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. 2023 Sep 1;18:44. doi: 10.1186/s13017-023-00512-9

Table 2.

Ranking of twelve best biomarkers according to Youden index

Any stage Transmural Overall
Biomarker Youden index Biomarker Youden index Biomarker Youden index
1 IMA 0.85 I-FABP urine 0.77 IMA * 0.85
2 IL-6 0.82 IL-6 0.73 IL-6 # 0.79
3 PCT 0.68 D-dimer 0.71 I-FABP urine 0.67
4 I-FABP serum 0.63 I-FABP serum 0.68 PCT 0.67
5 alpha-GST 0.61 PCT 0.62 I-FABP serum 0.64
6 CRP 0.60 CRP 0.56 alpha-GST * 0.61
7 I-FABP urine 0.58 L-lactate 0.50 D-dimer 0.60
8 D-dimer 0.57 D-lactate 0.38 CRP 0.58
9 NLR 0.54 WBC 0.37 D-lactate 0.55
10 D-lactate 0.50 LDH 0.34 NLR 0.47
11 Citrulline 0.46 PLR 0.31 Citrulline * 0.46
12 L-lactate 0.42 pH 0.18 L-lactate 0.44

Alpha-GST—alpha glutathione S transferase (alpha-GST); CRP—C-reactive protein; I-FABP—intestinal fatty acid-binding protein; IL-6—interleukin 6; IMA—ischaemia-modified albumin; LDH—lactate dehydrogenase; NLR—neutrophil–lymphocyte ratio; PCT—procalcitonin; PLR—platelet–lymphocyte ratio; WBC—white blood cell count

Any stage—studies assessing different stages of AMI, including but not limited to non-transmural and transmural; Transmural—studies assessing transmural AMI, with control group including non-transmural AMI; Overall—all studies pooled independent of stage and type of AMI

*No study on transmural acute mesenteric ischaemia of any type

#No study on non-occlusive mesenteric ischaemia