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Critically ill patients are at risk of developing a sudden decrease of kidney function which may be detected by a decrease in urine output or is diagnosed on the basis of blood tests for substances normally eliminated by the kidney, primarily creatinine.
Because it takes about 24 hours for the creatinine level to rise, even if both kidneys have ceased to function, better markers are needed.
This trial is investigating if the marker urinary dickkopf-3 (uDKK3) allows an early prediction of a sudden decrease of kidney function.
Urinary dickkopf-3 (uDKK3), a stress-induced renal tubular epithelium-derived glycoprotein, has been identified as a biomarker predicting persistent kidney dysfunction.
In this prospective observational trial in patients at high risk of developing acute kidney injury we will assess whether urinary dickkopf-3 serves as a predictor of acute kidney injury.
Patients of the intensive care units of Saarland University Hospital will be surveyed for up to two years after their admission to the intensive care unit.
The progression of the estimated Glomerular Filtration Rate and uDKK3 will be monitored.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DKK-3 | Diagnostic Test | DKK-3-Urine measurement |
| Measure | Description | Time Frame |
|---|---|---|
| Urinary dickkopf-3 | Urinary dickkopf-3 | Throughout observational period, defined as timeframe from admission to intensive care unit up to two years after. |
| Estimated Glomerula Filtration Rate | Estimated Glomerula Filtration Rate by CKD-EPI-formula. | Throughout observational period, defined as timeframe from admission to intensive care unit up to two years after. |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | Number of patients who die during the observational period. | Throughout observational period, defined as timeframe from admission to intensive care unit up to two years after. |
| End Stage Renal Disease |
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Inclusion Criteria:
Exclusion Criteria:
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Patients on intensive care units of the Saarland University Hospital.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Stefan Neuhaus, MD | Contact | +4968411615041 | stefan.neuhaus@uks.eu |
| Name | Affiliation | Role |
|---|---|---|
| Stefan Neuhaus, MD | Universität des Saarlandes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitätsklinikum des Saarlandes | Recruiting | Homburg | Saarland | 66421 | Germany |
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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 and urine samples.
Number of patients with initiation of chronic kidney replacement therapy (maintenance dialysis or kidney transplantation).
| Throughout observational period, defined as timeframe from admission to intensive care unit up to two years after. |
| Length of renal replacement therapy | Length of time patients receive renal replacement therapy for chronic kidney injury. | During the ICU stay. |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |