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Evidence · Systematic review or meta-analysis

Serum Cystatin C as a predictor of acute kidney injury in neonates: a meta-analysis.

Systematic review or meta-analysisJornal de Pediatria2022Full text
  • Acute kidney injury
  • Medical
  • Metabolic, endocrine and renal

Summary

This meta-analysis of twelve studies evaluates the diagnostic accuracy of serum cystatin C for predicting acute kidney injury in neonates. Literature from English and Chinese databases was pooled, with study quality assessed using QUADAS-2 and heterogeneity explored by meta-regression and subgroup analysis. Serum cystatin C showed good pooled sensitivity, specificity and area under the curve for neonatal AKI. The authors suggest it is a candidate biomarker, though optimal cut-off levels need confirmation in large prospective studies.

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