Biomarkers in acute kidney injury

被引:9
作者
Ostermann, Marlies [1 ]
Legrand, Matthieu [2 ]
Meersch, Melanie [3 ]
Srisawat, Nattachai [4 ,5 ]
Zarbock, Alexander [2 ,3 ]
Kellum, John A. [6 ]
机构
[1] Guys & St Thomas NHS Fdn Trust, Dept Crit Care, London SE1 7EH, England
[2] Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, Div Crit Care Med, San Francisco, CA USA
[3] Univ Hosp Munster, Dept Anesthesiol Intens Care & Pain Med, Munster, Germany
[4] Chulalongkorn Univ, Fac Med, Div Nephrol, Dept Med, Bangkok, Thailand
[5] Chulalongkorn Univ, Ctr Excellence Crit Care Nephrol, Bangkok, Thailand
[6] Univ Pittsburgh, Dept Crit Care Med, Pittsburgh, PA USA
来源
ANNALS OF INTENSIVE CARE | 2024年 / 14卷 / 01期
关键词
GELATINASE-ASSOCIATED LIPOCALIN; RENAL REPLACEMENT THERAPY; BINDING-PROTEIN; 7; TISSUE INHIBITOR; URINARY; AKI; RECOVERY;
D O I
10.1186/s13613-024-01360-9
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Acute kidney injury (AKI) is a multifactorial syndrome with a high risk of short- and long-term complications as well as increased health care costs. The traditional biomarkers of AKI, serum creatinine and urine output, have important limitations. The discovery of new functional and damage/stress biomarkers has enabled a more precise delineation of the aetiology, pathophysiology, site, mechanisms, and severity of injury. This has allowed earlier diagnosis, better prognostication, and the identification of AKI sub-phenotypes. In this review, we summarize the roles and challenges of these new biomarkers in clinical practice and research.
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页数:12
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