Diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated by acute kidney injury
Background This study aimed to discuss the diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated with acute kidney injury (AKI).Methods Patients were divided into an AKI group (n = 50) and a non-injury group (n = 50) based on the presence of AKI. The clinical characteristic...
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Taylor & Francis Group
2024-12-01
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| Series: | Renal Failure |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/0886022X.2024.2313861 |
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| author | Liu Wang Xiang Wang |
| author_facet | Liu Wang Xiang Wang |
| author_sort | Liu Wang |
| collection | DOAJ |
| description | Background This study aimed to discuss the diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated with acute kidney injury (AKI).Methods Patients were divided into an AKI group (n = 50) and a non-injury group (n = 50) based on the presence of AKI. The clinical characteristics were collected, and renal function parameters between the two groups were compared, including 24-h urine volume, serum creatinine, urea, serum cystatin C (CysC), renal parenchymal thickness (RPT), renal artery resistance index (RI), and multi-parameter ultrasound scoring (MPUS). Additionally, logistic regression analysis was conducted to determine the influencing factors of sepsis complicated with AKI. The prediction value was evaluated using a receiver operating characteristic (ROC) curve.Results In the AKI group, creatinine, CysC, urea, MPUS score, RPT, and RI values were significantly higher, while the 24-h urine volume was lower than those in the non-injury group (p < 0.01). Moreover, multivariate logistic analysis indicated that high CysC and RI values were independent risk factors, whereas high 24-h urine volume and low MPUS were independent protective factors for sepsis-induced AKI. The ROC curve demonstrated that RI (AUC = 0.906) was more effective than 24-h urine volume (AUC = 0.797), CysC (AUC = 0.730), and MPUS (AUC = 0.794) in identifying sepsis-induced AKI.Conclusion High RI values increase the risk of sepsis-induced AKI, whereas low MPUS may reduce it. RI showed high diagnosis values for sepsis complicated with AKI. |
| format | Article |
| id | doaj-art-7ff9167ffb8e42d682633d63fc83c1fa |
| institution | Kabale University |
| issn | 0886-022X 1525-6049 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj-art-7ff9167ffb8e42d682633d63fc83c1fa2025-01-23T04:17:48ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492024-12-0146110.1080/0886022X.2024.2313861Diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated by acute kidney injuryLiu Wang0Xiang Wang1Department of Ultrasound Medicine, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, ChinaDepartment of Critical Care Medicine, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, ChinaBackground This study aimed to discuss the diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated with acute kidney injury (AKI).Methods Patients were divided into an AKI group (n = 50) and a non-injury group (n = 50) based on the presence of AKI. The clinical characteristics were collected, and renal function parameters between the two groups were compared, including 24-h urine volume, serum creatinine, urea, serum cystatin C (CysC), renal parenchymal thickness (RPT), renal artery resistance index (RI), and multi-parameter ultrasound scoring (MPUS). Additionally, logistic regression analysis was conducted to determine the influencing factors of sepsis complicated with AKI. The prediction value was evaluated using a receiver operating characteristic (ROC) curve.Results In the AKI group, creatinine, CysC, urea, MPUS score, RPT, and RI values were significantly higher, while the 24-h urine volume was lower than those in the non-injury group (p < 0.01). Moreover, multivariate logistic analysis indicated that high CysC and RI values were independent risk factors, whereas high 24-h urine volume and low MPUS were independent protective factors for sepsis-induced AKI. The ROC curve demonstrated that RI (AUC = 0.906) was more effective than 24-h urine volume (AUC = 0.797), CysC (AUC = 0.730), and MPUS (AUC = 0.794) in identifying sepsis-induced AKI.Conclusion High RI values increase the risk of sepsis-induced AKI, whereas low MPUS may reduce it. RI showed high diagnosis values for sepsis complicated with AKI.https://www.tandfonline.com/doi/10.1080/0886022X.2024.2313861Multi-parameter ultrasound evaluationsepsisacute kidney injury (AKI)risk factorsapplication value |
| spellingShingle | Liu Wang Xiang Wang Diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated by acute kidney injury Renal Failure Multi-parameter ultrasound evaluation sepsis acute kidney injury (AKI) risk factors application value |
| title | Diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated by acute kidney injury |
| title_full | Diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated by acute kidney injury |
| title_fullStr | Diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated by acute kidney injury |
| title_full_unstemmed | Diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated by acute kidney injury |
| title_short | Diagnostic value of multi-parameter ultrasound evaluation in sepsis complicated by acute kidney injury |
| title_sort | diagnostic value of multi parameter ultrasound evaluation in sepsis complicated by acute kidney injury |
| topic | Multi-parameter ultrasound evaluation sepsis acute kidney injury (AKI) risk factors application value |
| url | https://www.tandfonline.com/doi/10.1080/0886022X.2024.2313861 |
| work_keys_str_mv | AT liuwang diagnosticvalueofmultiparameterultrasoundevaluationinsepsiscomplicatedbyacutekidneyinjury AT xiangwang diagnosticvalueofmultiparameterultrasoundevaluationinsepsiscomplicatedbyacutekidneyinjury |