Evidence map›Paper›PMID 32829580›Full record

ArticleAnnals of laboratory medicine2021

Effectiveness of Plasma and Urine Neutrophil Gelatinase-Associated Lipocalin for Predicting Acute Kidney Injury in High-Risk Patients.

Ahram Yi, Chang-Hoon Lee, Yeo-Min Yun, Hanah Kim, Hee-Won Moon, Mina Hur

Abstract read
In one paragraph

Article in Annals of laboratory medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Review
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  7. Comparison of BTP, NGAL, KIM-1, & ADMA biomarkers in CKD and non-CKD subjects.International journal of biochemistry and molecular biology · 2023
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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

6 authors.

Ahram YiDepartment of Laboratory Medicine, Green Cross Laboratories, Yongin, Korea.ORCID 0000-0002-3107-936X
Chang-Hoon LeeDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul, Korea.ORCID 0000-0002-5402-2681
Yeo-Min YunDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul, Korea.ORCID 0000-0002-5485-8331
Hanah KimDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul, Korea.ORCID 0000-0002-3266-638X
Hee-Won MoonDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul, Korea.ORCID 0000-0001-9509-6073
Mina HurDepartment of Laboratory Medicine, Konkuk University School of Medicine, Seoul, Korea.ORCID 0000-0002-4429-9978

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeutrophil gelatinase-associated lipocalin (NGAL) is a useful biomarker for acute kidney injury (AKI) prediction. However, studies on whether using both plasma NGAL (PNGAL) and urine NGAL (UNGAL) can improve AKI prediction are limited. We investigated the best approach to predict AKI in high-risk patients when using PNGAL and UNGAL together.

methodsWe enrolled 151 AKI suspected patients with one or more AKI risk factors. We assessed the diagnostic performance of PNGAL and UNGAL for predicting AKI according to chronic kidney disease (CKD) status by determining the areas under the receiver operating curve (AuROC). Independent predictors of AKI were assessed using univariate and multivariate logistic regression analyses.

resultsIn the multivariate logistic regression analysis for all patients (N=151), Model 2 and 3, including PNGAL (P=0.012) with initial serum creatinine (S-Cr), showed a better AKI prediction power (R2=0.435, both) than Model 0, including S-Cr only (R2=0.390). In the non-CKD group (N=135), the AuROC of PNGAL for AKI prediction was larger than that of UNGAL (0.79 vs 0.66, P=0.010), whereas in the CKD group (N=16), the opposite was true (0.94 vs 0.76, P=0.049).

conclusionsPNGAL may serve as a useful biomarker for AKI prediction in high-risk patients. However, UNGAL predicted AKI better than PNGAL in CKD patients. Our findings provide guidance for selecting appropriate specimens for NGAL testing according to the presence of CKD in AKI high-risk patients.

Indexed as

Acute Kidney InjuryAgedArea Under CurveBiomarkersCreatinineFemaleGlomerular Filtration RateHumansLipocalin-2Logistic ModelsMaleMiddle AgedRisk FactorsROC CurveBiomarkersCreatinineLipocalin-2Acute kidney injuryChronic kidney diseaseNeutrophil gelatinase-associated lipocalinPlasmaUrine

Identifiers

PMID32829580
PMCPMC7443531

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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.