Journals / Ortadoğu Tıp Dergisi / 2020 / Cilt: 12 - Sayı: 1

Evaluation of gamma glutamyl transferase enzyme level in intensive care patients with sepsis related kidney function disturbance

Sepsis ile ilişkili böbrek fonksiyon bozukluğu olan yoğun bakım hastalarında serum gama glutamil transferaz enzim düzeyinin değerlendirilmesi

Pages
24–28
Publication Date
2020-03-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: High serum gamma glutamyl transferase enzyme levels may be used in early detection of acute renal injury in patients with sepsis.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this study is to determine the relationship between serum gamma glutamyl transferase enzyme level and early diagnosis of acute renal injury due to sepsis in intensive care units.
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Key Findings & Data:Material and Methods: A total of 251 subjects were included in this retrospective study. 134 patients with sepsis-induced acute kidney injury were included in group 1 and 117 healthy volunteers in group 2.
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Conclusion & Impact:Conclusion: High serum gamma glutamyl transferase enzyme levels may be used in early detection of acute renal injury in patients with sepsis.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:sepsis · gama glutamil transferaz · böbrek fonksiyon bozukluğu

Abstract

Objective: The aim of this study is to determine the relationship between serum gamma glutamyl transferase enzyme level and early diagnosis of acute renal injury due to sepsis in intensive care units. Material and Methods: A total of 251 subjects were included in this retrospective study. 134 patients with sepsis-induced acute kidney injury were included in group 1 and 117 healthy volunteers in group 2. Results: Serum gamma glutamyl transferase enzyme levels was found higher in patients with sepsis-induced acute renal injury than healthy volunteers. There was no significant difference between the groups according to Acute Kidney Injury Network (AKIN) staging (p=0.09). Conclusion: High serum gamma glutamyl transferase enzyme levels may be used in early detection of acute renal injury in patients with sepsis.

Özet

Amaç: Yoğun bakımlarda sık görülen sepsise bağlı akut böbrek hasarının erken tanısında serum gama glutamil transferaz enzim düzeyinin ilişkisi tespit etmektir. Gereç ve Yöntemler: Bu retrospektif çalışmaya toplam 251 adet denek alındı. Sepsise bağlı akut böbrek hasarlı 134 hasta grup 1’e ve 117 adet sağlıklı gönüllü grup 2’ye alındı. Bulgular: Serum gama glutamil transferaz enzim düzeyi sepsise bağlı akut böbrek hasarı gelişen hastalarda sağlıklı gönüllülere göre daha yüksek bulundu. Acute Kidney Injury Network (AKIN) evrelemesine göre gruplar arasında anlamlı fark bulunmadı (p=0,09). Sonuç: Sepsisli hastalarda serum gama glutamil transferaz enzim yüksekliği akut böbrek hasarının erken saptanmasında kullanılabilir.

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Cite This Article

YILDIZ, H. (2020). Evaluation of gamma glutamyl transferase enzyme level in intensive care patients with sepsis related kidney function disturbance. Ortadoğu Tıp Dergisi, Cilt: 12 - Sayı: 1, 24–28. https://ajindex.com/articles/30703

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References (14)

  1. Vincent JL, Opal SM, Masrhall JC, Tracey KJ. Sepsis definitions. Time for change. Lancet 2013;381(9868):774-5.
  2. Linde-Zwirble WT, Angus DC. Severe sepsis epidemiology: Sampling, selection, and society. Crit Care 2004;8:222-6.
  3. Singer M, Deutschman CS, Seymour CW. The third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA 2016;315:801-10.
  4. Chertow Gm, Levy, EM, Hammermeister KE, Grover F, Daley J. Independent association between renal failure and mortality following cardiac surgery. Am J Med 1998;104:343-8.
  5. Hoste EA, Kellum JA. Acute renal failure in the critically ill: Impact on morbidity and mortality. Contrib Nephrol 2004;144:1-11.
  6. Singbaartl K, Kellum JA. AKI in the ICU: Definition, epidemiology, risk stratification, and outcomes. Kidney Int 2012;81: 819-25.
  7. Ostermann M, Chang RW. Acute kidney injury in the intensive care unit according to RIFLE. Crit Care Med 2007;35:1837-43.
  8. Uchino S, Kellum JA, Bellomo R, Doig GS, Morimatsu H, Morgera S, ve ark. Acute renal failure in critically ill patients: A multinational, multicenter study. JAMA 2005;294:813-8.
  9. Roy AK, Mc Gorrian C, Treacy C, Kavanaugh E, Brennan A, Mahon NG, ve ark. A comparison of traditional and novel definitions (RIFLE, AKIN, and KDIGO) of acute kidney injury for the prediction of outcomes in acute decompensated heart failure. Cardiorenal Med 2013;3:26-37.
  10. Dufour DR, Lott JA, NOlte FS, Gretcch DR, Koff RS, Seeff LB. Diagnosis and monitoring of hepatic injury. I. Performance characteristics of laboratory tests. Clin Chem. 2000 Dec;46(12):2027-49. Targher G. Elevated serum gamma-glutamyltransferase activity is associated with increased risk of mortality, incident type 2 diabetes, cardiovasular events, chronic kidney disease ad cancer-a narrative review. Clin Chem Lab Med. 2010;48:147-57.
  11. Bulusu S, Sharma M. What does serum gama glutamilstranfaraz tell us as a cardiometabolic risk marker? Ann Clin Biochem. 2016;53 Pt 3:312-32.
  12. Kinner HA, Hot S, Schuller R, Roy J, Israel Y. Identification of alcohol abuse using laboratory tests and a history of trauma. Ann Inter MEd 1984;101:847-51.
  13. Conigrave KM, Saunders JB, Reznik RB, Whitfield JB. Prediction of alcohol-related harm by laboratory test results. Clin Chem 1993;39:2266-70.
  14. Caravaca F, Azevedo L, Bayo MA, Gonzales-Candia B, Luna E, Caravaca F. High levels of both serum gama-glutamyl transferase and alkaline phospatase are independet predictors of mortality in patients with stage 4-5 chronic kidney disease. Nefrologia. 2