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Urinary Neutrophil Gelatinase-Associated Lipocalin as an Early Biomarker

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dc.contributor.author Tabel, Y
dc.contributor.author Elmas, A
dc.contributor.author Ipek, S
dc.contributor.author Karadag, A
dc.contributor.author Elmas, O
dc.contributor.author Ozyalin, F
dc.date.accessioned 2022-03-30T13:09:20Z
dc.date.available 2022-03-30T13:09:20Z
dc.date.issued 2014
dc.identifier.uri http://hdl.handle.net/11616/59273
dc.description.abstract BackgroundOur aims are to determine whether the urinary neutrophil gelatinase-associated lipocalin (uNGAL) can predict acute kidney injury (AKI) development in nonseptic and nonasphyxiated but critically ill preterm infants.
dc.description.abstract MethodsFifty preterm infants, gestational age (GA) between 28 and 34 weeks, were included in this case control study. Blood and urine samples were taken for blood urea nitrogen, serum creatinine, and uNGAL on postnatal (PN) days 1 and 7. uNGAL levels were measured by enzyme-linked immunoassay. Clinical and laboratory characteristics of the AKI group were compared with the non-AKI group.
dc.description.abstract ResultsAKI was diagnosed in six infants during the first week. The median uNGAL levels were significantly higher in the preterm infants with AKI than those of the controls on PN days 1 and 7 (p=0.006 and p=0.023, respectively). Backward stepwise logistic regression analysis identified that 5-minute Apgar score and uNGAL levels were significantly associated with the development of AKI, even after controlling for GA, birth weight, gender, and 1-minute Apgar score in nonseptic and nonasphyxiated but critically ill preterm infants.
dc.description.abstract ConclusionsuNGAL can be useful as a predictive marker of AKI in nonseptic and nonasphyxiated but critically ill preterm infants.
dc.source AMERICAN JOURNAL OF PERINATOLOGY
dc.title Urinary Neutrophil Gelatinase-Associated Lipocalin as an Early Biomarker
dc.title for Prediction of Acute Kidney Injury in Preterm Infants


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