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274372

Novel Biomarkers for Prediction of Acute Kidney Injury After Open Heart Surgery: A Comparative Study

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Last updated: 28 Dec 2024

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Abstract

Background: Acute kidney injury (AKI) patients have most elevated death indices, elongated hospital admissions, and a quicker progression of chronic kidney disease (CKD). In reaction to ischemia-reperfusion AKI, urine indicators are markedly elevated in the renal proximal tubules. Aim: To evaluate new biomarkers that can predict acute renal injury following open heart surgery. Patients and Methods: The 63 patients who underwent cardiovascular surgery for the current study were splited into double collections: the AKI group, which included 21 patients who experienced acute kidney injury following surgery, and the No AKI group, which included 42 patients who did not experience acute kidney injury following surgery. All patients have undergone thorough clinical examinations and history-taking procedures. Additionally, before and postoperative measurements of serum creatinine levels, sodium, potassium, blood urea, and urine output were made. At the ICU at 0, 3, 6, 12 and 24 hours following surgery, urinary hemojuvelin (HJV) and neutrophil gelatinase-associated lipocalin (uNGAL) levels were assessed. Results: There was no statistically significant difference between postoperative hemojuvelin at 0 hr and hemojuvelin at 3,6,12, or 24 hours postoperatively, there were a statistical significance  elevation in hemojuvelin at 3,6,12, and 24 hrs postoperatively in the AKI group compared to postoperative hemojuvelin at 0 hr. Additionally, there was a statistical significance rise  in hemojuvelin at 3,6,12, and 24 hours after surgery in the AKI group compared to postoperative hemojuvelin at 0 hours, in contrast to the non-AKI group whereas there was no statistical significance differentiation between postoperative hemojuvelin at 0 hours and postoperative hemojuvelin at 3,6,12, and 24 hours after surgical operation. The ROC curve demonstrated that hemojuvelin and NGAL are effective predictors of acute kidney injury Conclusion: According to our findings, combining urine biomarkers HJV and uNGAL can increase the clinical prediction power of AKI.

DOI

10.21608/bjas.2022.274372

Keywords

Acute kidney injury, Open heart surgery, Urinary hemojuvelin

Authors

First Name

Amr

Last Name

A.Samir

MiddleName

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Affiliation

Department of Anesthesia and ICU, Faculty of Medicine, Benha University

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Orcid

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First Name

Enaam

Last Name

F.Gadalla

MiddleName

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Affiliation

Department of Anesthesia and ICU, Faculty of Medicine, Benha University

Email

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City

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Orcid

-

First Name

E

Last Name

e.afify

MiddleName

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Affiliation

Department of Anesthesia and ICU, Faculty of Medicine, Benha University

Email

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City

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Orcid

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First Name

M

Last Name

H.Abd EL Rahman

MiddleName

-

Affiliation

Department of Anesthesia and ICU, Faculty of Medicine, Benha University

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-

City

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Orcid

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Volume

7

Article Issue

9

Related Issue

38220

Issue Date

2022-09-01

Receive Date

2022-09-15

Publish Date

2022-09-01

Page Start

75

Page End

81

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_274372.html

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https://bjas.journals.ekb.eg/service?article_code=274372

Order

11

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Novel Biomarkers for Prediction of Acute Kidney Injury After Open Heart Surgery: A Comparative Study

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Article

Created At

23 Jan 2023