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Nguyen Duy T, Dao Bui Quy Q, Nguyen Duc L, Ho Viet Le D, Le Ha K, Do Gia T, Nguyen Trung K, Nguyen Van T, Nguyen Oanh O, Le Viet T. The Ratio of Contrast Volume/Glomerular Filtration Rate and Urine NGAL Predicts the Progression of Acute Kidney Injury to Chronic Kidney Disease in Patients After Planned Percutaneous Coronary Intervention. Int J Gen Med 2023; 16:4525-4535. [PMID: 37814641 PMCID: PMC10560475 DOI: 10.2147/ijgm.s426670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 09/22/2023] [Indexed: 10/11/2023] Open
Abstract
Objective To evaluate the value of contrast volume/glomerular filtration ratio (Vc/eGFR ratio) and urine Neutrophil Gelatinase-Associated Lipocalin (uNGAL) in predicting the progression contract associated-acute kidney injury (CA-AKI) to chronic kidney disease (CKD) in planned percutaneous coronary intervention (PCI) patients. Patients and Methods We examined 387 adult patients who had undergone planned percutaneous coronary intervention (PCI). We determined acute kidney injury (AKI) and chronic kidney disease (CKD) using the criteria set by the Kidney Disease: Improving Global Outcomes (KDIGO). We calculated the estimated glomerular filtration rate (eGFR) using the CKD-EPI formula based on serum creatinine levels. To determine the Vc/eGFR ratio, we considered the contrast medium volume and eGFR for each patient. Additionally, we measured urine NGAL levels using the ELISA method. Results The percentage of CA-AKI patients who developed CKD after planned PCI was 36.36%. Within the CA-AKI to CKD group, the Vc/eGFR ratio was 2.82, and uNGAL levels were significantly higher at 72.74 ng/mL compared to 1.93 ng/mL for Vc/eGFR ratio and 46.57 ng/mL for uNGAL in the recovery CA-AKI group. This difference was statistically significant (p<0.001). Diabetic mellitus, urine NGAL concentration, and Vc/eGFR ratio were found to be independent factors in the progression of CA-AKI to CKD. The Vc/eGFR ratio and uNGAL showed predictive capabilities for progressing CA-AKI to CKD with an AUC of 0.884 and 0.878, respectively. The sensitivity was 81.3% for both, while the specificity was 89.3% for Vc/eGFR ratio and 85.7% for uNGAL. Conclusion The Vc/eGFR ratio and uNGAL were good predictors for CA-AKI to CKD in planned PCI patients.
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Affiliation(s)
- Toan Nguyen Duy
- Military Hospital 103, Hanoi, Vietnam
- Vietnam Military Medical University, Hanoi, Vietnam
| | | | | | | | - Khoa Le Ha
- Hanoi Medical University, Hanoi, Vietnam
| | | | - Kien Nguyen Trung
- Military Hospital 103, Hanoi, Vietnam
- Vietnam Military Medical University, Hanoi, Vietnam
| | - Tam Nguyen Van
- Military Hospital 103, Hanoi, Vietnam
- Vietnam Military Medical University, Hanoi, Vietnam
| | - Oanh Nguyen Oanh
- Military Hospital 103, Hanoi, Vietnam
- Vietnam Military Medical University, Hanoi, Vietnam
| | - Thang Le Viet
- Military Hospital 103, Hanoi, Vietnam
- Vietnam Military Medical University, Hanoi, Vietnam
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Huynh Thanh L, Dao Bui Quy Q, Nguyen Manh K, Nguyen Huu D, Nguyen Trung K, Le Viet T. Preoperative urine neutrophil gelatinase-associated lipocalin predicts mortality in colorectal cancer patients after laparoscopic surgery: A single-center study. Health Sci Rep 2023; 6:e1612. [PMID: 37808929 PMCID: PMC10556407 DOI: 10.1002/hsr2.1612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Revised: 09/18/2023] [Accepted: 09/22/2023] [Indexed: 10/10/2023] Open
Abstract
Purpose To determine the rate of acute kidney injury (AKI) after laparoscopic colorectal cancer (CRC) surgery and the predictive value of urine neutrophil gelatinase-associated lipocalin (uNGAL) for postoperative AKI and mortality during 3 years of follow-up. Methods A total of 216 CRC patients who had undergone laparoscopic surgery were included in our study. We divided all patients into two groups, including group 1 (n = 31) with postoperative AKI and group 2 (n = 185) without postoperative AKI. Urine NGAL was measured using the ELISA technique. Clinical and laboratory data were collected the day before surgery. Postoperative AKI included events occurring within 7 days of the index operation, and mortality was obtained during 3 years of follow-up. Results The ratio of postoperative AKI was 14.35% (31/216 patients). The urine NGAL level in group 1 was significantly higher than in group 2, p < 0.001. At cut-off value = 14.94 ng/mL, uNGAL has a predictive value for AKI (area under the curve [AUC] = 0.858, p < 0.001). After 3 years of follow-up, the total mortality rate was 7.9%. The mortality rate in group 1 (45.2%) was significantly higher than in group 2 (1.6%) with p < 0.001). At cut-off value = 19.85 ng/mL, uNGAL has a predictive value for mortality (AUC = 0.941, p < 0.001). Conclusions The rate of acute kidney injury after laparoscopic CRC surgery was 14.35%. Preoperative urine NGAL has a good predictive value for postoperative acute kidney injury and mortality during 3 years of follow-up.
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Affiliation(s)
- Long Huynh Thanh
- Nguyen Tri Phuong HospitalHo Chi MinhVietnam
- Nguyen Tat Thanh UniversityHo Chi MinhVietnam
| | | | | | | | - Kien Nguyen Trung
- Military Hospital 103Ha NoiVietnam
- Vietnam Military Medical UniversityHa NoiVietnam
| | - Thang Le Viet
- Military Hospital 103Ha NoiVietnam
- Vietnam Military Medical UniversityHa NoiVietnam
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Nguyen Duy T, Dao Bui Quy Q, Ho Viet Le D, Le Ha K, Nguyen Huu D, Nguyen Trung K, Tran Van D, Nguyen Oanh O, Luong Cong T, Tran Duc H, Le Viet T. Urinary neutrophil gelatinase-associated lipocalin predicted to contrast-associated acute kidney injury after planned percutaneous coronary intervention in elderly patients. J Clin Lab Anal 2022; 36:e24757. [PMID: 36357318 PMCID: PMC9757015 DOI: 10.1002/jcla.24757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 10/24/2022] [Accepted: 10/25/2022] [Indexed: 11/12/2022] Open
Abstract
AIM To determine the proportion of contrast-associated acute kidney injury (CA-AKI) after percutaneous coronary intervention (PCI) and the predictive value of urine neutrophil gelatinase-associated lipocalin (uNGAL) for CA-AKI in elderly patients with chronic coronary artery disease. METHODS A total of 509 patients who had planned percutaneous coronary intervention (mean age was 63.58 ± 11.63 years and 63.3% of males) were divided into two groups: group 1 (n = 153; elderly patients) with ≥70 years old and group 2 (n = 356) with <70 years old. Urine NGAL was measured by the ELISA method. Clinical and laboratory data were collected on the day before intervention. CA-AKI was defined based on Kidney Disease: Improving Global Outcomes criteria. RESULTS The ratio of CA-AKI in group 1 was 23.5% which was higher than that of group 2 (8.7%) with a p-value < 0.001. Urine NGAL level in group 1 was significantly higher than that of group 2 [31.3 (19.16-55.13) ng/ml vs. 19.86 (13.21-29.04) ng/ml, p < 0.001]. At a cut-off value of 44.43 ng/ml, uNGAL had a predictive value for CA-AKI in all patients (AUC = 0.977, p < 0.001). Especially at a cut-off value of 44.14 ng/ml, uNGAL had a predictive value for CA-AKI in elderly patients (AUC = 0.979, p < 0.001). CONCLUSIONS The rate of CA-AKI after PCI in elderly patients was 23.5%. Urine NGAL before PCI had a good predictive value for CA-AKI in elderly patients with chronic coronary artery disease.
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Affiliation(s)
- Toan Nguyen Duy
- Military Hospital 103HanoiVietnam,Vietnam Military Medical UniversityHanoiVietnam
| | | | | | | | | | - Kien Nguyen Trung
- Military Hospital 103HanoiVietnam,Vietnam Military Medical UniversityHanoiVietnam
| | - Duy Tran Van
- Military Hospital 103HanoiVietnam,Vietnam Military Medical UniversityHanoiVietnam
| | - Oanh Nguyen Oanh
- Military Hospital 103HanoiVietnam,Vietnam Military Medical UniversityHanoiVietnam
| | - Thuc Luong Cong
- Military Hospital 103HanoiVietnam,Vietnam Military Medical UniversityHanoiVietnam
| | - Hung Tran Duc
- Military Hospital 103HanoiVietnam,Vietnam Military Medical UniversityHanoiVietnam
| | - Thang Le Viet
- Military Hospital 103HanoiVietnam,Vietnam Military Medical UniversityHanoiVietnam
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Nguyen Huu D, Dao Bui Quy Q, Nguyen Minh T, Nguyen Duc L, Truong Dinh C, Trung KN, Do Q, Tran Viet T, Le Viet T. Low serum prealbumin concentration predicts long-term mortality in maintenance hemodialysis patients with hepatitis B and/or C virus infections. JGH Open 2021; 5:1344-1350. [PMID: 34950777 PMCID: PMC8674549 DOI: 10.1002/jgh3.12677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Revised: 10/13/2021] [Accepted: 11/04/2021] [Indexed: 11/08/2022]
Abstract
Background and Aim A low serum prealbumin concentration is common in maintenance hemodialysis patients with hepatitis B and C and may be associated with mortality. In this study, we assessed Department of Nephrology and Hemodialysis predictive value of a low serum prealbumin concentration on mortality in HD patients using reused low-flux dialyzers who were infected with hepatitis B and/or C virus. Methods We used serum prealbumin levels to predict the long-term mortality of 326 hemodialysis patients. The patients were divided into two groups: group 1 (n = 140, with hepatitis B and/or C virus infections), and group 2 (n = 186, without hepatitis virus infections). Results During a 5-year follow-up, there were 75 deaths due to all-cause mortality (23.0%). Mortality was significantly higher (P < 0.001) in patients with hepatitis B and/or C infection (44%) than in those without hepatitis infection (8%). Serum prealbumin was lower in the hepatitis infected group and mortality group than in non-infected group and survival group. Multivariate Cox regression analysis showed that long duration of HD and lower serum prealbumin and albumin were related to mortality in patients undergoing maintenance HD. Receiver operating characteristic curves showed that serum prealbumin had a good prognostic value in predicting mortality in both groups with hepatitis B and/or C virus infection and without hepatitis infection (AUC = 0.792 [95% confidence interval: 0.714-0.87], P < 0.001; cut-off value = 24.5 mg/dl, sensitivity = 62.3%, and specificity = 88.6%). Conclusion In HD patients, serum prealbumin was a good prognostic biomarker of mortality in both groups of patients with hepatitis B and/or C virus infections and without hepatitis infections.
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Affiliation(s)
- Dung Nguyen Huu
- Center of Uro-Nephrology-Hemodialysis Bach Mai Hospital Ha Noi Viet Nam
| | | | - Tuan Nguyen Minh
- Department of Hemodialysis Cho Ray Hospital Ho Chi Minh Viet Nam
| | - Loc Nguyen Duc
- Department of Hemodialysis An Sinh Hospital Ho Chi Minh Viet Nam
| | | | - Kien Nguyen Trung
- Center of Hematology and Blood Transfusion Military Hospital 103 Ha Noi Viet Nam
| | - Quyet Do
- Director, Viet Nam Military Medical University Ha Noi Viet Nam
| | | | - Thang Le Viet
- Department of Nephrology - Hemodialysis Military Hospital 103 Ha Noi Viet Nam
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Dao Bui Quy Q, Pham Ngoc Huy T, Nguyen Minh T, Nguyen Duc L, Nguyen Minh T, Nguyen Trung K, Tran Viet T, Do Q, Le Viet T. High Serum Uric Acid and High-Sensitivity C Reactive Protein Concentrations Predict Three-Year Cardiovascular Mortality in Patients Treated With Continuous Ambulatory Peritoneal Dialysis. Cureus 2021; 13:e17900. [PMID: 34532198 PMCID: PMC8435087 DOI: 10.7759/cureus.17900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/11/2021] [Indexed: 12/03/2022] Open
Abstract
AIMS This study aims to access the predicting value of serum uric acid (UA) and high-sensitivity C reactive protein (hs-CRP) concentration on three-year cardiovascular-related mortality in patients performing continuous ambulatory peritoneal dialysis (CAPD). METHODS A total of267 CAPD patients [150 male (56.2%); mean age 48.93 ± 13.58 years] were included in our study. All patients had measured serum UA and hs-CRP concentration. A high-sensitivity particle-enhanced immunoturbidimetric assay determined serum hs-CRP; serum UA levels were determined using an enzymatic colorimetric assay. All patients were followed for three years to detect cardiovascular-related mortality by cardiologists and stroke specialists. RESULTS Mean serum UA level was 415.16 ± 84.28 µmol/L, 58.4% of patients had increased serum UA level. Median serum hs-CRP level was 2 (1-4) mg/L, 12.4% of patients had increased serum hs-CRP level. During 36 months of follow-up, 41 patients (15.4%) had cardiovascular-related mortality. The results of Cox proportional hazards regression showed that hypertension, diabetes, high serum UA and hs-CRP were risk factors that related to cardiovascular-related mortality (p<0.05). The receiver operating characteristic (ROC) curve and Kaplan-Meier analysis results showed that UA and hs-CRP level had predictive value for three-year cardiovascular-related mortality in CAPD patients [uric acid: area under the curve (AUC)=0.822; hs-CRP: AUC=0.834, p < 0.001]. CONCLUSION High serum UA and hs-CRP levels were predictive factors of cardiovascular-related mortality in CAPD patients.
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Affiliation(s)
| | | | | | | | | | | | | | - Quyet Do
- Director, Vietnam Military Medical University, Hanoi, VNM
| | - Thang Le Viet
- Nephrology and Hemodialysis, Military Hospital 103, Hanoi, VNM
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Do Van T, Nguyen Minh T, Dao Bui Quy Q, Pham Quoc T, Nguyen Duy T, Nguyen Trung K, Nguyen Cong H, Le Thi Huong L, Bui Thi Thu H, Tran Viet T, Do Q, Can Van M, Le Viet T. Serum osteoprotegerin level in hemodialysis patients using low-flux reused dialyzer in relation to atherosclerosis. J Clin Lab Anal 2021; 35:e23886. [PMID: 34173983 PMCID: PMC8373337 DOI: 10.1002/jcla.23886] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 06/07/2021] [Accepted: 06/17/2021] [Indexed: 01/01/2023] Open
Abstract
AIMS To assess the relation of high serum OPG level and carotid atherosclerosis in maintenance hemodialysis (MHD) patients using low-flux reused dialyzer. MATERIALS AND METHODS We examined 209 MHD patients with and without carotid atherosclerosis (83 patients and 126 patients) to establish the relation between OPG and atherosclerosis. RESULTS The proportion of carotid atherosclerosis was 39.7%. The median serum OPG level was 45.3 pmol/L. Serum OPG had a good predicting value for atherosclerosis in MHD patients using low-flux reused dialyzer (AUC = 0.934, p < 0.001, cutoff value = 43.35 pmol/L, Se = 81.3%, Sp = 90.9%). CONCLUSIONS In this study, serum OPG had a good predicting value for atherosclerosis in MHD patients using low-flux reused dialyzer.
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Affiliation(s)
- Tung Do Van
- Thai Nguyen National Hospital, Thai Nguyen, Viet Nam.,Viet Nam Military Medical University, Ha Noi, Viet Nam
| | | | | | - Toan Pham Quoc
- Viet Nam Military Medical University, Ha Noi, Viet Nam.,Military Hospital 103, Ha Noi, Viet Nam
| | - Toan Nguyen Duy
- Viet Nam Military Medical University, Ha Noi, Viet Nam.,Military Hospital 103, Ha Noi, Viet Nam
| | - Kien Nguyen Trung
- Viet Nam Military Medical University, Ha Noi, Viet Nam.,Military Hospital 103, Ha Noi, Viet Nam
| | | | | | | | - Tien Tran Viet
- Viet Nam Military Medical University, Ha Noi, Viet Nam.,Military Hospital 103, Ha Noi, Viet Nam
| | - Quyet Do
- Viet Nam Military Medical University, Ha Noi, Viet Nam
| | - Mao Can Van
- Viet Nam Military Medical University, Ha Noi, Viet Nam
| | - Thang Le Viet
- Viet Nam Military Medical University, Ha Noi, Viet Nam.,Military Hospital 103, Ha Noi, Viet Nam
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Dao Bui Quy Q, Pham Ngoc Huy T, Nguyen Duc L, Pham Van M, Nguyen Huu D, Nguyen Duy T, Tran Viet T, Do Q, Le Viet T. Overhydration and low serum prealbumin predict peritoneal dialysis-related peritonitis in continuous ambulatory peritoneal dialysis patients. BMC Nephrol 2020; 21:512. [PMID: 33238904 PMCID: PMC7690099 DOI: 10.1186/s12882-020-02178-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Accepted: 11/19/2020] [Indexed: 11/11/2022] Open
Abstract
Background In this study, we focused on the role of overhydration (OH) and low serum prealbumin concentration in predicting peritonitis in continuous ambulatory peritoneal dialysis (CAPD) patients over a 3-year period. Methods We measured serum prealbumin concentration and OH by body composition monitor in 278 CAPD patients (159 males and 119 females) with a mean age of 46 years and a median peritoneal dialysis (PD) duration of 21 months. Cases of PD-related peritonitis were collected over 3 years. Results After the 3-year follow-up, 44 patients were diagnosed with PD-related peritonitis (15.8%). Low education, serum glucose, prealbumin, and OH were independent risk factors for predicting peritonitis over 36 months in CAPD patients. Based on the ROC curve model and Kaplan-Meier analysis, we realized that low prealbumin and high OH were independent predictors of 3-year peritonitis in CAPD patients (Prealbumin: AUC = 0.838, cut-off value = 32.5 mg/dL, Se = 90.9%, Sp = 32.9%; OH: AUC = 0.851, cut-off value = 1.33 L, Se = 79.5%, Sp = 85.5%; and log-rank test p < 0.001, respectively). Conclusion Overhydration and low serum prealbumin were the independent predictors of PD-related peritonitis in CAPD patients.
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Affiliation(s)
| | | | | | - My Pham Van
- University of Medicine Pham Ngoc Thach, Ho Chi Minh, Viet Nam
| | | | - Toan Nguyen Duy
- Military Hospital 103, Ha Noi, Viet Nam.,Vietnam Military Medical University, Ha Noi, Viet Nam
| | - Tien Tran Viet
- Military Hospital 103, Ha Noi, Viet Nam.,Vietnam Military Medical University, Ha Noi, Viet Nam
| | - Quyet Do
- Vietnam Military Medical University, Ha Noi, Viet Nam
| | - Thang Le Viet
- Military Hospital 103, Ha Noi, Viet Nam. .,Vietnam Military Medical University, Ha Noi, Viet Nam.
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Nguyen Huu D, Dao Bui Quy Q, Nguyen Thi Thu H, Phan The C, Nguyen Thi Hong Q, Nguyen Duc L, Do Q, Le Viet T. A Combination of Hemodialysis with Hemoperfusion Helped to Reduce the Cardiovascular-Related Mortality Rate after a 3-Year Follow-Up: A Pilot Study in Vietnam. Blood Purif 2020; 50:65-72. [PMID: 32615576 DOI: 10.1159/000507912] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Accepted: 04/15/2020] [Indexed: 11/19/2022]
Abstract
AIMS Moderate to severe hyperparathyroidism (parathyroid hormone [PTH] concentrations ≥600 pg/mL) may increase the risk of cardiovascular problems and bone disease. We assume that a combination of hemodialysis with hemoperfusion may reduce the cardiovascular-related mortality rate in maintenance hemodialysis. SUBJECTS AND METHODS From 625 maintenance hemodialysis patients, 93 people met with our inclusion criteria. Based on the level of serum PTH, the patients were divided into 2 groups: 46 patients who underwent a combination of hemodialysis and hemoperfusion (HD + HP group) for consecutive 3 years and 47 patients who used hemodialysis only (HD group). RESULTS During 3 years of follow-up, the ratio of mortality was 4.3% in the HD + HP group which was significantly lower than in the HD group (17%), p = 0.049. Based on Kaplan-Meier analysis of cardiovascular-related mortality, patients in the HD group (red line) exhibited a significantly higher death rate compared to the HD + HP group (violet line) (log-rank test, p = 0.049). CONCLUSION We demonstrated that a combination of hemodialysis and hemoperfusion for 3 years helped to reduce the cardiovascular-related mortality rate.
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Affiliation(s)
| | | | | | | | | | | | - Quyet Do
- Vietnam Military Medical University, Ha Noi, Vietnam
| | - Thang Le Viet
- Vietnam Military Medical University, Ha Noi, Vietnam, .,Military Hospital 103, Ha Noi, Vietnam,
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