Derivation and validation of a risk score for contrast-induced nephropathy after cardiac catheterization in Chinese patients

Gao, Yumei; Di, Li; Cheng, Hong; Chen, Yipu

doi:10.1007/s10157-014-0942-9

Cited by 42 publications

(54 citation statements)

References 26 publications

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“…History of HTN (p value=0.542), which was consistent with Gao et al, [14], who demonstrated that history of hypertension was significant predictor of CIN (p value=0.001)…”

supporting

confidence: 88%

“…Contrast volume used ≥ 200 ml (p value=0.048), which was consistent with Gao et al, [14], who retrospectively studied 3945 Asian patients undergoing coronary angiography or PCI and demonstrated that the contrast volume used >200 mL was associated with a significantly higher risk of CIN and the CIN risk would be increased with the increment of contrast volume.…”

supporting

confidence: 85%

“…Patients who had multivessel disease and this was discordant with Gao et al, [14], who found that patients with multivessel disease were at high risk for CIN (p value=0.002).…”

supporting

confidence: 70%

“…The Gao and Chen risk scores were established based og PCI, without discrimination based on the underlying condition. They have good discriminative power for CIN in the validation data set [13][14][15].…”

Section: Introductionmentioning

confidence: 98%

“…But In 2006, the CIN Consensus Working Panel stated that it is not clear whether the risk of CIN is significantly increased in patients with diabetes who do not have renal impairment and the updated contrast Media Safety Committee (CMSC) of European Society of Urogenital Radiology guidelines published in 2011 also hold the same opinion [2]. The eGFR<60 ml/min/ 1.73 m 2 at admission (p value=0.096), which was inconsistent with Gao et al, [14], who found that the baseline renal function was one of the strongest predictors for CIN development. This may be due to the renal function in a quite high proportion of our patients (80.0%) was normal (i.e., eGFR >60 mL/min/1.73 m 2 ).…”

mentioning

confidence: 97%

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Comparative Study of Predictive Value for Different Risk Scores for Predicting Contrast Induced Nephropathy and Short Outcome after Primary Percutaneous Coronary Intervention

Mokarrab¹,

Ismail²,

Mostafa³

et al. 2017

J Clin Exp Cardiolog

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Background: Meticulous risk stratification for contrast-induced nephropathy (CIN) is important for patients with ST-segment elevation myocardial infarction (STEMI) and treated with primary percutaneous coronary intervention (PPCI). Aim of the work:To compare between different risk scores for predicting contrast-induced nephropathy (CIN) and short outcome after primary percutaneous coronary intervention in patients with ST segment elevation myocardial infarction. Materials and methods:We prospectively enrolled 100 patients who presented with STEMI and treated with Primary PCI. Mehran, Gao, Chen, ACEF or AGEF (age, serum creatinine, or glomerular filtration rate, and ejection fraction); and GRACE (Global Registry for Acute Coronary Events) risk scores were calculated for each patient. The predictive accuracy of the 6 scores for CIN, in-hospital death and major adverse clinical events (MACEs) were assessed by Receiver operating characteristics (ROC) curve. CIN was defined as an absolute increase of serum creatinine by ≥ 0.5 mg/dl or a relative increase of serum creatinine by ≥ 25% from baseline value, at 48-72 h following the exposure to contrast media (CM). The data was analyzed using Chi-square test using SPSS (Statistical package for social science) software.Results: All risk scores had relatively good predictive accuracy for CIN (Area under the curve (AUC) ranged from 0.671 to 0.829) and performed well for prediction of in-hospital death (AUC ranged from 0.838 to 0.973) and MACEs (AUC ranged from 0.815 to 0.926). The Mehran and Gao risk scores had better predictive accuracy for CIN. While Mehran and GRACE risk scores had better predictive accuracy for in-hospital death and MACEs. Conclusion:Risk scores for predicting CIN perform well in stratifying the risk of CIN, in-hospital death and MACEs in patients with STEMI undergoing PPCI. The Gao, Mehran risk scores appear to have greater predictive value for CIN. While GRACE and Mehran scores had highest predictive accuracy for in hospital death and MACEs than the other risk scores.

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“…History of HTN (p value=0.542), which was consistent with Gao et al, [14], who demonstrated that history of hypertension was significant predictor of CIN (p value=0.001)…”

supporting

confidence: 88%

supporting

confidence: 85%

“…Patients who had multivessel disease and this was discordant with Gao et al, [14], who found that patients with multivessel disease were at high risk for CIN (p value=0.002).…”

supporting

confidence: 70%

Section: Introductionmentioning

confidence: 98%

mentioning

confidence: 97%

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Comparative Study of Predictive Value for Different Risk Scores for Predicting Contrast Induced Nephropathy and Short Outcome after Primary Percutaneous Coronary Intervention

Mokarrab¹,

Ismail²,

Mostafa³

et al. 2017

J Clin Exp Cardiolog

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Three‐dimensional speckle‐tracking echocardiography for evaluating myocardial motion in patients with cardiorenal syndrome

Zhang

Qiu

Chen

et al. 2019

J of Clinical Ultrasound

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Because of better awareness and understanding of its pathophysiology, the cardiorenal syndrome (CRS) is more often diagnosed and better managed. The echocardiographic evaluation of CRS now benefits from three‐dimensional speckle tracking echocardiography (3D‐STE), which allows multidimensional and real‐time evaluation of regional myocardial and overall cardiac function, and helps assessing the degree of myocardial damage. This article describes the application of 3D‐STE in evaluating the myocardial motion in patients with CRS.

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A simple risk score model for predicting contrast-induced nephropathy after coronary angiography in patients with diabetes

Zeng

Chen

et al. 2019

Clin Exp Nephrol

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Derivation and validation of a risk score for contrast-induced nephropathy after cardiac catheterization in Chinese patients

Abstract: A simple risk score for prediction of CIN development after cardiac catheterization in Chinese patients was built up by this study. Use of this risk score may help clinicians to perform early preventative strategies to minimize the risk of CIN.

Cited by 42 publications

References 26 publications

Comparative Study of Predictive Value for Different Risk Scores for Predicting Contrast Induced Nephropathy and Short Outcome after Primary Percutaneous Coronary Intervention

Comparative Study of Predictive Value for Different Risk Scores for Predicting Contrast Induced Nephropathy and Short Outcome after Primary Percutaneous Coronary Intervention

Three‐dimensional speckle‐tracking echocardiography for evaluating myocardial motion in patients with cardiorenal syndrome

A simple risk score model for predicting contrast-induced nephropathy after coronary angiography in patients with diabetes

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