Predictivity of acute kidney injury risk scores for late kidney injury in patients with chronic coronary syndrome.
Kidney injury
Outcome
Percutaneous coronary intervention
Risk score
Journal
Heart and vessels
ISSN: 1615-2573
Titre abrégé: Heart Vessels
Pays: Japan
ID NLM: 8511258
Informations de publication
Date de publication:
Dec 2022
Dec 2022
Historique:
received:
09
03
2022
accepted:
11
05
2022
pubmed:
1
6
2022
medline:
21
10
2022
entrez:
31
5
2022
Statut:
ppublish
Résumé
Late rather than acute kidney injury after percutaneous coronary intervention (PCI) has been recently recognized as a predictor of future adverse events in patient with coronary artery disease. The risk-predicting models for acute kidney injury reported by Mehran et al., Bartholomew et al., and Tsai et al. were derived from a large cohort and externally validated, although the applicability of these models for predicting late kidney injury is unknown. A total of 327 patients undergoing elective PCI procedures were included. We calculated the three scores and tested their diagnostic ability for predicting late kidney injury (> 6 months after PCI), defined as an increase in creatinine levels ≥ 0.3 mg/dl or ≥ 50% from baseline. During the median follow-up period of 28 months, 27 (8.3%) patients had late kidney injury. All three scores significantly predicted late kidney injury, among which the score by Tsai et al. had a better diagnostic ability (area under the curve 0.83, best cut-off value 14, p < 0.001). With the best cut-off value, patients with Tsai score ≥ 14 had a significantly higher rate of late kidney injury than their counterpart (27.4% vs. 2.8%, p < 0.001). In conclusion, established risk scores for acute kidney injury may be useful for predicting late kidney injury after PCI in patients with chronic coronary syndrome.
Identifiants
pubmed: 35635569
doi: 10.1007/s00380-022-02105-z
pii: 10.1007/s00380-022-02105-z
doi:
Substances chimiques
Creatinine
AYI8EX34EU
Contrast Media
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1971-1976Informations de copyright
© 2022. Springer Japan KK, part of Springer Nature.
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