Evaluation of risk factors and prognosis on diodone-induced acute kidney injury according to ESUR and KDIGO criteria / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
; (12): 65-70, 2016.
Article
in Zh
| WPRIM
| ID: wpr-815073
Responsible library:
WPRO
ABSTRACT
OBJECTIVE@#To investigate the incidence, risk factors and prognosis for contrast-induced acute kidney injury (CI-AKI) according to ESUR and KDIGO criteria in patients undergoing angiography.
@*METHODS@#We evaluated 260 patients undergoing angiography and/or intervention therapy from April 2011 to January 2012 in the Second Xiangya Hospital of Central South University. All patients received low-osmolality contrast agent (ioversol). Serum creatinine was measured before angiography or at 48 or 72 h after procedure. The multivariate logistic regression was used to analyze the risk factors of CI-AKI. The major adverse events were observed in a year of follow-up.
@*RESULTS@#Among the 260 patients, 23 experienced CI-AKI and the incidence was 8.8% according to ESUR criteria. Twelve patients experienced CI-AKI and the incidence was 4.6% according to KDIGO criteria. The multivariate logistic regression analysis showed that diabetes mellitus and dehydration were the independent risk factors for CI-AKI according to ESUR criteria; In another KDIGO criteria, chronic kidney disease (CKD), hypercholesterolemia and diabetes mellitus were the independent risk factors for CI-AKI. The prognosis study showed that the mortality of patients with CI-AKI were significantly higher than those without CI-AKI (P<0.05).
@*CONCLUSION@#The incidence of CI-AKI is associated with diagnostic criteria. Diabetes mellitus, CKD, dehydration and hypercholesterolemia were the independent risk factors for CI-AKI. CI-AKI is a relevant factor for mortality in a year after angiography and/or intervention therapy.
Full text:
1
Database:
WPRIM
Main subject:
Prognosis
/
Angiography
/
Logistic Models
/
Epidemiology
/
Incidence
/
Risk Factors
/
Mortality
/
Contrast Media
/
Dehydration
/
Diabetes Mellitus
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
Language:
Zh
Journal:
Journal of Central South University(Medical Sciences)
Year:
2016
Document type:
Article