Beta
343205

Assessment of β2-Microglobulin as a Marker for Acute Kidney Injury in Patients with Intracerebral Hemorrhage in Medical Intensive Care Unit

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Internal Medicine

Abstract

Background: Released into the bloodstream at a steady rate, β2-microglobulin (β2-MG) is readily filtered by the glomeruli, fully reabsorbed, and catabolized in the renal tubules. Due to these characteristics, it may be the best endogenous biomarker for estimating glomerular filtration rate. Aim of work: To examine whether β2-MG in patients who have experienced intracerebral haemorrhage is a marker of AKI. Materials and methods: Our prospective case control study was done in the Intensive Care Unit of Zagazig University Hospitals, Sharkia governorate, Egypt on 94 cases. Every patient in this study underwent a thorough clinical examination as well as a comprehensive history taking. The Glasgow Coma Scale (GCS) and the Acute Physiology and Chronic Health Evaluation (APACHE) III Score, which are frequently used scoring systems in intensive care units (ICUs) for critically sick patients, were employed to assess severity. β2-MG testing was one of the laboratory investigations carried out. Results: β2-MG levels were significantly higher in patients with AKI compared to non – AKI. At cutoff of value ≥4.6915 with accuracy of 84%, β2-MG had a sensitivity of (85.1%), and specificity of (83%) in prediction of AKI in patients with non-traumatic cerebral haemorrhage with PPV of 83.3% and NPV of 84.8%. Conclusion: When patients in the intensive care unit (ICU) have intracerebral haemorrhage (ICH), β2-MG can be used as a predictive marker of the onset of AKI.

DOI

10.21608/zumj.2024.263480.3120

Keywords

β 2-microglobulin, AKI, ICU, kidney

Authors

First Name

Ayman

Last Name

Abdulhameed

MiddleName

Elsayed

Affiliation

Assistant professor of Internal medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Email

aymanbahtity75@gmail.com

City

-

Orcid

-

First Name

Amira

Last Name

Elawady

MiddleName

Mohamed

Affiliation

Resident of Nephrology, AlAhrar Teaching Hospital, Zagazig, Egypt.

Email

amiraelawady2050@gmail.com

City

-

Orcid

-

First Name

Fayrouz

Last Name

Selim

MiddleName

Othman

Affiliation

Professor of Internal medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Email

feroo02012@hotmail.com

City

-

Orcid

-

First Name

Azza

Last Name

Ahmed

MiddleName

Moustafa

Affiliation

Assistant professor of Clinical pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Email

azza_mostafa71@yahoo.com

City

-

Orcid

-

First Name

Said

Last Name

Gad

MiddleName

Abdelbaky

Affiliation

Lecturer of Internal medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Email

saidabdelbaky371@gmail.com

City

-

Orcid

-

Volume

30

Article Issue

8.1

Related Issue

51506

Issue Date

2024-11-01

Receive Date

2024-01-19

Publish Date

2024-11-01

Page Start

3,776

Page End

3,783

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_343205.html

Detail API

https://zumj.journals.ekb.eg/service?article_code=343205

Order

3

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Assessment of β2-Microglobulin as a Marker for Acute Kidney Injury in Patients with Intracerebral Hemorrhage in Medical Intensive Care Unit

Details

Type

Article

Created At

30 Dec 2024