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Prognostic Significance of Acute Kidney Injury Following Acute Myocardial Infarction

Description

Parikh et al evaluated patients who developed acute kidney injury (AKI) following acute myocardial infarction (AMI). They correlated the severity of the acute kidney injury with long-term mortality. The authors are from Yale University, the Veterans Administration Medical Center in West Haven, and the University of Colorado.


 

Patient selection: nontransferred patient >= 65 years of age without renal failure and without terminal illness

 

change in serum creatinine in mg/dL =

= ((highest serum creatinine during the hospitalization in mg/dL) - (admission serum creatinine in mg/dL))

 

Change in Serum Creatinine

Degree of Acute Kidney Injury

< 0.3 mg/dL

none

0.3 to 0.4 mg/dL

mild

0.5 to 0.9 mg/dL

moderate

>= 1.0 mg/dL

severe

 

 

Degree of Acute Kidney Injury

Percent Alive at 10 Years

none

32%

mild

21%

moderate

12%

severe

< 10%

 


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