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47611

Plasma and Urinary NGAL-2 as Early Biomarkers for Diagnosis of Acute Kidney Injury in Pediatric Post-Operative Cardiac Patients

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Last updated: 24 Dec 2024

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Abstract

   Acute kidney injury (AKI) is one of the critical multiples after pediatric cardiac surgery. The diagnosis of post-operative AKI is usually established based on elevated serum creatinine. Novel, effective and early diagnostic markers of AKI are still needed to be established. The aim of this study is validate new and faster biomarkers for early diagnosis of AKI. The survey population composed of 30 children aged from week to 204 months with a mean of months = 43.08 ± 52.15. These children were subjected to cardiac surgery with cardiopulmonary bypass (CPB).Then they were divided into AKI and non-AKI subgroups according to the post-operative status. Surveillance of the patients was achieved by subsequent measurements of both plasma and urinary NGAL, serum creatinine (S.Cr) and serum urea levels at 2 hours (h) and 24 h, postoperative. Additionally, only serum creatinine and serum urea were measured at 48 hours post-CPB. No significant differences between both groups  concerning the S.Cr levels at baseline (p=0.572,AUC=0.566), 2 h (p=0.619, AUC=0.558) and 24 h (p=0.197, AUC=0.651) while a high significant difference was observed at 48 h post-operative (p<0.001 , AUC=1.000) .No significant differences between the two groups were detected concerning the serum urea levels at baseline (p=0.455, AUC=0.587), 2 h (p=0.113 , AUC=0.685) and 24 h (p=0.129, AUC=0.677) while a high significant difference at 48 h (p<0.001 , AUC=1.000). There was no significant differences concerning the plasma and urinary NGAL levels measurements at baseline (p=0.215) while a highly statistically significant difference was spotted at 2 h (p<0.001) and at 24 h (p<0.001). Plasma and urinary NGAL serve as early predictors of AKI before the elevation of S.Cr. in postoperative patients. 

DOI

10.21608/blj.2017.47611

Keywords

Acute kidney injury, Post-operative open cardiac surgery. Neutrophil Gelatinase Associated Lipocalin (NGAL-2), Congenital heart disease

Authors

First Name

Waleed M.

Last Name

Serag

MiddleName

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Affiliation

Chemistry Department, Faculty of Science, Suez University

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Orcid

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First Name

Waleed M.

Last Name

El-Guindy

MiddleName

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Affiliation

Faculty of Medicine, Ain Shams University

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Orcid

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First Name

Sahar S.

Last Name

El-Sakka

MiddleName

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Affiliation

Chemistry Department, Faculty of Science, Suez University

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Orcid

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First Name

Ebtsam S.

Last Name

Kotb

MiddleName

-

Affiliation

Chemistry Department, Faculty of Science, Suez University

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City

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Orcid

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First Name

Sherook

Last Name

Iprahim

MiddleName

-

Affiliation

Central Blood Bank, Ministry of Health and Population , Suez

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Volume

13

Article Issue

1

Related Issue

7313

Issue Date

2017-12-01

Receive Date

2017-09-09

Publish Date

2017-12-01

Page Start

209

Page End

220

Print ISSN

1687-4773

Online ISSN

2974-4725

Link

https://blj.journals.ekb.eg/article_47611.html

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https://blj.journals.ekb.eg/service?article_code=47611

Order

17

Type

Original Article

Type Code

988

Publication Type

Journal

Publication Title

Biochemistry Letters

Publication Link

https://blj.journals.ekb.eg/

MainTitle

Plasma and Urinary NGAL-2 as Early Biomarkers for Diagnosis of Acute Kidney Injury in Pediatric Post-Operative Cardiac Patients

Details

Type

Article

Created At

22 Jan 2023