Development of preprocedure nomogram for predicting contrast-induced acute kidney injury after coronary angiography or percutaneous coronary intervention
10.13929/j.1672-8475.201707021
- VernacularTitle:冠状动脉造影或经皮冠状动脉介入术前患者临床列线图预测术后发生对比剂急性肾损伤的风险
- Author:
Fusheng OUYANG
1
;
Baoliang GUO
;
Bin ZHANG
;
Lu ZHANG
;
Shuixing ZHANG
Author Information
1. 南方医科大学研究生院
- Keywords:
Contrast-induced acute kidney injury;
Nomogram;
Coronary angiography;
Percutaneous coronary intervention
- From:
Chinese Journal of Interventional Imaging and Therapy
2017;14(12):724-728
- CountryChina
- Language:Chinese
-
Abstract:
Objective To establish a preprocedure nomogram for predicting contrast-induced acute kidney injury (CI-AKI) after coronary angiography (CAG) or percutaneous coronary intervention (PCI).Methods Clinical data of 245 patients underwent CAG or PCI were collected.CI-AKI prediction nomogram integrated preprocedural predictors was established with clinical characteristics associated with CI-AKI which were selected with the LASSO regression model,and CI-AKI risk scores were calculated.The ROC curve was constructed to calculate the risk score cutoff.Results The occurrency of CI-AKI was 13.88％ (34/245).Sex,diabetes mellitus,lactate dehydrogenase level,high-sensitivity C-reactive protein,drinking years,chronic kidney disease (CKD),stage of CKD,stroke,acute myocardial infarction as well as systolic blood pressure were significant risk factors.The efficiency of CI-AKI nomogram was good,and the cutoff value of risk score was-1.953.Conclusion The novel nomogram can be used to preprocedurally predict the risk of CI-AKI after CAG or PCI treatment.
