| Autor: |
Jin Liu, Qiang Li, Weihua Chen, Haozhang Huang, Yaren Yu, Bo Wang, Guoxiao Liang, Wenguang Lai, Liwei Liu, Ming Ying, Haiyan Wei, Zhigang Huang, Jindong Ni, Jiyan Chen, Shiqun Chen, Yong Liu |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
International urology and nephrology. 54(9) |
| ISSN: |
1573-2584 |
| Popis: |
Acute kidney disease (AKD) is an important state in the evolving kidney diseases. However, there is limited data on the incidence and prognosis of AKD following coronary angiography (CAG). Therefore, we aim to characterize the incidence and prognosis of AKD across a large population of CAG patients.The consecutive patients with baseline and following measurement of serum creatinine (Scr) between 7 and 90 days after CAG procedure were included. The AKD was defined as a decrease in glomerular filtration rate by 35%, or an increase in Scr of 50% (from 7 to 90 days). Survival curves, univariate and multivariable cox regressions were used to assess the association between AKD and mortality.Among 9223 patients (male, 60.3%, mean age, 61.7 ± 9.6), 1540 had AKD. During a median follow-up of 5.4 (IQR 2.2-8.6) years, 1562 (16.9%) patients died. The mortality among the patients with AKD was higher than the non-AKD group (24.8% vs. 15.4%, p 0.001). AKD was independently associated with a significantly increased risk of all-cause mortality (adjusted hazard ratio [aHR], 1.57; 95% CI 1.39-1.78; p 0.001).Our study suggested that AKD is commonly observed after CAG and increased half mortality risk than those without AKD. More attention needs to be paid to patients suffering from AKD. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink