Table 3.
Performance of IL-18 for AKI diagnosis in studies included in the meta-analysis.
| Study | Time of obtaining specimen | TP | FP | FN | TN | Cutoff value (pg/ml) | Sensitivity (%) | Specificity (%) | AUROC (95%CI) | Assess time (h) |
|---|---|---|---|---|---|---|---|---|---|---|
| Parikh et al. [26] | Day 0, 1, and 3 | 38 | 29 | 14 | 57 | 25 | 74 | 66 | 0.731 | 24 |
| Parikh et al. [20] | Every 2 h for the first 12 h and then once every 12 h | 5 | 1 | 15 | 34 | 50 | 25 | 97 | 0.61 | 4 |
| 10 | 2 | 10 | 33 | 50 | 50 | 94 | 0.75 | 12 | ||
| 12 | 4 | 8 | 31 | 20 | 60 | 89 | 0.73 | 24 | ||
| Washburn et al. [27] | 2 PM each day | 39 | 7 | 64 | 27 | 75 | 38 | 78 | 0.54 (0.31–0.77) | 24 |
| 55 | 10 | 48 | 24 | 75 | 53 | 71 | 0.61 (0.43–0.78) | 48 | ||
| Ling et al. [48] | 24 h after CA | 9 | 7 | 4 | 20 | 15.8 | 69 | 74 | 0.75 (0.58–0.92) | 24 |
| Haase et al. [44] | 6 h after CPB | 2 | 40 | 10 | 40 | 150 | 50 | 50 | 0.53 (0.38–0.68) | 6 |
| Gul et al. [43] | 24 h after CA/PCI | 5 | 6 | 10 | 30 | 0.29 | 33 | 83 | 0.52 (0.37–0.66) | 24 |
| Xin et al. [41] | 2 h after cardiac surgery | 7 | 2 | 2 | 22 | 2200 | 78 | 91 | 0.89 | 2 |
| Liangos et al. [28] | 2 h after CPB | 10 | 31 | 3 | 59 | 92 | 75 | 66 | 0.66 (0.49–0.83) | 2 |
| Liang et al. [45] | 6 h after CPB | 13 | 16 | 17 | 76 | 60a | 43 | 83 | 0.61 (0.52–0.70) | 6 |
| 12h after CPB | 23 | 58 | 7 | 34 | 50a | 77 | 37 | 0.62 (0.53–0.70) | 12 | |
| Endre et al. [29] | Admission | 50 | 83 | 97 | 293 | 36b | 34 | 78 | 0.62 (0.56–0.67) | 0 |
| Parikh et al. [30,31] | Admission | 37 | 83 | 16 | 175 | 125 | 69 | 68 | 0.72 (0.64–0.80) | 48 |
| Parikh et al. [30,31] | Admission, every 6 h | 32 | 209 | 28 | 950 | 60 | 54 | 82 | 0.74 (0.66–0.81) | 48 |
| Doi et al. [42] | Within 12 h of ICU admission | 31 | 56 | 35 | 152 | 133.8 | 47 | 73 | 0.59 (0.51–0.67) | 12 |
| Chen et al. [32] | Admission | 22 | 17 | 22 | 90 | 70 | 50 | 84 | 0.621 (0.504–0.738) | 48 |
| Nickolas et al. [46] | Within 12 h of ICU or emergency department admission | 56 | 398 | 40 | 740 | 36 | 58 | 65 | 0.64 (0.57–0.70) | 12 |
| Torregrosa et al. [47] | 12 h after CA | 8 | 21 | 4 | 56 | 202 | 67 | 73 | 0.73 (0.57–0.89) | 24 |
| 12h after heart surgery | 9 | 13 | 5 | 19 | 249 | 64 | 60 | 0.68 (0.49–0.86) | 24 | |
| Li et al. [33] | 48 h admission later | 7 | 4 | 4 | 47 | 1800c | 64 | 92 | 0.72 (0.52–0.93) | 48 |
| Sirota et al. [34] | 24 h after orthotopic liver transplantation | 5 | 7 | 2 | 26 | NA | 72 | 79 | 0.749 | 24 |
| Zheng et al. [35] | 0, 4, 6, 12, and 24 h after the initiation of CPB | 28 | 11 | 1 | 18 | 49 | 96.6 | 62.1 | 0.835 (0.729–0.940) | 4 |
| Morales-Buenrostro et al. [36] | AKI: 3 days before and until 2 days after the diagnosis Non-AKI: 1, 5 and 10 days after admission |
16 | 0 | 1 | 20 | 150 | 92 | 100 | 0.92 | 48 |
| 15 | 1 | 2 | 19 | 120 | 88 | 95 | 0.93 | 24 | ||
| Nisula et al. [37] | Admission and 24 h later | 103 | 260 | 165 | 911 | 65 | 38.4 | 77.8 | 0.586 (0.546–0.627) | 24 |
| Ren et al. [38] | Admission and 48 h later | 11 | 21 | 0 | 26 | 6.39 | 100 | 56 | 0.819 (0.714–0.923) | 0 |
| Wybraniec et al. [39] | Within 24 h before and 6 h after CA/ PCI | 5 | 20 | 4 | 76 | 118.2 | 56 | 88 | 0.75 | 6 |
| Hayashi et al. [40] | The start of anesthesia, the period of aortic cross-clamping, the period of aortic declamping, the end of the surgery, and on POD | 50 | 175 | 17 | 300 | 18.5 | 75 | 63 | 0.72 (0.66–0.79) | 0 |
| Al-Saegh et al. [50] | 24, 48, and 72 h after admitted in ICU | 26 | 3 | 4 | 45 | 15.63 | 87.5 | 94.4 | 0.946 | 24 |
| Tan et al. [49] | 0, 4, 12, 24, and 48 h after ureteroscopic lithotripsy | 28 | 6 | 8 | 115 | 26.44 | 78.6 | 94.7 | 0.881 (0.815–0.947) | 12 |
IL: interleukin; AKI: acute kidney injury; TP: true positive; FP: false positive; FN: false negative; TN: true negative; AUROC: area under the receiver operating curve; CI: confidence interval; CA: coronary angiography; CPB: cardiopulmonary bypass; ICU: intensive care unit; CA/PCI: coronary angiography/percutaneous coronary interventions; NA: not available; POD: post-operative day.
ng/mg UCr.
(pg/ml)/mmol/l Cr.
pg/mg UCr.