A new marker for the prediction of contrast induced-acute kidney injury following primary percutaneous coronary intervention: logarithm of haemoglobin-albumin product.


Journal

Acta cardiologica
ISSN: 1784-973X
Titre abrégé: Acta Cardiol
Pays: England
ID NLM: 0370570

Informations de publication

Date de publication:
Oct 2023
Historique:
medline: 23 10 2023
pubmed: 22 3 2023
entrez: 21 3 2023
Statut: ppublish

Résumé

Contrast-induced acute kidney injury (CI-AKI) is a disorder that adversely affects the prognosis of STEMI. The study aimed to assess the predictive value of a new marker, logarithm of haemoglobin and albumin product (LHAP) on the risk of CI-AKI development after primary percutaneous coronary intervention (p-pcı). We retrospectively enrolled 3057 patients with ST-elevation acute myocardial infarction who were treated with p-PCI. The primary outcome was CI-AKI, defined as >25% or >0.5 mg/dl increase of baseline creatinine values during post-procedural 48 h. First, a baseline model was produced to determine the predictors of CI-AKI, then haemoglobin, albumin and LHAP were included in the base model and the performances of all models were compared. The predictive accuracy (Likelihood ratio LHAP values were the most important predictor of CI-AKI, followed by creatinine value and Killip class. LHAP values are significantly associated with CI-AKI after p-PCI.

Sections du résumé

BACKGROUND UNASSIGNED
Contrast-induced acute kidney injury (CI-AKI) is a disorder that adversely affects the prognosis of STEMI. The study aimed to assess the predictive value of a new marker, logarithm of haemoglobin and albumin product (LHAP) on the risk of CI-AKI development after primary percutaneous coronary intervention (p-pcı).
METHOD UNASSIGNED
We retrospectively enrolled 3057 patients with ST-elevation acute myocardial infarction who were treated with p-PCI. The primary outcome was CI-AKI, defined as >25% or >0.5 mg/dl increase of baseline creatinine values during post-procedural 48 h.
RESULTS UNASSIGNED
First, a baseline model was produced to determine the predictors of CI-AKI, then haemoglobin, albumin and LHAP were included in the base model and the performances of all models were compared. The predictive accuracy (Likelihood ratio
CONCLUSION UNASSIGNED
LHAP values were the most important predictor of CI-AKI, followed by creatinine value and Killip class. LHAP values are significantly associated with CI-AKI after p-PCI.

Identifiants

pubmed: 36942879
doi: 10.1080/00015385.2023.2187126
doi:

Substances chimiques

Contrast Media 0
Creatinine AYI8EX34EU
Hemoglobins 0
Albumins 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

901-909

Auteurs

Olcay Özveren (O)

Department of Cardiology, Yeditepe University Hospital, Istanbul, Turkey.

Ali Cevat Tanalp (AC)

Department of Cardiology, Gebze Medicalpark Hospital, Gebze, Turkey.

İbrahim Halil Tanboğa (İH)

Department of Cardiology and Biostatistics, Nisantasi University, Istanbul, Turkey.

Ali Karagöz (A)

Department of Cardiology, Kartal Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey.

Mehmet Saygı (M)

Department of Cardiology, Hisar Intercontinental Hospital, Istanbul, Turkey.

Oğuzhan Birdal (O)

Department of Cardiology, Ataturk University, Yakutiye, Turkey.

Erdem Türkyılmaz (E)

Department of Cardiology, Medifema Hospital, Torbalı, Turkey.

Erdal Durmuş (E)

Department of Cardiology, Yeditepe University Hospital, Istanbul, Turkey.

Vecih Oduncu (V)

Department of Cardiology, Bahçeşehir University, Istanbul, Turkey.

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Classifications MeSH