Table 2.
Biomarker Concentrations by Contrast-associated Acute Kidney Injury and Major Adverse Kidney Event.
Biomarker | Preangiography |
Postangiography |
||||||
---|---|---|---|---|---|---|---|---|
Median (IQR) |
P Value | P Valuel | Median (IQR) |
P Value | P Valuel | |||
Event | No Event | Event | No Event | |||||
CA-AKI | ||||||||
Urinary [TIMP-2]•[IGFBP7], (ng/mL)2/1000a,b | 0.10 (0.05-0.20) | 0.20 (0.05-0.40) | 0.02 | 0.002 | 0.05 (0.05-0.06) | 0.05 (0.05-0.10) | 0.09 | 0.39 |
Urine creatinine-indexed urinary [TIMP-2]•[IGFBP7], (ng/mL)2/1,000 mg/dLc,d,e | 0.0011 (0.0008-0.0024) | 0.018 (0.001-0.0031) | 0.009 | 0.86 | 0.0012 (0.0008-0.0015) | 0.0013 (0.0009-0.002) | 0.15 | 0.44 |
Plasma BNP, pg/mLf,g | 87.0 (40.0-220.0) | 74.30 (29.0-185.0) | 0.35 | 0.91 | 91.50 (48.0-198.0) | 83.0 (33.0-198.0) | 0.42 | 0.81 |
Serum troponin, ng/mLh,i | 0.02 (0.005-0.05) | 0.02 (0.005-0.04) | 0.18 | 0.25 | 0.02 (0.005-0.05) | 0.02 (0.005-0.05) | 0.54 | 0.10 |
Plasma hs-CRP, mg/Lj,k | 4.60 (1.40-10.40) | 3.50 (1.60-8.20) | 0.41 | 0.65 | 4.80 (1.90-10.40) | 3.30 (1.40-7.40) | 0.08 | 0.06 |
Major adverse kidney events | ||||||||
Urinary [TIMP-2]•[IGFBP7], (ng/mL)2/1,000a,b | 0.20 (0.10-0.35) | 0.16 (0.05-0.30) | 0.12 | 0.48 | 0.05 (0.05-0.20) | 0.05 (0.05-0.10) | 0.06 | 0.41 |
Urine creatinine-indexed urinary [TIMP-2]•[IGFBP7], (ng/mL)2/1,000 mg/dLc,d,e | 0.002 (0.001-0.004) | 0.002 (0.001-0.003) | 0.06 | 0.06 | 0.002 (0.001-0.003) | 0.001 (0.001-0.002) | 0.008 | 0.76 |
Plasma BNP, pg/mLf,g | 200.0 (60.0-349.0) | 71.5 (29.0-172.0) | <0.001 | 0.05 | 165.0 (63.0-386.0) | 81.0 (33.0-189.0) | <0.001 | 0.02 |
Serum troponin, ng/mLh,i | 0.03 (0.02-0.13) | 0.01 (0.005-0.04) | <0.001 | <0.001 | 0.04 (0.02-0.13) | 0.02 (0.005-0.05) | <0.001 | 0.01 |
Plasma hs-CRP, mg/Lj,k | 9.55 (3.70-10.40) | 3.40 (1.50-7.90) | 0.001 | 0.01 | 9.90 (3.50-10.40) | 3.20 (1.40-7.30) | <0.001 | 0.002 |
Abbreviations: IQR, interquartile range; CA-AKI, contrast-associated acute kidney injury; TIMP, tissue inhibitor of matrix metalloproteinase; IGFBP, insulin growth factor binding protein; BNP, β natriuretic peptide; hs-CRP, high-sensitivity C-reactive protein; ng, nanograms; mL, milliliter; pg, picograms; L, liter; dL, deciliter
Preangiography urinary [TIMP-2]•[IGFBP7] concentrations were assayed in 797 patients
Postangiography urinary [TIMP-2]•[IGFBP7] concentrations were assayed in 842 patients
Preangiography urine creatinine-indexed urinary [TIMP-2]•[IGFBP7] concentrations were assayed in 791 patients
Postangiography urine creatinine-indexed urinary [TIMP-2]•[IGFBP7] concentrations were assayed in 836 patients
Normalized for urine creatinine
Preangiograph y plasma BNP concentrations were assayed in 884 patients
Postangiography plasma BNP concentrations were assayed in 838 patients
Preangiography serum troponin concentrations were assayed in 911 patients
Postangiography serum troponin concentrations were assayed in 846 patients
Preangiography plasma hs-CRP concentrations were assayed in 646 patients
Postangiography plasma hs-CRP concentrations were assayed in 592 patients
P values are from a multivariable model that included baseline eGFR and urinary albumin-creatinine ratio as covariates.