Evidence map›Paper›PMID 40396107›Full record

ArticleJournal of family medicine and primary care2025

Neutrophil gelatinase-associated lipocalin as a predictive biomarker of acute kidney injury in COVID-19 infection: A systematic review and meta-analysis.

Puja Dey, Nilanjan Mal, Rashmi Sinha, Amit Kumar, Pramod Kumar, Usha Saroj, Partha Kumar Chaudhuri, Mani Bhushan Kumar Sinha, Rishi Guria, Brajesh Mishra and 4 more

Abstract read
In one paragraph

Article in Journal of family medicine and primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

14 authors.

Puja DeyDepartment of Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Nilanjan MalDepartment of Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Rashmi SinhaDepartment of Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Amit KumarDepartment of Laboratory Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Pramod KumarDepartment of Biochemistry, Hi-Tech Medical College and Hospital, Rourkela, Odisha, India.
Usha SarojDepartment of Blood Centre and Transfusion Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Partha Kumar ChaudhuriDepartment of Paediatrics, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Mani Bhushan Kumar SinhaDepartment of Physiology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Rishi GuriaDepartment of Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Brajesh MishraDepartment of TB and Chest, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Manohar Lal PrasadDepartment of Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Divakar KumarDepartment of Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Satish KumarDepartment of Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Manoj Kumar PrasadDepartment of Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Coronavirus 2019 (COVID-19) is an infectious disease caused by a novel coronavirus, SARS-CoV-2. Acute kidney injury (AKI) affects approximately 20-40% of patients with COVID-19 admitted to the intensive care unit (ICU), and it is a complication that has been linked to increased morbidity and mortality. Neutrophil gelatinase-associated lipocalin (NGAL) is a biomarker of acute kidney injury. Methods: Articles were searched from databases such as PubMed, Google Scholar, and Cochrane Library till June 2023. Pooled sensitivity, specificity, area under the curve (AUC), diagnostic odds ratio (DOR), and summery receiver operating curve (SROC) were calculated with 95% confidence interval. I Results: Altogether, eight studies were selected (4 serum/5 urine), out of which one study had both serum and urine NGAL data. The total sample size was 1,067 (349 serum/718 urine). For serum and urine NGAL, the pooled sensitivity was 0.79 (95% CI: 0.72-0.84) and 0.75 (95% CI: 0.68-0.80), pooled specificity was 0.87 (95% CI: 0.81-0.91) and 0.85 (95% CI: 0.77-0.91), DOR was 24 (95% CI: 14-43), and 17 (95% CI: 9-32) and AUC was 0.90 (95% CI: 0.87-0.92) and 0.80 (95% CI: 0.76-0.83), respectively. Conclusion: Both serum and urine NGAL have favourable pooled sensitivity, specificity, DOR and AUC for the diagnosis of AKI in COVID-19 infection, however, with low certainty of evidence.

Indexed as

AKICOVID-19 infectionmeta-analysisNGALsystematic review

Identifiers

PMID40396107
PMCPMC12088576

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.