Serum cystatin C concentration as a marker of acute renal dysfunction in critically ill patients 英文参考文献.docVIP
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Serum cystatin C concentration as a marker of acute renal dysfunction in critically ill patients 英文参考文献
Available online /content/9/2/R139
Research
Open Access
April 2005
Vol 9 No 2
Serum cystatin C concentration as a marker of acute renal
dysfunction in critically ill patients
Patricia Villa1, Manuel Jiménez1, Maria-Cruz Soriano1, Jesus Manzanares1 and Pilar Casasnovas2
1Intensive Care Unit, Hospital Universitario La Paz, Madrid, Spain
2Biochemistry Unit, Hospital Universitario La Paz, Madrid, Spain
Corresponding author: Manuel Jiménez, majilen@yahoo.es
Received: 4 June 2004
Critical Care 2005, 9:R139-R143 (DOI 10.1186/cc3044)
This article is online at: /content/9/2/R139
Revisions requested: 26 July 2004
Revisions received: 25 October 2004
Accepted: 17 December 2004
Published: 7 February 2005
? 2005 Villa et al.; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the
Creative Commons Attribution License (/
licenses/by/2.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly
cited.
Abstract
Introduction In critically ill patients sudden changes in glomerular filtration rate (GFR) are not instantly
followed by parallel changes in serum creatinine. The aim of the present study was to analyze the utility
of serum cystatin C as a marker of renal function in these patients.
Methods Serum creatinine, serum cystatin C and 24-hour creatinine clearance (C ) were determined
Cr
in 50 critically ill patients (age 21–86 years; mean Acute Physiology and Chronic Health Evaluation II
score 20 ± 9). They did not have chronic renal failure but were at risk for developing renal dysfunction.
Serum cystatin C was measured using particle enhanced immunonephelometry. Twenty-four-hour body
surface adjusted CCr was used as a control because it is the gold standard for determining GFR.
Results Serum creatinine, serum cystatin C and C (mean ± standard deviation [range]) were 1.00 ±
Cr
0.85 mg/dl (0.40–5.61 mg/dl), 1.19 ± 0.79 mg/l (0.49–4.70 mg/l), and 92.74 ± 52.74 ml/min p
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