Description

Fujiwara et al reported 2 models for predicting contrast-associated acute kidney injury (CA-AKI) following percutaneous coronary intervention (PCI). One is a simple score and the second is a logistic regression equation. The authors are from Fujita Health University, Gunma University and Osaka University.


Patient selection: status post percutaneous coronary intervention (PCI)

 

Parameters:

(1) emergency procedure

(2) serum creatinine in mg/dL

(3) urine protein by dipstick, from 0 to 4+

(4) left ventricular ejection fraction (LVEF) in percent

 

Parameter

Finding

Points

emergency procedure

no

0

 

yes

1.218

serum creatinine

 

1.396 * (creatinine)

urine protein

negative

0

 

+/-, 1+, 2+, 3+, 4+

1.413

LVEF

 

-0.038 * (LVEF)

 

value of X =

= SUM(points for all of the parameters) - 3.379

 

risk of acute kidney injury =

= 1 / (1 + EXP((-1) * X))

 

Performance:

• The area under the ROC curve is 0.79.


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