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Pediatr Nephrol ; 37(1): 61-78, 2022 01.
Article in English | MEDLINE | ID: mdl-34036445

ABSTRACT

Acute kidney injury (AKI) is characterized by a sudden decrease in kidney function. Children with congenital heart disease are a special group at risk of developing AKI. We performed a systematic review of the literature to search for studies reporting the usefulness of novel urine, serum, and plasma biomarkers in the diagnosis and progression of AKI and their association with clinical outcomes in children undergoing pediatric cardiac surgery. In thirty studies, we analyzed the capacity to predict AKI and poor outcomes of five biomarkers: Cystatin C, Neutrophil gelatinase-associated lipocalin, Interleukin-18, Kidney injury molecule-1, and Liver fatty acid-binding protein. In conclusion, we suggest the need for further meta-analyses with the availability of additional studies.


Subject(s)
Acute Kidney Injury , Biomarkers , Acute Kidney Injury/diagnosis , Biomarkers/blood , Biomarkers/urine , Cardiac Surgical Procedures , Child , Heart Defects, Congenital/surgery , Humans
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