Literature DB >> 26702417

Demographic data for urinary Acute Kidney Injury (AKI) marker [IGFBP7]·[TIMP2] reference range determinations.

Nandkishor S Chindarkar1, Lakhmir S Chawla2, Joely A Straseski3, Saeed A Jortani4, Denise Uettwiller-Geiger5, Robert R Orr6, John A Kellum7, Robert L Fitzgerald1.   

Abstract

This data in brief describes characteristics of chronic stable comorbid patients who were included in reference range studies of [IGFBP7]·[TIMP-2] "Reference Intervals of Urinary Acute Kidney Injury (AKI) Markers [IGFBP7]·[TIMP2] in Apparently Healthy Subjects and Chronic Comorbid Subjects without AKI" [1]. In order to determine the specificity of [IGFBP7]·[TIMP-2] for identifying patients at risk of developing AKI we studied a cohort with nine broad classification of disease who did not have AKI. Details regarding the population that was targeted for inclusion in the study are also described. Finally, we present data on the inclusion criteria for the healthy subjects used in this investigation to determine the reference range.

Entities:  

Keywords:  Acute kidney injury, Biomarkers, IGFBP7; Insulin-like growth factor-binding protein 7; Reference ranges; TIMP2; Tissue inhibitor of metalloproteinases-2

Year:  2015        PMID: 26702417      PMCID: PMC4669474          DOI: 10.1016/j.dib.2015.10.036

Source DB:  PubMed          Journal:  Data Brief        ISSN: 2352-3409


Specifications table

Value of the data

The data described allow other researchers to understand the patient cohort we used to determine the specificity of the AKI biomarkers [IGFBP7]·[TIMP-2] in the setting of stable chronic comorbid conditions. We included patients with cardiovascular, respiratory, gastrointestinal, renal, muscular skeletal, endocrine, and neuromuscular disease in the stable chronic comorbid condition cohort who did not have AKI, which serves as a model for future studies. We describe inclusion criteria for a healthy reference range population that can also be used for future studies evaluating biomarkers of AKI.

Data

The data described provide details on the conditions and numbers of subjects evaluated who did not have AKI but did have other chronic stable comorbid conditions that were used to demonstrate the specificity of these biomarkers for AKI. We also describe the targeted patient population and the inclusion criteria that were used to determine the reference range of [IGFBP7]·[TIMP-2] in healthy individuals.

Experimental design, materials and methods

The reference range study was designed to include patients commonly seen in intensive care units of hospitals in the United States [2]. The list of patients with chronic stable comorbid conditions is presented in Table 1. Table 2 gives a description of patient demographics that were targeted for inclusion. Table 3 provides detailed inclusion criteria used to select the healthy reference range population.
Table 1

Medical conditions for chronic stable morbidity cohort (N=372).

Medical conditionN%
Any cardiovascular237(63.7)
 CAD27(7.3)
 Bypass graft2(0.5)
 CHF12(3.2)
 Hypertension222(59.7)
 MI0(0.0)
 Arrhythmia32(8.6)
 PVD5(1.3)







Any respiratory99(26.6)
 Emphysema10(2.7)
 Sleep apnea41(11.0)
 COPD32(8.6)
 Chronic bronchitis16(4.3)
 Asthma51(13.7)







Any gastrointestinal14(3.8)
 Cirrhosis2(0.5)
 Hepatic failure0(0.0)
 IBD5(1.3)
 Peptic ulcers1(0.3)
 Chronic pancreatitis0(0.0)
 GI bleeding1(0.3)
 Crohn׳s disease1(0.3)
 Ulcerative colitis4(1.1)







Any renal13(3.5)
 Renal insufficiency6(1.6)
 Polycystic kidney disease1(0.3)
 Nephrolithiasis4(1.1)
 Other6(1.6)







Any musculoskeletal116(31.2)
 Osteoarthritis107(28.8)
 Gout15(4.0)







Any endocrine/metabolic255(68.5)
 Any Diabetes91(24.5)
 Type I Diabetes7(1.9)
 Type II Diabetes84(22.6)
 Hypercholesterolemia149(40.1)
 Hyperlipidemia53(14.2)
 Hyperthyroidism6(1.6)
 Hypothyroidism69(18.5)
 Metabolic syndrome1(0.3)







Any neurological41(11.0)
 Neuromuscular disease19(5.1)
 Stroke0(0.0)
 Seizures3(0.8)
 Migraines25(6.7)







Any immune disorder21(5.6)
 Rheumatoid arthritis16(4.3)
 Immunocompromised4(1.1)
 Lupus2(0.5)
 AIDS0(0.0)







Other conditions214(57.5)
 Coagulation abnormality4(1.1)
 Organ transplant0(0.0)
 Trauma0(0.0)
 Surgeries0(0.0)
 BPH38(21.0)
 Psoriasis8(2.2)
 Drug Abuse5(1.3)
 Any Other189(50.8)
 Cancer9(2.4)
  Any metastatic cancer1(0.3)
  Active cancer5(1.3)
  Cured/In remission3(0.8)

CAD, coronary artery disease; CHF, congestive heart failure; MI, myocardial infarction; PVD, peripheral vascular disease; COPD, chronic obstructive pulmonary disease; IBD, inflammatory bowel disease; GI, gastrointestinal; AIDS, acquired immunodeficiency syndrome; and BPH, benign prostatic hypertrophy.

Table 2

The following percent distribution for age, race, ethnicity and gender was targeted during selection of participants. This distribution was targeted to reflect the general demographic data for United States intensive care units.

Percentage of total enrollment (%)
Age range (years)
 <4612
 46-5516
 56–6520
 66–7526
 >7526





Race
 Black14
 White72
 American Indian/Alaskan1
 Other13





Ethnicity
 Hispanic/Latino9
 Not Hispanic Latino91





Gender
 Female50
 Male50
Table 3

List of apparently healthy subject criteria.

A subject was deemed apparently healthy, if he or she was ≥21 years of age, did not have any chronic, stable morbid conditions (see Table 1), and met all following criteria:
1. Subject without any known or suspected acute illness or condition-including acute infections – at the time of enrollment or within the previous 30 days
2. Subject without any new onset or unstable morbidities listed under “Chronic, stable morbid conditions”
3. Subject without any trauma-related surgery within the last 6 months
4. Subject without any surgery, hospitalization or institutionalization (such as in a nursing home) during the previous 3 months
5. Subject did not receive any blood product transfusion within the previous 2 months
6. Subject who was not a pregnant woman or child
7. Subject was not prisoners or institutionalized individual
8. Subject who did not provide evaluable blood or urine samples for this study
The protocols for this investigation were approved by investigational review boards/ethics committees as required by each participating institution. All subjects provided written informed consent. Subjects of ≥21 years age, who provided written informed consent for the study participation, and met the morbidity criteria (Table 1) were selected in the stable chronic morbidity cohort. For apparently healthy subjects, individuals of ≥21 years of age, who provided written informed consent for study participation, and met the healthy criteria (Table 2), were selected for this cohort. The patients were recruited at 6 geographically diverse sites (Rochester, NY; Dallas, TX; Gresham, OR; Springfield, MO; Layton, UT; Peoria, AZ). In the stable chronic comorbid cohort most patients had several comorbidities, with the most prevalent being some type of an endocrine or cardiovascular disorder. In terms of specific comorbidities, as might be expected for the US population, the highest prevalence was hypertension (59.7%) with the other top four being hypercholesterolemia (40.1%), osteoarthritis (28.8%), and diabetes (24.5%).
Subject areaHealthcare
More specific subject areaAcute kidney injury
Type of dataTables
How data was acquiredList of patient characteristics
Data formatTables
Experimental factorsHealthy subjects and chronic comorbid subjects without acute kidney injury
Experimental featuresDesign of experiments reflect US patient characteristics
Data source locationSubjects recruited from Rochester, NY; Dallas, TX; Gresham, OR; Springfield, MO; Layton, UT; Peoria, AZ
Data accessibilityData are with this article
  2 in total

1.  Benchmark data from more than 240,000 adults that reflect the current practice of critical care in the United States.

Authors:  Craig M Lilly; Ilene H Zuckerman; Omar Badawi; Richard R Riker
Journal:  Chest       Date:  2011-08-25       Impact factor: 9.410

2.  Reference intervals of urinary acute kidney injury (AKI) markers [IGFBP7]∙[TIMP2] in apparently healthy subjects and chronic comorbid subjects without AKI.

Authors:  Nandkishor S Chindarkar; Lakhmir S Chawla; Joely A Straseski; Saeed A Jortani; Denise Uettwiller-Geiger; Robert R Orr; John A Kellum; Robert L Fitzgerald
Journal:  Clin Chim Acta       Date:  2015-11-10       Impact factor: 3.786

  2 in total

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