Description

Harjai et al developed a grading system for contrast nephropathy. The authors are from Guthrie Clinic in Sayre, Pennsylvania.


Patient selection: exposure to contrast material

 

Time interval for creatinine measurements: 1.6 +/- 1.9 days (or 0-3.5 days after exposure)

 

Parameters:

(1) baseline serum creatinine in mg/dL

(2) serum creatinine in mg/dL after the contrast exposure

 

delta serum creatinine =

= (creatinine after) - (baseline creatinine)

 

increase as a percent =

= (delta creatinine) / (baseline creatinine)

 

delta serum creatinine

percent increase

Grade

<= 0.5 mg/dL

<= 25%

Grade 0

<= 0.5 mg/dL

> 25%

Grade 1

> 0.5 mg/dL

NA

Grade 2

 

 

Grade

Severity

6-month MACE

Grade 0

no nephropathy

12.4%

Grade 1

mild nephropathy

19.4%

Grade 2

significant nephropathy

28.6%

 

where:

MACE = major adverse cardiovascular events

 

All cause mortality at 3 years was 50% for patients in Grade 2 versus 10% for other grades.


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