Organ support & nutrition

Performance of urinary C–C motif chemokine ligand 14 for the prediction of persistent acute kidney injury: a systematic review and meta-analysis

Crit CarePublished Systematic review and meta-analysis of diagnostic accuracy studies

Authors' conclusion

Our results suggest that urinary CCL14 can be used as an effective marker for predicting persistent AKI.

Study context

Population
Adults (> 18 years) with acute kidney injury (AKI)
Participants
952 adults · 6 studies
Outcome
Predictive performance of urinary CCL14 for persistent AKI
Methodological detailsPRISMA, HSROC, GRADE
  • PRISMA
  • HSROC
  • GRADE

Pooled result

As reported in the abstract

Prediction of persistent AKI
GroupPooled sensitivityPooled specificityPooled positive likelihood ratio (LR)Pooled negative LRHSROC pooled diagnostic accuracy
Urinary CCL140.81 (95% CI 0.72-0.87)0.71 (95% CI 0.53-0.84)2.75 (95% CI 1.63-4.66)0.27 (95% CI 0.18-0.41)0.84

Urinary CCL14

Pooled sensitivity0.81 (95% CI 0.72-0.87)
Pooled specificity0.71 (95% CI 0.53-0.84)
Pooled positive likelihood ratio (LR)2.75 (95% CI 1.63-4.66)
Pooled negative LR0.27 (95% CI 0.18-0.41)
HSROC pooled diagnostic accuracy0.84

Further pooled results

Occurrence of persistent AKI

Persistent AKI
39.6% (377/952)

Original publication

Performance of urinary C–C motif chemokine ligand 14 for the prediction of persistent acute kidney injury: a systematic review and meta-analysis. Crit Care. Published 18 August 2023. doi:10.1186/s13054-023-04610-7

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