Sepsis & infection

Use of [TIMP-2] • [IGFBP7] to identify sepsis-related acute kidney injury in the emergency department

Ann Intensive CarePublished Prospective observational study

Main finding · Moderate-severe AKI within 24 hResult — go to the resultAdjusted odds ratio 1.24 95% CI 1.07–1.43

Authors' conclusion

In conclusion, urinary [TIMP-2]•[IGFBP7] measured on presentation to the ED had only moderate discrimination for sepsis-associated AKI.

Study context

Population
Adults presenting to the Emergency Department (ED) with suspected infection and NEWS 2 ≥3
Outcome
Moderate-severe AKI (KDIGO definition)
Follow-up
Within 24 h
Methodological detailssingle-centre
  • Single-centre

Main finding

Moderate-severe AKI within 24 h · 24 h

Adjusted odds ratio

1.24

95% CI 1.07–1.43

P < 0.01

Higher admission urinary [TIMP-2]•[IGFBP7]
aOR 1.24 (95% CI 1.07–1.43); P < 0.01

As reported in the abstract

Overall discrimination, AUC (modest)
0.67
NPV for excluding acute kidney injury (AKI), low values (<0.3)
0.86

Observational data: associations, not effects.

Further findings

Creatinine trajectories and inflammatory profiles

Largely similar across groups, except elevated IL-10 and IL-1RN in high-risk patients

Original publication

Use of [TIMP-2] • [IGFBP7] to identify sepsis-related acute kidney injury in the emergency department. Ann Intensive Care. Published 17 July 2026. doi:10.1016/j.aicoj.2026.100119

Composed by AI from the published abstract and checked against it. How Briefs are made →

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