Table 3.
Biomarkers Levels Predictive of AKI
| Time point | Cut-Off Value | Sensitivity | Specificity | PPV | NPV |
|---|---|---|---|---|---|
| Urinary L-FABP (μg/gCr) | |||||
| Pre-operation | 11.3 | 0.41 | 0.84 | 0.52 | 0.77 |
| Post anesthesia induction | 4.8 | 0.74 | 0.44 | 0.36 | 0.80 |
| 2 hours post-AXC | 150.5 | 0.83 | 0.78 | 0.61 | 0.92 |
| Post-operation | 129.0 | 0.68 | 0.72 | 0.51 | 0.84 |
| 4 hours post-operation | 93.9 | 0.74 | 0.78 | 0.59 | 0.88 |
| POD 2 | 19.1 | 0.90 | 0.56 | 0.46 | 0.93 |
| Urinary NGAL (mg/gCr) | |||||
| Pre-operation | 8.09 | 0.82 | 0.33 | 0.34 | 0.81 |
| Post anesthesia induction | 7.51 | 0.53 | 0.80 | 0.53 | 0.80 |
| 2 hours post-AXC | 48.67 | 0.72 | 0.89 | 0.73 | 0.88 |
| Post-operation | 16.58 | 0.84 | 0.56 | 0.45 | 0.89 |
| 4 hours post-operation | 41.73 | 0.68 | 0.80 | 0.59 | 0.86 |
| POD 2 | 35.11 | 0.67 | 0.82 | 0.61 | 0.85 |
| Urinary albumin (mg/gCr) | |||||
| Pre-operation | 22.7 | 0.59 | 0.88 | 0.68 | 0.84 |
| Post anesthesia induction | 42.8 | 0.68 | 0.67 | 0.47 | 0.83 |
| 2 hours post-AXC | 607.2 | 0.78 | 0.73 | 0.55 | 0.89 |
| Post-operation | 101.4 | 0.74 | 0.65 | 0.47 | 0.86 |
| 4 hours post-operation | 41.7 | 0.90 | 0.62 | 0.50 | 0.94 |
| POD 2 | 25.5 | 0.83 | 0.67 | 0.52 | 0.90 |
Abbreviations: AKI, acute kidney injury; PPV, positive predictive value; NPV, negative predictive value; L-FABP, liver-type fatty acid binding protein; AXC, aorta cross clamping; POD, post-operative day; NGAL, Neutrophil gelatinase-associated lipocalin.