nach oben

Erschienen in:

02.03.2022 | Nephrology - Original Paper

Incidence and mortality of acute kidney disease following coronary angiography: a cohort study of 9223 patients

verfasst von: 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

Erschienen in: International Urology and Nephrology | Ausgabe 9/2022

Einloggen, um Zugang zu erhalten

Abstract

Purpose

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.

Methods

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.

Results

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).

Conclusions

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.

Nur mit Berechtigung zugänglich

Uchino S, Kellum JA, Bellomo R, Doig GS, Morimatsu H, Morgera S et al (2005) Acute renal failure in critically ill patients: a multinational, multicenter study. JAMA 294(7):813–818. https://doi.org/10.1001/jama.294.7.813CrossRefPubMed

Clermont G, Acker CG, Angus DC, Sirio CA, Pinsky MR, Johnson JP (2002) Renal failure in the ICU: comparison of the impact of acute renal failure and end-stage renal disease on ICU outcomes. Kidney Int 62(3):986–996. https://doi.org/10.1046/j.1523-1755.2002.00509.xCrossRefPubMed

Coca SG, Singanamala S, Parikh CR (2012) Chronic kidney disease after acute kidney injury: a systematic review and meta-analysis. Kidney Int 81(5):442–448. https://doi.org/10.1038/ki.2011.379CrossRefPubMed

Coca SG, Yusuf B, Shlipak MG, Garg AX, Parikh CR (2009) Long-term risk of mortality and other adverse outcomes after acute kidney injury: a systematic review and meta-analysis. Am J Kidney Dis 53(6):961–973. https://doi.org/10.1053/j.ajkd.2008.11.034CrossRefPubMedPubMedCentral

Odutayo A, Wong CX, Farkouh M, Altman DG, Hopewell S, Emdin CA et al (2017) AKI and long-term risk for cardiovascular events and mortality. J Am Soc Nephrol 28(1):377–387. https://doi.org/10.1681/asn.2016010105CrossRefPubMed

Maioli M, Toso A, Leoncini M, Gallopin M, Musilli N, Bellandi F (2012) Persistent renal damage after contrast-induced acute kidney injury: incidence, evolution, risk factors, and prognosis. Circulation 125(25):3099–3107. https://doi.org/10.1161/circulationaha.111.085290CrossRefPubMed

Chawla LS, Bellomo R, Bihorac A, Goldstein SL, Siew ED, Bagshaw SM et al (2017) Acute kidney disease and renal recovery: consensus report of the Acute Disease Quality Initiative (ADQI) 16 Workgroup. Nat Rev Nephrol 13(4):241–257. https://doi.org/10.1038/nrneph.2017.2CrossRefPubMed

Chew ST, Ng RR, Liu W, Chow KY, Ti LK (2017) Acute kidney injury increases the risk of end-stage renal disease after cardiac surgery in an Asian population: a prospective cohort study. BMC Nephrol 18(1):60. https://doi.org/10.1186/s12882-017-0476-yCrossRefPubMedPubMedCentral

Brown JR, DeVries JT, Piper WD, Robb JF, Hearne MJ, Ver Lee PM et al (2008) Serious renal dysfunction after percutaneous coronary interventions can be predicted. Am Heart J 155(2):260–266. https://doi.org/10.1016/j.ahj.2007.10.007CrossRefPubMed

10.

Daratha KB, Short RA, Corbett CF, Ring ME, Alicic R, Choka R et al (2012) Risks of subsequent hospitalization and death in patients with kidney disease. Clin J Am Soc Nephrol 7(3):409–416. https://doi.org/10.2215/cjn.05070511CrossRefPubMed

11.

Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC (2008) Chronic kidney disease adversely influences patient safety. J Am Soc Nephrol 19(12):2414–2419. https://doi.org/10.1681/asn.2008010022CrossRefPubMedPubMedCentral

12.

Jneid H, Anderson JL, Wright RS, Adams CD, Bridges CR, Casey DE Jr et al (2012) 2012 ACCF/AHA focused update of the guideline for the management of patients with unstable angina/non-ST-elevation myocardial infarction (updating the 2007 guideline and replacing the 2011 focused update): a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 60(7):645–681. https://doi.org/10.1016/j.jacc.2012.06.004CrossRefPubMed

13.

Kushner FG, Hand M, Smith SC Jr, King SB 3rd, Anderson JL, Antman EM et al (2009) 2009 focused updates: ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction (updating the 2004 guideline and 2007 focused update) and ACC/AHA/SCAI guidelines on percutaneous coronary intervention (updating the 2005 guideline and 2007 focused update) a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 54(23):2205–2241. https://doi.org/10.1016/j.jacc.2009.10.015CrossRefPubMed

14.

Levine GN, Bates ER, Blankenship JC, Bailey SR, Bittl JA, Cercek B et al (2016) 2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction: an Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention and the 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction. J Am Coll Cardiol 67(10):1235–1250. https://doi.org/10.1016/j.jacc.2015.10.005CrossRefPubMed

15.

Levey AS, Stevens LA, Schmid CH, Zhang YL, Castro AF 3rd, Feldman HI et al (2009) A new equation to estimate glomerular filtration rate. Ann Intern Med 150(9):604–612. https://doi.org/10.7326/0003-4819-150-9-200905050-00006CrossRefPubMedPubMedCentral

16.

Khwaja A (2012) KDIGO clinical practice guidelines for acute kidney injury. Nephron Clin Pract 120(4):c179–c184. https://doi.org/10.1159/000339789CrossRefPubMed

17.

Kosugi T, Eriguchi M, Yoshida H, Tasaki H, Fukata F, Nishimoto M et al (2021) Association between chronic kidney disease and new-onset dyslipidemia: the Japan Specific Health Checkups (J-SHC) study. Atherosclerosis 332:24–32. https://doi.org/10.1016/j.atherosclerosis.2021.08.004CrossRefPubMed

18.

Xiao YQ, Cheng W, Wu X, Yan P, Feng LX, Zhang NY et al (2020) Novel risk models to predict acute kidney disease and its outcomes in a Chinese hospitalized population with acute kidney injury. Sci Rep 10(1):15636. https://doi.org/10.1038/s41598-020-72651-xCrossRefPubMedPubMedCentral

19.

Chu R, Li C, Wang S, Zou W, Liu G, Yang L (2014) Assessment of KDIGO definitions in patients with histopathologic evidence of acute renal disease. Clin J Am Soc Nephrol 9(7):1175–1182. https://doi.org/10.2215/cjn.06150613CrossRefPubMedPubMedCentral

20.

James MT, Levey AS, Tonelli M, Tan Z, Barry R, Pannu N et al (2019) Incidence and prognosis of acute kidney diseases and disorders using an integrated approach to laboratory measurements in a Universal Health Care System. JAMA Netw Open 2(4):e191795. https://doi.org/10.1001/jamanetworkopen.2019.1795CrossRefPubMedPubMedCentral

21.

Peerapornratana S, Priyanka P, Wang S, Smith A, Singbartl K, Palevsky PM et al (2020) Sepsis-associated acute kidney disease. Kidney Int Rep 5(6):839–850. https://doi.org/10.1016/j.ekir.2020.03.005CrossRefPubMedPubMedCentral

22.

Rimes-Stigare C, Ravn B, Awad A, Torlén K, Martling CR, Bottai M et al (2018) Creatinine- and Cystatin C-based incidence of chronic kidney disease and acute kidney disease in AKI survivors. Crit Care Res Prac 2018:7698090. https://doi.org/10.1155/2018/7698090CrossRef

23.

Tonon M, Rosi S, Gambino CG, Piano S, Calvino V, Romano A et al (2021) Natural history of acute kidney disease in patients with cirrhosis. J Hepatol 74(3):578–583. https://doi.org/10.1016/j.jhep.2020.08.037CrossRefPubMed

24.

See EJ, Polkinghorne KR, Toussaint ND, Bailey M, Johnson DW, Bellomo R (2021) Epidemiology and outcomes of acute kidney diseases: a comparative analysis. Am J Nephrol 52(4):342–350. https://doi.org/10.1159/000515231CrossRefPubMed

25.

Iwanaga Y, Miyazaki S (2010) Heart failure, chronic kidney disease, and biomarkers—an integrated viewpoint. Circ J 74(7):1274–1282. https://doi.org/10.1253/circj.cj-10-0444CrossRefPubMed

26.

Cho JS, Shim JK, Lee S, Song JW, Choi N, Lee S et al (2021) Chronic progression of cardiac surgery associated acute kidney injury: intermediary role of acute kidney disease. J Thorac Cardiovasc Surg 161(2):681–8.e3. https://doi.org/10.1016/j.jtcvs.2019.10.101CrossRefPubMed

27.

Wu VC, Chueh JS, Chen L, Huang TM, Lai TS, Wang CY et al (2020) Nephrologist follow-up care of patients with acute kidney disease improves outcomes: Taiwan experience. Value Health 23(9):1225–1234. https://doi.org/10.1016/j.jval.2020.01.024CrossRefPubMed

28.

Chen S, Tang Z, Xiang H, Li X, Chen H, Zhang H et al (2016) Etiology and outcome of crescentic glomerulonephritis from a single center in China: a 10-year review. Am J Kidney Dis 67(3):376–383. https://doi.org/10.1053/j.ajkd.2015.07.034CrossRefPubMed

Titel: Incidence and mortality of acute kidney disease following coronary angiography: a cohort study of 9223 patients
verfasst von: 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
Publikationsdatum: 02.03.2022
Verlag: Springer Netherlands
Erschienen in: International Urology and Nephrology / Ausgabe 9/2022
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI: https://doi.org/10.1007/s11255-022-03110-x

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

^{Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag}

Kostenlos registrieren

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Incidence and mortality of acute kidney disease following coronary angiography: a cohort study of 9223 patients