Ahmed QA, El Sayed FS, Emad H, Mohamed E, Ahmed B, Heba P. Urinary biomarkers of acute kidney injury in patients with liver cirrhosis.
Med Arch 2014;
68:132-6. [PMID:
24937940 PMCID:
PMC4986833 DOI:
10.5455/medarh.2014.68.132-136]
[Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2013] [Accepted: 02/15/2014] [Indexed: 01/15/2023] Open
Abstract
BACKGROUND AND AIM
Acute kidney injury is a common complication in cirrhotic patients. Serum creatinine is a poor biomarker for detection of renal impairment in cirrhotic patients. The aim of this study was to evaluate Urinary Neutrophils Gelatinase-Associated Lipocalin (NGAL) and Urinary interleukin-18 (IL-18) as early biomarkers of acute kidney injury in cirrhotic patients.
PATIENTS AND METHODS
160 cirrhotic patients was enrolled in this study divided into 3 main groups according to presence or absence of ascites and renal impairment.
RESULTS
Significant elevation of both Urinary NGAL and Urinary IL-18 in cirrhotic patients with renal impairment especially in patients with Acute tubular necrosis (ATN) was observed. AUROC was (0.909) with (sensitivity 95.5%, specificity 76.1) for Urinary NGAL and AUROC was (0.975), with (sensitivity 95.5%, specificity 91.3%) for Urinary IL-18.
CONCLUSION
Both Urinary NGAL and Urinary IL-18 can act as urinary biomarkers of acute kidney injury in cirrhotic patient.
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