Impact of contrast-induced acute kidney injury on outcomes in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention

Kaneda, Kiyoshi; Yasuoka, Yoshinori; Adachi, Hidenori; Noda, Yoshiki; Hattori, Satoshi; Araki, Ryo; Kohama, Yoshimitsu; Imanaka, Tadayuki; Matsutera, Ryo; Kosugi, Motohiro; Sasaki, Tatsuya

doi:10.1016/j.carrev.2013.07.009

Cited by 33 publications

(25 citation statements)

References 21 publications

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“…The prevalence rate of AKI after acute stroke (11.6%) seems similar to that in patients after ST-elevation MI [2]. Possible explanations are that renal impairment after stroke may have the same risk factors as for MI, such as long-standing arterial stiffness and blockages of small arteries due to atherosclerosis, aging, hypertension, and diabetes [19].…”

Section: Discussionmentioning

confidence: 95%

“…Acute kidney injury (AKI) is common, affecting over 35% of patients admitted to intensive care units [1] and more than 11% of patients with ST-segment elevation myocardial infarction (MI) [2]; and it is associated with a substantial increase in hospital mortality [3, 4]. AKI is defined as a sudden decrease in kidney function or kidney damage from hours to a few days, according to the RIFLE criteria [5].…”

Section: Introductionmentioning

confidence: 99%

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Acute Kidney Injury Following Acute Ischemic Stroke and Intracerebral Hemorrhage: A Meta-Analysis of Prevalence Rate and Mortality Risk

et al. 2017

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Background: The epidemiology of acute renal dysfunction after stroke is routinely overlooked following stroke events. Our aim in this meta-analysis is to report the prevalence of acute kidney injury (AKI) following acute stroke and its impact on mortality. Methods: A systematic literature search was performed on PubMed, EMBASE and Google Scholar for observational studies examining the prevalence and mortality risk of stroke patients with AKI as a complication. The pooled prevalence rates and odds ratios for mortality risk were calculated using subgroup analyses between the stroke subtypes: acute ischemic stroke (AIS) and intracerebral hemorrhage (ICH). Results: A total of 12 studies (4,532,181 AIS and 615,636 ICH) were included. The pooled prevalence rate of AKI after all stroke types was 11.6% (95% CI 10.6–12.7). Subgroup analyses revealed that the pooled prevalence rate of AKI after AIS was greater but not statistically significantly different than ICH (19.0%; 95% CI 8.2–29.7 vs. 12.9%; 95% CI 10.3–15.5, p = 0.5). AKI was found to be a significant risk factor of mortality in AIS (adjusted OR [aOR] 2.23; 95% CI 1.28–3.89; I² = 98.8%), whereas this relationship did not reach statistical significance in ICH (aOR 1.20; 95% CI 0.68–2.12; I² = 74.2%). Conclusions: This meta-analysis provides evidence that AKI is a common complication following both AIS and ICH and it is associated with increased mortality following AIS but not ICH. This highlights the need for early assessment of renal function in the acute phase of AIS, in particular, and avoidance of factors than may induce AKI in vulnerable patients.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Acute Kidney Injury Following Acute Ischemic Stroke and Intracerebral Hemorrhage: A Meta-Analysis of Prevalence Rate and Mortality Risk

et al. 2017

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“…The causes for AKI in the developed world regions include imagining contrast, surgery, toxicity from medications, critical illness, and complications to chronic diseases, such as cardiac and liver disease. [51][52][53] Within developing world regions, causes can include toxicity from herbal treatments and complications during perinatal events. [54][55][56] Again, the relationship between AKI episodes and CKD progression highlights the importance of early CKD detection to increase the likelihood of protecting remaining kidney function from such events.…”

Section: Ckd Progressionmentioning

confidence: 99%

Maintenance Dialysis throughout the World in Years 1990 and 2010

Thomas

Wulf

Bikbov

et al. 2015

Journal of the American Society of Nephrology

171

137

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Rapidly rising global rates of chronic diseases portend a consequent rise in ESRD. Despite this, kidney disease is not included in the list of noncommunicable diseases (NCDs) targeted by the United Nations for 25% reduction by year 2025. In an effort to accurately report the trajectory and pattern of global growth of maintenance dialysis, we present the change in prevalence and incidence from 1990 to 2010. Data were extracted from the Global Burden of Disease 2010 epidemiologic database. The results are on the basis of an analysis of data from worldwide national and regional renal disease registries and detailed systematic literature review for years 1980-2010. Incidence and prevalence estimates of provision of maintenance dialysis from this database were updated using a negative binomial Bayesian metaregression tool for 187 countries. Results indicate substantial growth in utilization of maintenance dialysis in almost all world regions. Changes in population structure, changes in aging, and the worldwide increase in diabetes mellitus and hypertension explain a significant portion, but not all, of the increase because increased dialysis provision also accounts for a portion of the rise. These findings argue for the importance of inclusion of kidney disease among NCD targets for reducing premature death throughout the world.

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“…Вавилова, 61; тел. : +7(499)134-8306; e-mail: villevaldes@mail.ru С внедрением в клиническую практику высокотехно-логичных методов исследования и лечения чрескожные коронарные вмешательства (ЧКВ) стали неотъемлемым этапом терапии больных с ишемической болезнью серд-ца, особенно с острым коронарным синдромом (ОКС) [1][2][3]. Несмотря на очевидные успехи, достигнутые в со-временной интервенционной кардиологии и ангиологии, проблема безопасности вмешательств остается актуаль-ной.…”

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Contrast-induced acute kidney injury after primary percutaneous coronary interventions: Prevalence, predictive factors, and outcomes

et al. 2015

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РезюмеЦель исследования. Изучить частоту, тяжесть, прогностические факторы развития и прогностическое значение индуциро-ванного контрастным веществом острого повреждения почек (ИКВ-ОПП) у пациентов с острым коронарным синдромом с подъемом сегмента ST (ОКСпST) и первичным чрескожным коронарным вмешательством (ЧКВ). Материалы и методы. У 216 пациентов, госпитализированных в городскую клиническую больницу Москвы с ОКСпST и подвергнутых первичному ЧКВ (средний возраст 64±13 лет, артериальная гипертония у 90%, инфаркт миокарда в анам-незе у 27%, хроническая болезнь почек у 7%, сахарный диабет 2-го типа у 21%), оценена частота развития ИКВ-ОПП по критериями KDIGO (2012). На основании логистического регрессионного анализа определены прогностические факторы развития ИКВ-ОПП, при телефонном опросе через 12 мес оценен прогноз. Результаты. ИКВ-ОПП диагностировано у 43 (20%) пациентов, которое представлено I (81%) и II (19%) стадиями. Паци-енты с ИКВ-ОПП были старше, характеризовались более высокими исходными уровнями креатинина в сыворотке крови, объемом контрастного вещества, отношением объем контрастного вещества/скорость клубочковой фильтрации, меньшей фракцией выброса левого желудочка. Выявлены независимые прогностические факторы развития ИКВ-ОПП: хроническая болезнь почек, многососудистое поражение коронарного русла, терапия в стационаре петлевыми диуретиками, нефро-токсичными антибиотиками, антагонистами минералокортикоидных рецепторов. Заключение. Развитие ИКВ-ОПП ассоциируется с неблагоприятными исходами: более высокой 30-дневной смертностью, более частыми повторными госпитализациями по поводу сердечно-сосудистых заболеваний.Ключевые слова: индуцированное контрастным веществом острое повреждение почек, острый коронарный синдром с подъемом сегмента ST, первичное чрескожное коронарное вмешательство. Aim. To study the incidence, severity, predictive factors, and prognostic value of contrast-induced acute kidney injury (CIAKI) in patients with ST-segment elevation acute coronary syndrome (STSEACS), who have undergone primary percutaneous coronary intervention (PCI). Subjects and methods. The 2012 KDIGO criteria were used to estimate the incidence of CIAKI in 216 patients (mean age, 64±13 years) admitted to Moscow City Clinical Hospital Sixty-Four and underwent primary PCI for STSEACS (hypertension in 90%, prior myocardial infarction in 27%, chronic kidney disease in 7%, type 2 diabetes mellitus in 21%). Logistic regression analysis was performed to identify predictive factors for CIAKI; following 12 months, its prognosis was assessed by phone. Results. Forty-three (20%) patients were diagnosed with Stages I (81%) and II (19%) CIAKI. The patients with CIAKI were older; they had higher baseline serum creatinine levels, a higher volume of contrast agent, a higher ratio of contrast medium volume to glomerular filtration rate, and lower left ventricular ejection fraction. Independent predictive factors for CIAKI were identified; these were chronic kidney disease, multivascular injury in the coronary bed, hospital therapy wi...

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Impact of contrast-induced acute kidney injury on outcomes in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention

Cited by 33 publications

References 21 publications

Acute Kidney Injury Following Acute Ischemic Stroke and Intracerebral Hemorrhage: A Meta-Analysis of Prevalence Rate and Mortality Risk

Acute Kidney Injury Following Acute Ischemic Stroke and Intracerebral Hemorrhage: A Meta-Analysis of Prevalence Rate and Mortality Risk

Maintenance Dialysis throughout the World in Years 1990 and 2010

Contrast-induced acute kidney injury after primary percutaneous coronary interventions: Prevalence, predictive factors, and outcomes

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