Cavh in Myorenal Syndrome

Winterberg, B; Tenschert, W; Rolf, Norbert; Ramme, K; Winterberg, G; Wendt, Michael; Teerling, K; Lison, Arno E.; Zumkley, H

doi:10.1007/978-1-4684-8953-8_40

Cited by 1 publication

(2 citation statements)

References 11 publications

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“…Serum creatine kinase (CK), also increased in rhabdomyolysis, was measured in 38 studies (11, 13-28, 30 -34, 36 -38, 40 -45, 47, 52, 56, 57, 61-63 ), and of these, only 4 had extractable data comparing uMb with CK (45,47,51,59 ). Serum myoglobin was also measured in addition to urine myoglobin in 11 studies (19,20,23,31,40,41,43,44,46,59,61 ), but only 1 study had extractable data for a contingency table (59 ).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Twenty studies looked at drugs or toxins (therapeutic/drugs of abuse, alcohol, insect venoms, snake venoms, heavy metals) (13, 14, 16, 18, 20 -23, 27, 28, 32, 33, 38, 43, 44, 52, 55, 56, 59, 63 ), 20 referred to trauma (crush injuries, motor vehicle accidents, surgery, physical torture and abuse, long-term confinement without changing position) (11, 21, 24 -26, 27, 29, 30, 34 -36, 38, 42, 44, 45, 48, 53, 54, 56, 59 ), 17 to infection (11,15,17,23,26,27,29,35,38,40,41,43,44,47,55,56,62 ), 12 to physical exertion (strainful muscle exercise, excessive muscle activity, seizures, longdistance running) (11, 23, 25-27, 30, 31, 38, 39, 43, 44, 49 ), 11 to metabolic disturbance (metabolic syndromes, endocrine disorders, electrolytes imbalances) (11,15,19,23,27,35,41,43,44,55,56 ), 9 to burns (thermal injury, high-voltage electrical injury, lightning) (19,26,35,38,46,48,50,57,58 ), 7 to asphyxiation (19,21,35,…”

Section: Study Characteristicsmentioning

confidence: 99%

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Utility of Urine Myoglobin for the Prediction of Acute Renal Failure in Patients with Suspected Rhabdomyolysis: A Systematic Review

et al. 2009

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Background: Urine myoglobin continues to be used as a marker of rhabdomyolysis, particularly to assess risk of developing acute renal failure and evaluate treatment success. We sought to determine the predictive validity of urine myoglobin (uMb) for acute renal failure (ARF) in patients with suspected rhabdomyolysis. Methods: We performed a broad systemic review of the literature from January 1980 to December 2006 using the search terms myoglobin$ AND (renal OR ARF OR kidney). Only primary studies published in English where uMb measurement was related to ARF were included. Results: Of 1602 studies screened, 52 met all selection criteria. The studies covered a wide spectrum of etiologies for rhabdomyolysis, dissimilar diagnostic criteria for ARF and rhabdomyolysis, and various methods of uMb measurement and were mostly case series (n = 32). There was poor reporting on the uMb method, and 17 studies failed to provide any information about the method. The reporting of clinical criteria for ARF with respect to timing, description, performance, and interpretation also lacked adequate detail for replication. Eight studies (total 295 patients) had data for 2-by-2 tables. Sensitivity of the uMb test was 100% in 5 of the 8 studies, specificity varied widely (15% to 88%), and CIs around these measures were high. Pooling of data was not possible because of study heterogeneity. Conclusions: There is inadequate evidence evaluating the use of uMb as a predictor of ARF in patients with suspected rhabdomyolysis.

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