Evidence map›Paper›PMID 41071816›Full record

Observational studyPloS one2025

Predictive value of urinary [TIMP-2]•[IGFBP7] for AKI among sepsis, stroke, and cardiac surgery cohorts: A prospective study.

Chaoyun Jiang, Cheng Yang, Hui Chen, Xiaofang Jiang, Jiahao Zhang, Juan Felipe Alvarez, Haichuan Yu, Yao Zhu, Lianjiu Su, Zhiyong Peng

Abstract readObservational Study
In one paragraph

Observational study in PloS one, 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

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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

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5 · Who and what money

Authors and funding

10 authors.

Chaoyun JiangDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Cheng YangDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Hui ChenDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.ORCID https://orcid.org/0000-0002-3873-9607
Xiaofang JiangDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Jiahao ZhangDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Juan Felipe AlvarezDivision of Cardiology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.ORCID https://orcid.org/0009-0002-0681-9482
Haichuan YuDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Yao ZhuDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Lianjiu SuDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.
Zhiyong PengDepartment of Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei Province, China.ORCID https://orcid.org/0009-0000-1826-4299

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTIMP-2 and IGFBP7 have shown effectiveness as biomarkers for predicting Acute Kidney Injury (AKI). However, the variations in the predictive capacity of urinary [TIMP-2]• [IGFBP7] for AKI across different etiologies remain unexplored. This study aimed to assess the predictive capability of urinary [TIMP-2]• [IGFBP7] for AKI in three distinct disease cohorts (stroke, sepsis, and cardiac surgery) characterized by differing AKI etiologies.

methodsThis prospective observational study evaluated the predictive value of urinary [TIMP-2]• [IGFBP7] among three cohorts with varying AKI causes. Binary logistic regression was employed to identify AKI's independent risk factors and develop a combined prediction model. The predictive value was assessed using Receiver Operating Characteristic (ROC) curves and Area Under the Curve (AUC) analyses.

results337 patients were included in the final analysis, with 109 (32.3%) developing AKI. AKI occurred in 39 (22.2%) stroke patients, 52 (50%) sepsis patients, and 18 (31.6%) post-cardiac surgery patients. [TIMP-2]• [IGFBP7] exhibited predictive value for AKI with an AUC of 0.86 (95% CI 0.75-0.90) in stroke, 0.82 (95% CI 0.74-0.91) in sepsis, and 0.90 (95% CI 0.82-0.98) in post-cardiac surgery. DeLong's test indicated no significant differences in the predictive value of [TIMP-2]• [IGFBP7] between the cardiac surgery group and the stroke (P=0.20) and sepsis (P=0.21) groups.

conclusionThe combined prediction model, which integrates urinary [TIMP-2]• [IGFBP7] concentrations and AKI risk factors, significantly enhances AKI prediction. No significant differences were found in the predictive value of urinary [TIMP-2]• [IGFBP7] for AKI among the stroke, sepsis, and cardiac surgery cohorts.

Indexed as

Acute Kidney InjuryCardiac Surgical ProceduresInsulin-Like Growth Factor Binding ProteinsSepsisStrokeTissue Inhibitor of Metalloproteinase-2AgedBiomarkersFemaleHumansMaleMiddle AgedPredictive Value of TestsProspective StudiesRisk FactorsROC CurveBiomarkersinsulin-like growth factor binding protein-related protein 1Insulin-Like Growth Factor Binding ProteinsTIMP2 protein, humanTissue Inhibitor of Metalloproteinase-2

Identifiers

PMID41071816
PMCPMC12513614

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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.