1. Statins and Incidence of Contrast-Induced Acute Kidney Injury Following Coronary Angiography - Five Year Experience at a Tertiary Care Center.
- Author
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Sreenivasan J, Khan MS, Li H, Zhuo M, Patel A, Fugar S, Tarbutton M, Siddamsetti S, and Yadav N
- Subjects
- Acute Coronary Syndrome ethnology, Acute Coronary Syndrome therapy, Acute Kidney Injury diagnosis, Acute Kidney Injury ethnology, Acute Kidney Injury prevention & control, Aged, Coronary Artery Disease ethnology, Coronary Artery Disease therapy, Female, Humans, Illinois epidemiology, Incidence, Male, Middle Aged, Percutaneous Coronary Intervention adverse effects, Protective Factors, Retrospective Studies, Risk Assessment, Risk Factors, Time Factors, Acute Coronary Syndrome diagnostic imaging, Acute Kidney Injury chemically induced, Contrast Media adverse effects, Coronary Angiography adverse effects, Coronary Artery Disease diagnostic imaging, Hydroxymethylglutaryl-CoA Reductase Inhibitors therapeutic use, Tertiary Care Centers
- Abstract
Background: Role of statins in prevention of contrast-induced acute kidney injury (CI-AKI) in patients undergoing coronary angiography remains controversial. We studied the use of statins in decreasing CI-AKI following coronary angiography., Methods: We reviewed all patients who underwent coronary angiography with or without PCI and had a follow-up creatinine from January 2012 to December 2016 at a single tertiary care center in the United States. CI-AKI was defined as 0.3 mg/dL absolute rise in creatinine. Patients who were on moderate to high-intensity statins or received moderate to high-intensity statins prior to coronary angiography were included in the statin group. Crude and adjusted odds ratios (AOR) were calculated using univariate multiple logistic regression analysis., Results: Out of 2055 patients (females = 30.7%, mean age 58.0 ± 12.5 years, statin group = 886, non-statin group = 1169), 293 (14.3%) developed CI-AKI. Mean estimated glomerular filtration rate (eGFR) was not significantly different between the statin and the non-statin group (86.5 mL/min/1.73 m
2 vs 87.1 mL/min/1.73 m2 , p = 0.65). There was no significant difference in the incidence of CI-AKI between statin and non-statin group (14.4% vs 14.1%, p = 0.83). When adjusted for other risk factors, statin use was not significantly associated with decreased risk of CI-AKI (AOR) = 0.8, [95% confidence interval (CI) = 0.6-1.1, p = 0.19]. Results remained statistically non-significant on subgroup analysis of patients with acute coronary syndrome (ACS) (OR = 0.8, 95% CI = 0.6-1.2, p = 0.27), patients who had percutaneous coronary intervention (PCI) (OR = 1.1, 95% CI = 0.6-1.7, p = 0.81) and patients with eGFR < 60 mL/min/1.73 m2 (OR = 0.9, 95% CI = 0.6-1.5, p = 0.9)., Conclusion: Statin use prior to coronary angiography is not associated with decreased incidence of CI-AKI., (Published by Elsevier Inc.)- Published
- 2019
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