1. Is eGFR ≥60 mL/min/1.73 m 2 in Patients Undergoing Coronary Angiography Really Safe for Contrast Nephropathy?
- Author
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Comoglu, Mustafa, Acehan, Fatih, Katipoglu, Bilal, Demir, Burak F., Guven Cetin, Zehra, and Ates, Ihsan
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RISK assessment , *PATIENT safety , *SURGERY , *PATIENTS , *RECEIVER operating characteristic curves , *DATA analysis , *MULTIPLE regression analysis , *ACUTE kidney failure , *RETROSPECTIVE studies , *MULTIVARIATE analysis , *DESCRIPTIVE statistics , *LONGITUDINAL method , *ODDS ratio , *STATISTICS , *CORONARY angiography , *COMPARATIVE studies , *CONFIDENCE intervals , *GLOMERULAR filtration rate , *CONTRAST media , *DISEASE risk factors - Abstract
The aim of the present study was to define the risk factors associated with contrast-induced acute kidney injury (CI-AKI) in patients who underwent coronary artery angiography (CAG). In this retrospective cohort study, patients who underwent CAG between March 2014 and January 2022 were evaluated. A total of 2923 eligible patients were included in the study. Univariate and multivariate logistic regression analysis was used to identify the predictive factors. CI-AKI developed in 77 (2.6%) of 2923 patients. In multivariate analysis, diabetes mellitus (DM), chronic kidney disease (CKD), and estimated glomerular filtration rate (eGFR) were found to be independent factors associated with CI-AKI. In the subgroup analysis of patients with eGFR ≥60 mL/min/1.73 m2, eGFR remained a predictor of CI-AKI (Odds ratio (OR):.89, 95% CI:.84-.93; that is, a lower eGFR remains a risk factor for CI-AKI). In the receiving operating characteristic (ROC) analysis of patients with eGFR ≥60 mL/min/1.73 m2, the area under the curve of the eGFR was.826. Using the ROC curve based on Youden's index, the eGFR cut-off was found to be 70 mL/min/1.73 m2 for patients with eGFR ≥60 mL/min/1.73 m2. eGFR is also an important risk factor in patients with eGFR 60-70 mL/min/1.73 m2. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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