JACC:造影剂相关急性肾损伤会增加患者不良预后风险

2020-03-22 MedSci原创 MedSci原创

造影剂相关急性肾损伤(CA-AKI)会增加一系列不良预后的风险,本研究旨在探讨CA-AKI发生后严重不良结局的相对风险和发生率,并探讨CA-AKI是否介导了血管造影前估计的肾小球滤过率与不良结局的关系

造影剂相关急性肾损伤(CA-AKI)会增加一系列不良预后的风险,本研究旨在探讨CA-AKI发生后严重不良结局的相对风险和发生率,并探讨CA-AKI是否介导了血管造影前估计的肾小球滤过率与不良结局的关系。

本研究纳入分析了PRESERVE临床试验中的4418名参与者,评估了CA-AKI是否与患者90天的预后包括死亡、血透和永久性肾损伤相关。分析结果发现,CA-AKI会增加患者90天的死亡、血透和永久性肾损伤风险(p < 0.0001),CA-AKI的临床发病率为1.2%,另外,CA-AKI不是血管造影前估计肾小球滤过率与主要预后相关因子。

研究结果显示,尽管造影剂相关急性肾损伤会增加患者不良预后风险,但临床发生率较低。

原始出处:

Steven D et al.Contrast-Associated Acute Kidney Injury and Serious Adverse Outcomes Following Angiography.JACC.2020 Mar.

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    2021-01-04 hbwxf
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    2020-03-24 sodoo

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