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Table 3 Performance of AKI markers for predicting persistent AKI

From: Urine cell cycle arrest biomarkers distinguish poorly between transient and persistent AKI in early septic shock: a prospective, multicenter study

Parameters

Sample (n)

AUROC [95% CI]

Cutoff value

Younden index

Sensitivity [95% CI]

Specificity [95% CI]

PPV [95% CI]

NPV [95% CI]

Brier score#

[TIMP-2]*[IGFBP7] at 0 h ([ng/ml]2/1000)

184

0.67 [0.59–0.73]

> 1.03

0.33

74 [63–83]

59 [48–68]

59 [53–66]

73 [65–80]

0.23

[TIMP-2]*[IGFBP7] at 6 h ([ng/ml]2/1000)

172

0.73 [0.66–0.80]

> 2.3

0.36

48 [36–60]

88 [79–93]

75 [63–84]

68 [63–73]

0.21

[TIMP-2]*[IGFBP7] at 12 h ([ng/ml]2/1000)

165

0.70 [0.63–0.77]

> 1.1

0.39

56 [44–68]

83 [74–90]

71 [60–80]

72 [65–77]

0.21

[TIMP-2]*[IGFBP7] at 24 h ([ng/ml]2/1000)

156

0.68 [0.60–0.75]

> 0.43

0.27

67 [54–78]

60 [49–70]

54 [46–61]

72 [64–79]

0.21

∆[TIMP-2]*[IGFBP7] 0 to 6 h (%)

172

0.59 [0.51–0.67]

> − 55.6

0.22

78 [67–87]

44 [34–54]

51 [42–61]

72 [59–83]

0.24

∆[TIMP-2]*[IGFBP7] 0 to 12 h (%)

165

0.57 [0.49–0.65]

> − 67.1

0.16

74 [62–84]

42 [32–53]

49 [39–58]

68 [55–80]

0.24

Baseline urine output (ml/kg/h)

184

0.78 [0.71–0.83]

< 0.40

0.50

62 [51–72]

88 [80–94]

81 [71–88]

73 [67–78]

0.21

Urine output 6 to 12 h (ml/kg/h)

184

0.74 [0.67–0.80]

< 0.46

0.46

58 [47–69]

88 [80–93]

80 [69–87]

72 [66–77]

0.21

Urine output 12 to 24 h (ml/kg/h)

184

0.75 [0.68–.081]

< 0.47

0.42

54 [43–65]

88 [80–94]

79 [66–70]

61 [61–78]

0.22

SCr concentration at baseline (μmol/l)

184

0.63 [0.56–0.70]

> 179

0.29

52 [41–63]

77 [67–85]

66 [53–77]

65 [56–74]

0.24

SCr concentration at 24 h* (μmol/l)

160

0.84 [0.77–0.89]

> 139

0.60

79 [67–88]

81 [71–88]

75 [63–84]

84 [75–91]

0.16

Kinetic eGFR* (ml/min per 1.73 m2)

160

0.86 [0.80–0.91]

< 51

0.59

79 [67–88]

80 [71–88]

74 [63–84]

84 [75–91]

0.15

  1. AUROC area under the receiver-operating characteristic curve, TIMP-2 tissue inhibitor of metalloproteinases-2, IGFBP-7 insulin-like growth factor-binding protein 7, SCr serum creatinine, eGFR estimated glomerular filtration rate, PPV positive predictive value, NPV negative predictive value
  2. *Excluding patients undergoing renal replacement therapy at 24 h
  3. #The maximum value expected is 0.25 given the prevalence of persistent AKI in the cohort (46%)