Impact of point-of-care creatinine monitoring on early detection of acute kidney injury in critical illness.
Acute Kidney Injury
/ blood
Aged
Biomarkers
/ blood
Creatinine
/ blood
Critical Illness
/ therapy
Early Diagnosis
Female
Follow-Up Studies
Humans
Intensive Care Units
Male
Middle Aged
Monitoring, Physiologic
/ methods
Point-of-Care Systems
Reproducibility of Results
Retrospective Studies
Severity of Illness Index
Time Factors
Acute kidney injury
Blood gas
Creatinine
Intensive care unit
Point-of-care
Journal
Journal of nephrology
ISSN: 1724-6059
Titre abrégé: J Nephrol
Pays: Italy
ID NLM: 9012268
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
26
05
2019
accepted:
14
08
2019
pubmed:
13
9
2019
medline:
10
9
2020
entrez:
13
9
2019
Statut:
ppublish
Résumé
To assess the utility and accuracy of creatinine measurement using point-of-care (POC) blood gas analysis compared to standard laboratory assay and to assess the effectiveness of frequent creatinine monitoring using POC blood gas analysis with respect to early detection of acute kidney injury (AKI). We performed a single center retrospective observational study in 398 patients admitted to the intensive care unit. We investigated the clinical concordance of creatinine values measured by POC blood gas analysis (Cr-BG) compared to those measured by laboratory assay (Cr-lab). We compared the time to reach AKI diagnosis according to the KDIGO criteria using Cr-BG (KD-BG) to the standard criteria using Cr-lab (KD-lab). Cr-BG correlated well with Cr-lab for day 1 (n = 375, R The KDIGO criteria using POC blood gas analysis were clinically useful. Frequent creatinine monitoring using POC analysis can allow an earlier detection of AKI.
Identifiants
pubmed: 31512198
doi: 10.1007/s40620-019-00641-y
pii: 10.1007/s40620-019-00641-y
doi:
Substances chimiques
Biomarkers
0
Creatinine
AYI8EX34EU
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
927-935Références
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