Organ support & nutrition

The Role of Cell Cycle Arrest Biomarkers for Predicting Acute Kidney Injury in Critically Ill COVID-19 Patients: A Multicenter, Observational Study

Crit Care MedPublished Prospective observational study

Authors' conclusion

Urinary (TIMP-2) × (IGFBP7) predicts the occurrence of AKI in critically ill patients with COVID-19-associated ARDS.

Study context

Population
Critically ill patients with moderate or severe COVID-19-associated acute respiratory distress syndrome (ARDS), 12 centres across Europe and UK39 met primary endpoint
Participants
Three hundred patients
Outcome
Moderate or severe acute kidney injury (AKI) (Kidney Disease: Improving Global Outcomes definition)
Methodological detailsmulticentre, diagnostic/predictive accuracy
  • Multicentre
  • Diagnostic/predictive accuracy

Main finding

As reported in the abstract

Prediction of moderate or severe AKI · At enrollment
GroupAUC
(TIMP-2) × (IGFBP7)0.89 (95% CI, 0.84-0.93)

(TIMP-2) × (IGFBP7)

AUC0.89 (95% CI, 0.84-0.93)

Observational data: associations, not effects.

Further findings

(TIMP-2) × (IGFBP7) levels, endpoint-positive vs endpoint-negative · At enrollment and at 12 hours

Significantly higher in endpoint-positive patients at enrollment and at 12 hours

Original publication

The Role of Cell Cycle Arrest Biomarkers for Predicting Acute Kidney Injury in Critically Ill COVID-19 Patients: A Multicenter, Observational Study. Crit Care Med. Published 28 March 2023. doi:10.1097/ccm.0000000000005853

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