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Sensitive renal markers have been studied abundantly in connection with open heart, liver and transplantation surgery; however in major orthopaedic surgery their use is anecdotal. The aim of the present study is to evaluate use of sensitive renal markers, NGAL (Neutrophil gelatinase associated lipocalin ), KIM-1 (Kidney injury molecule- 1), LFABP (liver-type fatty acid-binding protein), and IL-18 (interleukin -18), in patients coming for elective TKA (total knee arthroplasty) as a pilot study before large study concerning acute kidney injury in orthopaedic surgery.
Acute renal deterioration is a serious adverse event in elective surgery. Serum creatinine based diagnostics of acute kidney injury may delay diagnosis and produce false negative results since serum creatinine is affected by diet, muscle mass, used hydration therapy. In recent times new markers have been developed and tested in order to find sensitive, fast and reliable marker of renal deterioration.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients for elective TKA | patients with normal or near normal plasma creatinine who come for elective total knee arthroplasty |
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| Measure | Description | Time Frame |
|---|---|---|
| Renal function | S-creatinine, Cystatin C, estimated GFR | time zero hours to 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Concentraton of sensitive renal markers | U-NGAL, P-NGAL, U-KIM-1, U-IL-18 | time zero hours to 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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patients coming to elective knee arthroplasty
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| Name | Affiliation | Role |
|---|---|---|
| Merja Kokki, MD, PhD | Kuopio University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kuopio University Hospital | Kuopio | Northern Savonia | 70029 | Finland |
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| ID | Term |
|---|---|
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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plasma for measurement of renal markers Urine for measurement of renal markers
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |