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STARD 2015: an updated list of essential items for reporting diagnostic accuracy studies.STARD 2015:报告诊断准确性研究的必备项目更新清单。
BMJ. 2015 Oct 28;351:h5527. doi: 10.1136/bmj.h5527.
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The potential utility of urinary biomarkers for risk prediction in combat casualties: a prospective observational cohort study.尿生物标志物在战斗伤员风险预测中的潜在效用:一项前瞻性观察性队列研究。
Crit Care. 2015 Jun 16;19(1):252. doi: 10.1186/s13054-015-0965-y.
3
Whole blood neutrophil gelatinase-associated lipocalin predicts acute kidney injury in burn patients.全血中性粒细胞明胶酶相关脂质运载蛋白可预测烧伤患者的急性肾损伤。
J Surg Res. 2015 Jun 15;196(2):382-7. doi: 10.1016/j.jss.2015.03.033. Epub 2015 Mar 20.
4
Neutrophil gelatinase-associated lipocalin: ready for routine clinical use? An international perspective.中性粒细胞明胶酶相关脂质运载蛋白:准备好用于常规临床了吗?国际视角。
Blood Purif. 2014;37(4):271-85. doi: 10.1159/000360689. Epub 2014 Jul 3.
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Epidemiology and risk factors of multiple-organ failure after multiple trauma: an analysis of 31,154 patients from the TraumaRegister DGU.多发伤后多器官衰竭的流行病学和危险因素:来自创伤登记处 DGU 的 31154 例患者的分析。
J Trauma Acute Care Surg. 2014 Apr;76(4):921-7; discussion 927-8. doi: 10.1097/TA.0000000000000199.
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Temporal trends of postinjury multiple-organ failure: still resource intensive, morbid, and lethal.创伤后多器官衰竭的时间趋势:仍然需要大量资源,且病情严重,死亡率高。
J Trauma Acute Care Surg. 2014 Mar;76(3):582-92, discussion 592-3. doi: 10.1097/TA.0000000000000147.
7
Neutrophil gelatinase-associated lipocalin as a biomarker of acute kidney injury: a critical evaluation of current status.中性粒细胞明胶酶相关脂质运载蛋白作为急性肾损伤的生物标志物:对当前状况的批判性评估
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Cytokine levels (IL-4, IL-6, IL-8 and TGFβ) as potential biomarkers of systemic inflammatory response in trauma patients.细胞因子水平(IL-4、IL-6、IL-8 和 TGFβ)作为创伤患者全身炎症反应的潜在生物标志物。
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Neutrophil gelatinase associated lipocalin as an indicator of acute kidney injury and inflammation in burned children.中性粒细胞明胶酶相关脂质运载蛋白作为烧伤儿童急性肾损伤和炎症的指标
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10
The changing nature of death on the trauma service.创伤服务中死亡性质的变化。
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骨保护素和中性粒细胞明胶酶相关脂质运载蛋白对多发伤多器官衰竭的预测价值。

Predictive Value of Osteoprotegerin and Neutrophil Gelatinase-associated Lipocalin on Multiple Organ Failure in Multiple Trauma.

机构信息

Trauma Department, Hannover Medical School, Hannover, Germany.

Department of General, Trauma and Reconstructive Surgery, Ludwig-Maximilians-Universität München, Munich, Germany.

出版信息

In Vivo. 2019 Sep-Oct;33(5):1573-1580. doi: 10.21873/invivo.11639.

DOI:10.21873/invivo.11639
PMID:31471407
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6754992/
Abstract

BACKGROUND/AIM: Multiple organ dysfunction syndrome (MODS) is the leading cause of late posttraumatic mortality. This study analyzed the prognostic values of osteoprotegerin (OPG) and neutrophil gelatinase-associated lipocalin (NGAL/lipocalin 2) compared to interleukin-6 (IL-6) in multiply injured patients.

PATIENTS AND METHODS

A retrospective observational cohort study on multiply injured patients with an injury severity score (ISS) of ≥16 was performed. OPG, NGAL and IL-6 blood concentrations were measured. Statistical analysis comprised receiver-operating-characteristic (ROC) analysis with the corresponding area under the curve (AUC).

RESULTS

Thirty-nine patients with a mean ISS of 34±11 were included. Fourteen patients (36%) developed MODS and 8 patients (21%) died. Plasma levels of NGAL, OPG, and IL-6 were significantly elevated in the MODS+ group. Each biomarker positively correlated with MODS score and diagnosis of MODS.

CONCLUSION

NGAL and OPG might be indicative of MODS and could have the potential to be biomarkers in the early detection of patients at risk of posttraumatic MODS.

摘要

背景/目的:多器官功能障碍综合征(MODS)是创伤后晚期死亡的主要原因。本研究分析了与白细胞介素 6(IL-6)相比,骨保护素(OPG)和中性粒细胞明胶酶相关脂质运载蛋白(NGAL/脂质运载蛋白 2)在多发伤患者中的预后价值。

患者和方法

对损伤严重程度评分(ISS)≥16 的多发伤患者进行回顾性观察队列研究。测定 OPG、NGAL 和 IL-6 血浓度。统计分析包括接收者操作特征(ROC)分析及相应的曲线下面积(AUC)。

结果

共纳入 39 例平均 ISS 为 34±11 的患者。14 例(36%)发生 MODS,8 例(21%)死亡。MODS+组的 NGAL、OPG 和 IL-6 血浆水平明显升高。每种生物标志物与 MODS 评分和 MODS 诊断呈正相关。

结论

NGAL 和 OPG 可能提示 MODS,并有可能成为创伤后发生 MODS 高危患者早期检测的生物标志物。