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October 29, 2017Angiology

The risk factor profile for CI-AKI included body surface area <1.6 m2 (P=.030), TIA/stroke history (P=.001), WBC >15.00 × 10^9/L (P=.047), eGFR <60 mL/min/1.73 m2 (P=.002) or baseline SCr >133 μmol/L (P=.007), IABP application (P=.006), and diuretics administration (P<.001).

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Why the study?

What are the risk factors for contrast-induced acute kidney injury in patients undergoing emergency PCI?

Population

1061 consecutive patients who underwent an emergency percutaneous coronary intervention, divided into a…

Design

Cohort

Follow-up

7 days

Authors

YYYing YuanSun Yat-sen UniversityHQHong QiuChina Meteorological AdministrationLSLei SongCentral South University

Discussion

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Overview

May inform CI-AKI risk stratification in emergency PCI; hypothesis-generating pending prospective validation.

Structured PICO

What are the risk factors for contrast-induced acute kidney injury in patients undergoing emergency PCI?

P
Population
1061 consecutive patients who underwent an emergency percutaneous coronary intervention (PCI), divided into a derivation group (n=761) and a validation group (n=300).
I
Intervention
Development and validation of a new risk factor profile for contrast-induced acute kidney injury (CI-AKI)
O
Outcome
Contrast-induced acute kidney injury (CI-AKI), defined as serum creatinine increase ≥44.2 μmol/L in 7 dayssafety

A new risk factor profile including body surface area, prior stroke/TIA, elevated WBC, reduced eGFR, IABP use, and diuretic use can predict CI-AKI in patients undergoing emergency PCI.

Cite This Study

Yuan et al. (2017) studied this question.

synapsesocial.com/papers/6a8a7bb5755d28965dfd6c9fhttps://doi.org/10.1177/0003319717736157
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Predictors of contrast-induced acute kidney injury in hemodynamically stable patients with myocardial infarction2022
  2. 2Contrast-Induced Acute Kidney Injury in Patients Undergoing Emergency Coronary Angiography: Eighteen Months of Prospective Surveillance, Risk Score Validation, and Thirty-Day Outcomes2026
  3. 3Impact of contrast-induced acute kidney injury on patients with acute coronary syndrome: results of a prospective cohort2026
  4. 4Accreditation drives teaching: evidence-based medicine and medical education standards2020 · 7 citations
  5. 5An Investigation of Contrast-Induced Acute Kidney Injury in Patients Undergoing Percutaneous Coronary Intervention: A Cross-Sectional Study From Pakistan2024 · 1 citations