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Predictivity of acute kidney injury risk scores for late kidney injury in patients with chronic coronary syndrome

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Abstract

Late rather than acute kidney injury after percutaneous coronary intervention (PCI) has been recently recognized as a predictor of future adverse events in patient with coronary artery disease. The risk-predicting models for acute kidney injury reported by Mehran et al., Bartholomew et al., and Tsai et al. were derived from a large cohort and externally validated, although the applicability of these models for predicting late kidney injury is unknown. A total of 327 patients undergoing elective PCI procedures were included. We calculated the three scores and tested their diagnostic ability for predicting late kidney injury (> 6 months after PCI), defined as an increase in creatinine levels ≥ 0.3 mg/dl or ≥ 50% from baseline. During the median follow-up period of 28 months, 27 (8.3%) patients had late kidney injury. All three scores significantly predicted late kidney injury, among which the score by Tsai et al. had a better diagnostic ability (area under the curve 0.83, best cut-off value 14, p < 0.001). With the best cut-off value, patients with Tsai score ≥ 14 had a significantly higher rate of late kidney injury than their counterpart (27.4% vs. 2.8%, p < 0.001). In conclusion, established risk scores for acute kidney injury may be useful for predicting late kidney injury after PCI in patients with chronic coronary syndrome.

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Authors and Affiliations

  1. Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, Chiba, 260-8677, Japan

    Yuichi Saito & Yoshio Kobayashi

  2. Division of Cardiology, Chibaken Saiseikai Narashino Hospital, Narashino, Japan

    Yuki Deguchi, Motohiro Nakao, Hirokazu Shiraishi, Naoya Sakamoto & Satoru Kobayashi

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  1. Yuichi Saito
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  2. Yuki Deguchi
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  3. Motohiro Nakao
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  4. Hirokazu Shiraishi
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  5. Naoya Sakamoto
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  6. Satoru Kobayashi
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  7. Yoshio Kobayashi
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Correspondence to Yuichi Saito.

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Saito, Y., Deguchi, Y., Nakao, M. et al. Predictivity of acute kidney injury risk scores for late kidney injury in patients with chronic coronary syndrome. Heart Vessels 37, 1971–1976 (2022). https://doi.org/10.1007/s00380-022-02105-z

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  • DOI: https://doi.org/10.1007/s00380-022-02105-z

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