Clinical Study

Remote Ischaemic Preconditioning Reduces Kidney Injury Biomarkers in Patients Undergoing Open Surgical Lower Limb Revascularisation: A Randomised Trial

Table 2

Changes in kidney and oxidative stress biomarkers from baseline to 24 hours after surgery in the RIPC and sham groups.

RIPC ()Sham ()RIPC vs. Sham
value
Baseline24 h after surgery valueBaseline24 h after surgery value

Serum creatinine (μmol/L)80 (68−88)74 (64−88)0.03079 (69−85)88 (71-95)0.0240.003
eGFR (mL/min/1.73m2)84 (75−93)89 (81−98)0.03782 (70-95)75 (59−92)0.0160.005
Serum urea (mmol/L)5.2 (4.4−6.2)4.7 (4.1−6.1)0.2225.3 (4.0−6.9)5.8 (4.2−7.6)0.0750.041
Serum cystatin C (mg/L)1.1 (0.9−1.2)0.9 (0.8−1.0)0.00021.2 (1.0−1.4)1.2 (1.0−1.4)0.6900.022
Serum beta-2 microglobulin (μg/L)2195 (1820−3005)2000 (1775−2520)0.1842215 (2010−2850)2720 (2100−3325)0.0620.033
Serum NGAL (ng/mL)79 (68−94)100 (82−118)<0.000182 (71−106)106 (80−166)<0.00010.407
Urinary KIM-1 (pg/mL)1343 (871-2046)2689 (1324-4793)0.0011428 (776-2352)3025 (1185-4629)0.0060.935
Urinary L-FABP (ng/mL)1.2 (0.9-1.8)1.2 (0.9-1.4)0.6401.0 (0.9-1.4)1.0 (0.9-1.6)0.8140.710
Serum adiponectin (ng/mL)5712 (3037−9063)5179 (2651−7214)<0.00015129 (2708−7244)4697 (2604−6431)<0.00010.744
Serum IL-18 (pg/mL)294 (229−388)277 (236−365)<0.0001292 (236−371)265 (230−359)<0.00010.794
Serum oxLDL (U/L)67 (55−84)52 (44−67)<0.000160 (49−74)47 (40−59)<0.00010.942
Serum hs-CRP3.5 (1.4-13.5)43.9 (18.5-77.9)<0.00013.9 (2.5-8.0)62.1 (29.8-80.9)<0.00010.209
Urinary isoprostanes/creatinine (ng/mmol)40 (34-52)45 (39-60)0.00254 (43-64)51 (33-63)0.5040.039

eGFR: estimated glomerular filtration rate; NGAL: neutrophil gelatinase-associated lipocalin; oxLDL: oxidized low-density lipoprotein; hs-CRP: high-sensitivity C-reactive protein; KIM-1: kidney injury molecule 1; L-FABP: liver-type fatty acid binding protein.