Serum Neutrophil Gelatinase-Associated Lipocalin Levels In Early Detection Of Contrast-Induced Nephropathy

Abstract

Purpose: The purpose of this study was to investigate the role of serum neutrophil gelatinase-associated lipocalin (NGAL) levels in the early detection of contrast-induced nephropathy (CIN).Methods: This prospective study enrolled 74 patients undergoing abdominal tomography with contrast (1 November 2014 -28 February 2015. Demographic properties (age and sex), symptoms and CT examination results were analysed. Sodium, potassium, urea, creatinine and NGAL levels were measured at 0 th , 6 th , and 72 nd hours. P value < 0.05 was considered statistically significant.Results: CIN developed in 16.2% of the study patients. The mean age was significantly higher in the patients who developed CIN (p<0.05). No significant correlation existed between the occurrence of CIN and patient gender (p>0.05). Urea levels did not differ significantly between the groups at 0 th and 6 th hours (p>0.05) but was significantly higher in the patients with CIN at 72 nd hour (p<0.05). Urea levels did not change significantly over time in the entire group (p>0.05). Creatinine level was not significantly different between the groups (p>0.05) but increased significantly over time (p>0.05). There were no significant differences between the groups with respect to NGAL levels at 0 th and 72 nd hours (p>0.05) whereas the group with CIN had a significantly higher NGAL level at 6 th hour (p<0.05). A NGAL level of 668 mg/dL at 6 th hour had a sensitivity of 100%, specificity of 95%, positive predictive value of 80% and negative predictive value of 100% for the detection of CIN.Conclusion: NGAL may be a useful marker for the early detection of CIN.

Values of serum neutrophil gelatinase-associated lipocalin and cystatin C after percutaneous coronary intervention for early diagnosis of contrast-induced nephropathy

“…It is well-documented that serum or urine NGAL level has high specificity and sensitivity for the early diagnosis of CIN 10 , 11 . Moreover, the NGAL level of the CIN group rises 6 h after PCI 12 . Filiopoulos et al found that the serum NGAL level began to rise in CIN patients 6 h after CT angiography.…”