Neutrophil Gelatinase-Associated Lipocalin and Acute Kidney Injury after Cardiac Surgery
Author(s) -
David R. McIlroy,
Gebhard Wagener,
H. Thomas Lee
Publication year - 2010
Publication title -
clinical journal of the american society of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.755
H-Index - 151
eISSN - 1555-905X
pISSN - 1555-9041
DOI - 10.2215/cjn.04240609
Subject(s) - medicine , acute kidney injury , lipocalin , renal function , urinary system , creatinine , biomarker , urology , prospective cohort study , cardiac surgery , cardiology , biochemistry , chemistry
Neutrophil gelatinase-associated lipocalin (NGAL) is rapidly released by renal tubules after injury, potentially allowing early identification of acute kidney injury (AKI) after cardiac surgery. However, the diagnostic performance of NGAL has varied widely in clinical studies, and it remains unknown what factors modify the relationship between NGAL and AKI. We hypothesized the relationship between urinary NGAL and AKI would vary with baseline renal function, allowing a stratified analysis to improve diagnostic performance of this novel biomarker.
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