Acute Kidney Injury
Conditions
Keywords
Acute kidney injury, Delayed cerebral ischemia, Angiographic vasospasm, Aneurysmal subarachnoid hemorrhage
Brief summary
The goal of this observational study is to assess cystatin c as a predictive biomarker of early acute kidney injury in aneurysmal subarachnoid hemorrhage patients. The main question it aims to answer is: \- Does cystatin c biomarker can predict early acute kidney injury in aneurysmal subarachnoid hemorrhage patients? Participants will be grouped into Aki and Non-Aki groups based on RIFLE criteria and Cystatin c biomarker will be tested to answer the study question.
Interventions
a biomarker to assess renal function
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient admission to hospital within 48 hours of subarachnoid haemorrhage onset. * Subarachnoid haemorrhage caused by intracranial aneurysm rupture and is confirmed via computed tomography angiography (CTA). * Medical treatment, microsurgical clipping, or interventional endovascular treatment of aneurysm is performed within 48 hours of subarachnoid haemorrhage onset.
Exclusion criteria
* Prior onset of subarachnoid haemorrhage or other neurological diseases such as ischemic stroke, hemorrhagic stroke, or severe head trauma. * Systemic diseases, such as chronic liver diseases, chronic lung diseases, chronic heart failure, thyroid diseases and cancer. * Renal impairment at time of admission (creatinine-based eGFR less than 60 ml/min per 1.73 m2 body surface area). * Patients who are hemodynamically unstable at time of admission. * Mortality within 10 days after admission (duration of study).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acute kidney injury | 6 days | stages risk and injury are considered early AKI |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse neurological outcomes | 10 days all except mortality within 28 days | Delayed cerebral ischemia Angiographic vasospasm Hydrocephalus Infection Mortality |
Countries
Egypt