AKI BioMAS: Acute Kidney Injury: Biomarkers in Major Abdominal Surgery

  • Research type

    Research Study

  • Full title

    Urine IGFBP-7/TIMP-2 for the prediction of Acute Kidney Injury following Major Abdominal Surgery

  • IRAS ID

    243390

  • Contact name

    Rishabh Singh

  • Contact email

    rishabh.singh1@nhs.net

  • Sponsor organisation

    Research and Development, Royal Surrey County Hospital

  • Duration of Study in the UK

    1 years, 6 months, 0 days

  • Research summary

    The Kidneys filter waste products in the body. Major abdominal surgery carries a risk of developing Kidney Injury. This can have serious effects. Conventional methods of assessing kidney function – blood tests - often only detect it once it has been present for 48 hours. The longer the injury goes undetected, the lower the chance of recovery. A new urine test has been manufactured - the IGFBP-7/TIMP-2 test. Recent research in heart surgery patients has shown that it can detect injury to the Kidneys within 4 hours of the operation.
    Our research hopes to show the same pattern in abdominal surgery. It is hoped that if a way is found of detecting injury to the kidneys earlier than conventional methods, protective strategies can be started sooner, potentially preserving kidney function.
    In our study, urine samples will be obtained from patients 4 hours after they have undergone an operation. The IGFBP-7/TIMP-2 test will then be used. The results of this new test will be compared with the routine blood tests and observations that any patient would be required to have as part of their post-operative care.
    The new test will be performed on samples from approximately 500 patients. We will then analyse all results to ascertain whether the new test could have identified a patient at high risk of developing Kidney Injury within a few hours of their operation.

  • REC name

    London - Queen Square Research Ethics Committee

  • REC reference

    18/LO/0601

  • Date of REC Opinion

    20 Apr 2018

  • REC opinion

    Further Information Favourable Opinion