scholarly journals Predictive value of iron parameters in neurocritically ill patients

2018 ◽  
Vol 8 (12) ◽  
pp. e01163
Author(s):  
Ling Xie ◽  
Yu Peng ◽  
Kaibin Huang ◽  
Yongming Wu ◽  
Shengnan Wang
Keyword(s):  
Predictive Value ◽  
Iron Parameters

Determinants for Iron Overload-Related Disease in Siblings of Probands with Clinically Detected HFE Hereditary Hemochromatosis: The Hemochromatosis Family Study.

Blood ◽  
2008 ◽  
Vol 112 (11) ◽  
pp. 1857-1857
Author(s):  
Esther M.G. Jacobs ◽  
Jan C.M. Hendriks ◽  
Herman G. Kreeftenberg ◽  
Richard A. de Vries ◽  
Joannes J.M. Marx ◽  
...  
Keyword(s):  
Iron Overload ◽  
Predictive Value ◽  
Serum Iron ◽  
Alcohol Intake ◽  
Hereditary Hemochromatosis ◽  
High Risk Group ◽  
Early Screening ◽  
Related Disease ◽  
Iron Parameters ◽  
And Gender

Abstract The clinical expression of HFE-associated hereditary hemochromatosis (HH) gen is highly variable and may be influenced by nongenetic factors and coinherited genetic modifiers, complicating early screening options to prevent iron-overload related disease. The aim of this study was to verify the existence of HH-related disease in C282Y homozygous siblings of C282Y homozygous probands with clinically detected HFE-related HH and to identify factors predictive for the iron-related disease within these siblings. To this end, C282Y homozygous (n=110, males n=53) and non-homozygous siblings (n=318, males n=145) of 224 probands were compared for levels of serum iron parameters, and self-reported environmental and lifestyle factors and previously diagnosed HH-related diseases. Compared to non-homozygous C282Y siblings, C282Y homozygous siblings more often mentioned to have been diagnosed with arthropathy (Odds Ratio [OR] 2.76, 95% Confidential Interval [CI] 1.71–4.46) and liver disease (OR 2.90, 95%CI 1.27– 6.62). Using multivariate logistic regression modelling, genotype (OR 2.29, 95%CI 1.04– 5.02), age (OR 1.07, 95% CI 1.04–1.09) and gender (OR 1.71, 95%CI 1.04–2.80) were found predictive for the development of iron-associated organ disease. With genotype in the model, there was neither an additive predictive value of the serum iron parameters, nor of body mass index (BMI) or alcohol intake. However, when the predictive value of the iron parameters was analyzed in siblings above 55 yrs, the input of the serum ferritin levels was also significant, with a less prominent influence of gender. In conclusion, our results show that the prevalence of hemochromatosis-attributed morbid conditions is increased in the C282Y homozygous siblings compared to their non-homozygous counterparts. Results furthermore suggest that age and gender, but not BMI and alcohol intake, add to the identification of C282Y homozygous siblings most at risk to develop hemochromatosis-associated disease. These findings will be instrumental in the definition of a high-risk group for iron overload-related disease among siblings of clinically detected C282Y homozygous probands and may contribute to the cost-effectiveness of family screening.

scholarly journals Soluble transferrin receptor levels among pregnant women in Port Harcourt, Nigeria

2019 ◽  
Vol 7 (10) ◽  
pp. 3622
Author(s):  
Nyebuchi C. Azubuike ◽  
Kemzi N. Elechi-Amadi ◽  
Ojoye N. Briggs ◽  
Zacchaeus A. Jeremiah
Keyword(s):  
Pregnant Women ◽  
Transferrin Receptor ◽  
Predictive Value ◽  
Serum Iron ◽  
Soluble Transferrin Receptor ◽  
Control Subjects ◽  
Iron Parameters ◽  
The Mean ◽  
Anaemia In Pregnancy ◽  
In Pregnancy

Background: Anaemia in pregnancy is one of the medical problems that affect pregnant women in developing countries. It contributes considerably to the morbidity and mortality in pregnancy especially in areas where malaria is endemic. The concentration of soluble transferrin receptor is a reflection of body iron status. It is therefore, a valuable tool for assessing bone marrow erythropoetic activity and can also be a marker of iron deficiency.Methods: This study evaluated the levels of soluble transferrin receptor in pregnant subjects. A total of 275 pregnant subjects of age 20 to 45 years and 88 age-matched apparently healthy control subjects were involved in this study. Individuals who had severe anaemia, HIV infection, sickle cell disease or Hookworm infestation were excluded from this study. Five millilitres (5ml) of blood were collected from each consenting subject for the analysis of soluble transferrin receptor, haematological parameters and iron parameters using appropriate methods.Results: The mean value of parameters for the study subjects were sTfR( 21.16±9.11 nmol/L), Hb(9.05±1.22 g/dl), TIBC(332.61±80.87 µg/dl), Serum Iron(97.91±39.44 µg/dl), LIBC(239.36±80.52 µg/dl), TS(30.24±11.00 %) while for control subjects were sTfR(18.21±3.77 nmol/L), Hb(12.19±0.66 g/dl), TIBC(261.94±52.49µg/dl), Serum Iron(107.10±34.77 µg/dl), LIBC(155.52±61.25 µg/dl), TS(42.81±18.03 %). The mean sTfR levels in pregnant women was significantly lower (p<0.001) than in control subjects. The pregnant women also had significantly lower values of Hb (p<0.001), serum iron (p=0.038) and TS( p<0.001) values, and significantly higher values of TIBC(p<0.0001) and LIBC(p<0.0001). There were also increases in soluble transferrin receptor levels from first to third trimesters. The sensitivity of sTfR as against Serum iron parameters from this study was 76% while the specificity was 50%. The positive predictive value was 60% while the negative predictive value was 50%.Conclusions: sTfR may be a useful supplementary diagnostic tool in the management of anaemia in pregnancy.

1423: The Impact of Gleason Score on the Predictive Value of PSA Doubling Time

2007 ◽  
Vol 177 (4S) ◽  
pp. 469-470 ◽  
Author(s):  
Stephen A. Boorjian ◽  
Sameer A. Siddiqui ◽  
Brant A. Inman ◽  
Jeffrey M. Slezak ◽  
R. Jeffrey Karnes ◽  
...  
Keyword(s):  
Gleason Score ◽  
Predictive Value ◽  
Doubling Time ◽  
Psa Doubling Time ◽  
The Impact

1497: Predictive Value of Proliferative Inflammatory Atrophy (PIA) for Prostate Cancer on Repeat Prostate Biopsy

2006 ◽  
Vol 175 (4S) ◽  
pp. 483-483
Author(s):  
Charlie Jung ◽  
Michael S. Cookson ◽  
Matthew J. Putzi ◽  
Sam S. Chang ◽  
Joseph A. Smith ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Prostate Biopsy ◽  
Predictive Value ◽  
Proliferative Inflammatory Atrophy

1712: Predictive Value of 3D Volume Rendered CT for Collecting System Entry Prior to Nephron Sparing Surgery

2005 ◽  
Vol 173 (4S) ◽  
pp. 464-464
Author(s):  
Ithaar H. Derweesh ◽  
Gaspar A. Motta-Ramirez ◽  
Mahesh Gael ◽  
Nancy Obuchowski ◽  
Hazem A. Moneim ◽  
...  
Keyword(s):  
Predictive Value ◽  
Nephron Sparing Surgery ◽  
Nephron Sparing ◽  
3D Volume ◽  
Collecting System

1412: Assessment of a Cleaved Product of E-Cadherin as a Serum Biomarker with Predictive Value for Prostate Cancer

2005 ◽  
Vol 173 (4S) ◽  
pp. 383-383
Author(s):  
Rainer Kuefer ◽  
Matthias D. Hofer ◽  
Christoph Zorn ◽  
Bjoern G. Volkmer ◽  
Juergen E. Gschwend ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Predictive Value ◽  
Serum Biomarker ◽  
E Cadherin

Tissue plasminogen activator as a novel diagnostic aid in acute pulmonary embolism

VASA ◽  
2014 ◽  
Vol 43 (6) ◽  
pp. 450-458 ◽  
Author(s):  
Julio Flores ◽  
Ángel García-Avello ◽  
Esther Alonso ◽  
Antonio Ruíz ◽  
Olga Navarrete ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Negative Predictive Value ◽  
Plasminogen Activator ◽  
Tissue Plasminogen Activator ◽  
Predictive Value ◽  
Acute Pulmonary Embolism ◽  
Enzyme Linked Immunosorbent Assay ◽  
Diagnostic Utility ◽  
Tissue Plasminogen ◽  
D Dimer

Background: We evaluated the diagnostic efficacy of tissue plasminogen activator (tPA), using an enzyme-linked immunosorbent assay (ELISA) and compared it with an ELISA D-dimer (VIDAS D-dimer) in acute pulmonary embolism (PE). Patients and methods: We studied 127 consecutive outpatients with clinically suspected PE. The diagnosis of PE was based on a clinical probability pretest for PE and a strict protocol of imaging studies. A plasma sample to measure the levels of tPA and D-dimer was obtained at enrollment. Diagnostic accuracy for tPA and D-dimer was determined by the area under the receiver operating characteristic (ROC) curve. Sensitivity, specificity, predictive values, and the diagnostic utility of tPA with a cutoff of 8.5 ng/mL and D-dimer with a cutoff of 500 ng/mL, were calculated for PE diagnosis. Results: PE was confirmed in 41 patients (32 %). Areas under ROC curves were 0.86 for D-dimer and 0.71 for tPA. The sensitivity/negative predictive value for D-dimer using a cutoff of 500 ng/mL, and tPA using a cutoff of 8.5 ng/mL, were 95 % (95 % CI, 88–100 %)/95 % (95 % CI, 88–100 %) and 95 % (95 % CI, 88–100 %)/94 %), respectively. The diagnostic utility to exclude PE was 28.3 % (95 % CI, 21–37 %) for D-dimer and 24.4 % (95 % CI, 17–33 %) for tPA. Conclusions: The tPA with a cutoff of 8.5 ng/mL has a high sensitivity and negative predictive value for exclusion of PE, similar to those observed for the VIDAS D-dimer with a cutoff of 500 ng/mL, although the diagnostic utility was slightly higher for the D-dimer.

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