Related Experiment Video
Updated: May 10, 2026
One-step Extraction and Zymographic Analysis of Bacterial Gelatinases
Published on: August 1, 2025
[Analysis of neutrophil gelatinase-associated lipocalin in the critical patient]
C Marti-Macia1, T M Tomasa1, A Sancho1
1Servicio de Medicina Intensiva, Bioquímica, Cirugía y Epidemiología, Hospital Universitari Germans Trias i Pujol, Badalona, España.
Objective:
To determine if NGAL value exceeding 150 ng/mL is a good diagnostic test for acute renal failure in critically ill patients.
Design:
Prospective, observational cohort.
Setting:
Intensive Care Unit and Cardiac Surgery Intensive Care Service at Hospital Germans Trias I Pujol.
Participants:
Patients admitted to the Intensive Care department the Designated days in the studio.
Interventions:
Analysis of serum creatinine blood given from 7 days prior to the start of the study, and daily during 4 weeks and by determination of NGAL urine test in frozen sample, analyzer ARCHITECT (Abbott Diagnostics) determined by immunoassay the day baseline and 2 times a week for 4 weeks, analysis of the stay and mortality.
Results:
A total of 529 NGAL samples were obtained from 46 patients. 37% of patients had a value of NGAL>150 ng/mL. The Sensivity of the test to diagnose acute renal failure was 69%, Specifity was 75,7%. However, the Positive Predictive Test Value was 53%, which means that 47% of patients with high NGAL did not develop AKI. A NGAL >150 mg/dL was associated with a significantly higher SOFA and a longer stay in the ICU. The mortality of patients with elevated NGAL was 58.8%.
Conclusions:
A NGAL>150 ng/mL does not seem to be an excellent test for AKI in critically ill patients but is associated with a worse prognosis.
