Biomarker performance from multicenter studies at a variety of clinical time points in cardiac surgery and critical illness
Cardiac Surgery | Critical Illness/Sepsis | |||||
---|---|---|---|---|---|---|
Preop AKI Risk Assessment | Early Postop Diagnosis of AKI | AKI Progression | Early Diagnosis of AKI | Classification of AKI (Transient Versus Intrinsic AKI) | Prediction of Dialysis | |
U NGAL | N/A | + | − | + | + | + |
B NGAL | − | + | + | − | ? | − |
U CysC | N/A | − | − | + | + | + |
U IL-18 | N/A | + | + | + | + | + |
U KIM-1a | N/A | + | − | + | − | − |
U protein/albumin | + | + | + | ? | ? | ? |
Preop, preoperative; postop, postoperative; NGAL, neutrophil gelatinase-associated lipocalin; N/A, not applicable (biomarkers of tubular injury have no role in preoperative risk screening); +, data published displays the ability to detect this aspect of AKI; −, data published does not display the ability to detect this aspect of AKI; ?, no large multicenter data published on this biomarker/aspect of AKI; B, blood CysC, cystatin C; KIM-1, kidney injury molecule-1; U, urine.
↵aKIM-1 data from the TRIBE-AKI study are under review.