AKI within the first 6 h, were included. Urine [TIMP-2]*[IGFBP7] was determined at inclusion (0 h), 6 h, 12 h, and 24 h. AKI was considered transient if it resolved within 3 days. Discriminative power was evaluated by receiver operating characteristic (ROC) curve analysis.

resultsWe included 184 patients, within a median [IQR] time of 1.0 [0.0-3.0] h after norepinephrine (NE) initiation; 100 (54%) patients presented transient and 84 (46%) presented persistent AKI. Median [IQR] baseline urine [TIMP-2]*[IGFBP7] was higher in the persistent AKI group (2.21 [0.81-4.90] (ng/ml)

conclusionsUrine [TIMP-2]*[IGFBP7] measurements in the early phase of septic shock discriminate poorly between transient and persistent AKI and do not improve clinical prediction over that achieved with the usual variables.

trial registrationNCT02812784.

Indexed as

Acute Kidney InjuryArea Under CurveBiomarkersCell Cycle CheckpointsFemaleFranceHumansInsulin-Like Growth Factor Binding ProteinsIntensive Care UnitsLogistic ModelsMaleMiddle AgedPredictive Value of TestsProspective StudiesROC CurveShock, SepticBiomarkersinsulin-like growth factor binding protein-related protein 1Insulin-Like Growth Factor Binding ProteinsTissue Inhibitor of Metalloproteinase-2Acute kidney injuryBiomarkersRecoverySeptic shock

Identifiers

PMID32487237
PMCPMC7268340

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Registered trials

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.