Evidence map›Paper›PMID 36245663›Full record

ArticleKidney3602022

Urinary Neutrophil Gelatinase-Associated Lipocalin Predicts Intensive Care Unit Admission Diagnosis: A Prospective Cohort Study.

Goni Katz-Greenberg, Michael Malinchoc, Dennis L Broyles, David Oxman, Seyed M Hamrahian, Omar H Maarouf

Open access · diamondAbstract read
In one paragraph

Article in Kidney360, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 40% of its field
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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
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 at 2 institutions in 1 country.

Goni Katz-GreenbergDivision of Nephrology, Department of Medicine, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0003-4780-4156
Michael MalinchocL3Healthcare LLC, San Diego, California.
Dennis L BroylesL3Healthcare LLC, San Diego, California.
David OxmanPulmonary Division, Thomas Jefferson University Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.
Seyed M HamrahianRenal Division, Thomas Jefferson University Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.
Omar H MaaroufRenal Division, Thomas Jefferson University Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.ORCID 0000-0002-1972-9999
Thomas Jefferson University Hospital · USMemorialCare Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute kidney injury (AKI) is most commonly caused by tubular injury and is associated with a wide variety of critical illnesses. It is well known that urinary biomarkers can lead to the early identification of AKI. However, the ability of urinary biomarkers to distinguish between different types of critical illness has been less studied. Methods: In this prospective cohort study, urinary neutrophil gelatinase-associated lipocalin (uNGAL) was measured in 107 patients consecutively admitted to the ICUs in our tertiary medical center. uNGAL samples were collected within 3-6 hours of admission to an ICU and measured by ELISA. All data were analyzed using R statistical software, and univariate analysis was used to determine the correlations of uNGAL levels with AKI stage, admission diagnoses, and ICU course. Results: uNGAL level increased by a mean of 24-fold (SD 10-59) in ICU patients with AKI and demonstrated a significant correlation with the different AKI stages. uNGAL predicted the need for RRT, with values increased by more than 15-fold ( Conclusions: uNGAL can be used as an early predictor of AKI and its severity in patients admitted to the ICU, including the need for RRT. uNGAL may also help in distinguishing patients with cardiogenic shock from those with other critical illnesses and identifying those at risk for poor outcomes irrespective of the presence of AKI.

Indexed as

Acute Kidney InjuryLipocalinsAcute-Phase ProteinsBiomarkersCritical IllnessHumansIntensive Care UnitsLipocalin-2Prospective StudiesProto-Oncogene ProteinsShock, CardiogenicAcute-Phase ProteinsBiomarkersLipocalin-2LipocalinsProto-Oncogene Proteinsacute kidney injuryacute kidney injury and ICU nephrologyAKIcardiogenic shockICU nephrologyinjury markerlipocalin-2NGALsepsisshockurine biomarker

Identifiers

PMID36245663
PMCPMC9528386
OpenAlexW4285083592

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.