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http://hdl.handle.net/1942/16010
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DC Field | Value | Language |
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dc.contributor.author | VERBRUGGE, Frederik | - |
dc.contributor.author | DUPONT, Matthias | - |
dc.contributor.author | Shao, Zhili | - |
dc.contributor.author | Shrestha, Kevin | - |
dc.contributor.author | Singh, Dhssraj | - |
dc.contributor.author | Finucan, Michael | - |
dc.contributor.author | MULLENS, Wilfried | - |
dc.contributor.author | Tang, W. H. Wilson | - |
dc.date.accessioned | 2013-11-21T10:24:14Z | - |
dc.date.available | 2013-11-21T10:24:14Z | - |
dc.date.issued | 2013 | - |
dc.identifier.citation | JOURNAL OF CARDIAC FAILURE, 19 (9), p. 621-628 | - |
dc.identifier.issn | 1071-9164 | - |
dc.identifier.uri | http://hdl.handle.net/1942/16010 | - |
dc.description.abstract | Background: New urinary biomarkers, such as neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), and interleukin-18 (IL-18), are proposed to allow a more reliable early diagnosis and prognosis of acute kidney injury (AM) in acute decompensated heart failure (ADHF). Our aim was to compare the predictive value of urinary NGAL, KIM-1, and IL-18 for the occurrence of AM, persistent renal impairment, and mortality in ADHF. Methods and Results: Eighty-three patients admitted for ADHF were analyzed. Urinary creatinine (Cr), NGAL, KIM-1, and IL-18 were measured at baseline. Serum Cr was measured daily during the next 4 days and again at outpatient follow-up after 6 months. Mortality data were prospectively collected. Urinary NGAL, KIM-1, and IL-18 were modestly correlated with each other (Spearman rho <= 0.61) and poorly correlated with estimated glomerular filtration rate (eGFR; Spearman rho <= 0.28). None predicted AM, defined as a 25% decrease in eGFR, during the index hospitalization, but urinary IL-18/Cr was the strongest predictor of persistently elevated serum Cr >= 0.3 mg/dL after 6 months compared with baseline (area under the receiver operating characteristic curve 0.674; P = .013). Urinary IL-18 was also significantly associated with all-cause mortality (hazard ratio 1.48, 95% confidence interval 1.16-1.87; P = .001). Conclusions: Like urinary NGAL, urinary KIM-1 and IL-18 are relatively modest predictors of AM in ADHF. Among these novel renal biomarkers examined, further investigations regarding the prognostic value of urinary IL-18 are warranted. | - |
dc.language.iso | en | - |
dc.subject.other | Acute decompensated heart failure; acute kidney injury; biomarkers; outcome. | - |
dc.title | Novel Urinary Biomarkers in Detecting Acute Kidney Injury, Persistent Renal Impairment, and All-Cause Mortality Following Decongestive Therapy in Acute Decompensated Heart Failure | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 628 | - |
dc.identifier.issue | 9 | - |
dc.identifier.spage | 621 | - |
dc.identifier.volume | 19 | - |
local.bibliographicCitation.jcat | A1 | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
dc.identifier.doi | 10.1016/j.cardfail.2013.07.004 | - |
dc.identifier.isi | 000326304500004 | - |
item.validation | ecoom 2014 | - |
item.accessRights | Restricted Access | - |
item.fullcitation | VERBRUGGE, Frederik; DUPONT, Matthias; Shao, Zhili; Shrestha, Kevin; Singh, Dhssraj; Finucan, Michael; MULLENS, Wilfried & Tang, W. H. Wilson (2013) Novel Urinary Biomarkers in Detecting Acute Kidney Injury, Persistent Renal Impairment, and All-Cause Mortality Following Decongestive Therapy in Acute Decompensated Heart Failure. In: JOURNAL OF CARDIAC FAILURE, 19 (9), p. 621-628. | - |
item.fulltext | With Fulltext | - |
item.contributor | VERBRUGGE, Frederik | - |
item.contributor | DUPONT, Matthias | - |
item.contributor | Shao, Zhili | - |
item.contributor | Shrestha, Kevin | - |
item.contributor | Singh, Dhssraj | - |
item.contributor | Finucan, Michael | - |
item.contributor | MULLENS, Wilfried | - |
item.contributor | Tang, W. H. Wilson | - |
crisitem.journal.issn | 1071-9164 | - |
crisitem.journal.eissn | 1532-8414 | - |
Appears in Collections: | Research publications |
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File | Description | Size | Format | |
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verbrugge 1.pdf Restricted Access | Published version | 835 kB | Adobe PDF | View/Open Request a copy |
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