| 논문분류 | 춘계학술대회 초록집 |
|---|---|
| 제목 | Serum procalcitonin as a predictor for the development of acute kidney injury in critically ill patients. |
| 저자 | Chana Myoung*, Eun Yeong Cho1, Hong-Suk Park1, Ae Jin Kim1, Han Ro1, Jae Hyun Chang1, Hyun Hee Lee1, Wookyung Chung1, Ji Yong Jung1 |
| 출판정보 | 2016; 2016(1): |
| 키워드 | Acute Kidney Injury, Critically Ill Patients, Procalcitonin |
| 초록 | Background: Procalcitonin (PCT) has been recognized as one of useful markers for the diagnosis of systemic inflammatory response syndrome. In addition, it has been reported that PCT is affected by renal function. However, there are few studies regarding the relationships between PCT and the development of acute kidney injury (AKI). Hence, we investigated whether serum PCT levels at the time of admission can predict the development of AKI and clinical outcomes. Methods: We retrospectively analyzed data of 790 patients in whom PCT were measured on admission to the intensive care unit. We attempted to investigate that the serum PCT level at the time of admission could be as a predictor for development of AKI according to the groups classified in to the septic and the non-septic patients and risk factor for all-cause mortality. Results: The serum PCT levels were significantly higher in patients with AKI than in those without AKI (P < 0.001). After adjustment of confounding factors, PCT still remained an independent risk factor for AKI (odds ratio [OR], 2.152; 95% confidence intervals [CI], 1.414–3.276; P < 0.001). The OR (95% CI) for AKI development among those with and without sepsis were 2.745 (1.278–5.896, P = 0.010) and 1.989 (1.159–3.416, P = 0.013), respectively. Conclusion: Serum PCT level could be used as a marker to predict the possibility of AKI in critically ill patients admitted to the ICU. |
| 원문(PDF) | PDF 원문보기 |