Serum Cystatin C within 24 hours after admission: a potential predictor for acute kidney injury in Chinese patients with community acquired pneumonia
AbstractBackground Acute kidney injury (AKI) is common in patients with community-acquired pneumonia (CAP), and is associated with poor prognosis. Therefore, in this study, we evaluated whether AKI in Chinese patients with CAP could be well predicted by serum Cystatin C within 24 h after admission.M...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Renal Failure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2023.2194444 |
| _version_ | 1797658505508814848 |
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| author | Dawei Chen Linglin Jiang Yan Tan Jing Zhao Wenjuan Huang Binbin Pan Xin Wan |
| author_facet | Dawei Chen Linglin Jiang Yan Tan Jing Zhao Wenjuan Huang Binbin Pan Xin Wan |
| author_sort | Dawei Chen |
| collection | DOAJ |
| description | AbstractBackground Acute kidney injury (AKI) is common in patients with community-acquired pneumonia (CAP), and is associated with poor prognosis. Therefore, in this study, we evaluated whether AKI in Chinese patients with CAP could be well predicted by serum Cystatin C within 24 h after admission.Methods Univariate and multivariate logistic regression analyses were used to investigate independent factors of AKI in patients with CAP.Results Totally, 2716 patients with CAP were included in this study. 766 (28%) patients developed AKI. After multivariate logistic regression analysis, serum Cystatin C (odds ratio [OR] 4.27, 95% confidence interval [CI] 3.36–5.44; p < 0.001) was an independent factor for AKI in patients with CAP. Serum Cystatin C had an area under the receiver operating characteristic curve (AUC) of 0.81 for predicting AKI, with an optimal cutoff value of 1.37 mg/L, computing 68% sensitivity, 80% specificity. Furthermore, serum Cystatin C within 24 h after admission still had a good and stable prediction efficiency for AKI in various subgroups (age, gender, hypertension, diabetes, coronary artery disease, cardiac insufficiency, cerebrovascular disease, atrial fibrillation, chronic obstructive pulmonary disease, chronic kidney disease, and tumor, albumin, anemia, platelet count, white blood cell count, and uric acid, confusion, uremia, respiratory rate, blood pressure, and age 65 years or older [CURB-65] score, acute respiratory failure, intensive care unit admission, and mechanical ventilation) of patients with CAP (AUCs: 0.69–0.84).Conclusion Serum Cystatin C within 24 h after admission appears to be a good biomarker for predicting AKI in Chinese patients with CAP. |
| first_indexed | 2024-03-11T17:59:57Z |
| format | Article |
| id | doaj.art-5654173e8ca444c2adc55d7dfc09c41e |
| institution | Directory Open Access Journal |
| issn | 0886-022X 1525-6049 |
| language | English |
| last_indexed | 2024-03-11T17:59:57Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj.art-5654173e8ca444c2adc55d7dfc09c41e2023-10-17T09:23:23ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492023-12-0145110.1080/0886022X.2023.2194444Serum Cystatin C within 24 hours after admission: a potential predictor for acute kidney injury in Chinese patients with community acquired pneumoniaDawei Chen0Linglin Jiang1Yan Tan2Jing Zhao3Wenjuan Huang4Binbin Pan5Xin Wan6Department of Nephrology, Nanjing First Hospital, Nanjing Medical University, Nanjing, P.R. ChinaDepartment of Nephrology, Nanjing First Hospital, Nanjing Medical University, Nanjing, P.R. ChinaDepartment of Respiratory Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, P.R. ChinaDepartment of Nephrology, Nanjing First Hospital, Nanjing Medical University, Nanjing, P.R. ChinaDepartment of Nephrology, Nanjing First Hospital, Nanjing Medical University, Nanjing, P.R. ChinaDepartment of Nephrology, Nanjing First Hospital, Nanjing Medical University, Nanjing, P.R. ChinaDepartment of Nephrology, Nanjing First Hospital, Nanjing Medical University, Nanjing, P.R. ChinaAbstractBackground Acute kidney injury (AKI) is common in patients with community-acquired pneumonia (CAP), and is associated with poor prognosis. Therefore, in this study, we evaluated whether AKI in Chinese patients with CAP could be well predicted by serum Cystatin C within 24 h after admission.Methods Univariate and multivariate logistic regression analyses were used to investigate independent factors of AKI in patients with CAP.Results Totally, 2716 patients with CAP were included in this study. 766 (28%) patients developed AKI. After multivariate logistic regression analysis, serum Cystatin C (odds ratio [OR] 4.27, 95% confidence interval [CI] 3.36–5.44; p < 0.001) was an independent factor for AKI in patients with CAP. Serum Cystatin C had an area under the receiver operating characteristic curve (AUC) of 0.81 for predicting AKI, with an optimal cutoff value of 1.37 mg/L, computing 68% sensitivity, 80% specificity. Furthermore, serum Cystatin C within 24 h after admission still had a good and stable prediction efficiency for AKI in various subgroups (age, gender, hypertension, diabetes, coronary artery disease, cardiac insufficiency, cerebrovascular disease, atrial fibrillation, chronic obstructive pulmonary disease, chronic kidney disease, and tumor, albumin, anemia, platelet count, white blood cell count, and uric acid, confusion, uremia, respiratory rate, blood pressure, and age 65 years or older [CURB-65] score, acute respiratory failure, intensive care unit admission, and mechanical ventilation) of patients with CAP (AUCs: 0.69–0.84).Conclusion Serum Cystatin C within 24 h after admission appears to be a good biomarker for predicting AKI in Chinese patients with CAP.https://www.tandfonline.com/doi/10.1080/0886022X.2023.2194444Cystatin Cbiomarkeracute kidney injurycommunity-acquired pneumonia |
| spellingShingle | Dawei Chen Linglin Jiang Yan Tan Jing Zhao Wenjuan Huang Binbin Pan Xin Wan Serum Cystatin C within 24 hours after admission: a potential predictor for acute kidney injury in Chinese patients with community acquired pneumonia Renal Failure Cystatin C biomarker acute kidney injury community-acquired pneumonia |
| title | Serum Cystatin C within 24 hours after admission: a potential predictor for acute kidney injury in Chinese patients with community acquired pneumonia |
| title_full | Serum Cystatin C within 24 hours after admission: a potential predictor for acute kidney injury in Chinese patients with community acquired pneumonia |
| title_fullStr | Serum Cystatin C within 24 hours after admission: a potential predictor for acute kidney injury in Chinese patients with community acquired pneumonia |
| title_full_unstemmed | Serum Cystatin C within 24 hours after admission: a potential predictor for acute kidney injury in Chinese patients with community acquired pneumonia |
| title_short | Serum Cystatin C within 24 hours after admission: a potential predictor for acute kidney injury in Chinese patients with community acquired pneumonia |
| title_sort | serum cystatin c within 24 hours after admission a potential predictor for acute kidney injury in chinese patients with community acquired pneumonia |
| topic | Cystatin C biomarker acute kidney injury community-acquired pneumonia |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2023.2194444 |
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