Forskning ved Københavns Universitet - Københavns Universitet

Forside

Acute kidney injury: A frequent and serious complication after primary percutaneous coronary intervention in patients with ST-segment elevation myocardial infarction

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Dokumenter

  • Abdellatif El-Ahmadi
  • Mujahed Sebastian Abassi
  • Hedvig Bille Andersson
  • Engstrøm, Thomas
  • Peter Clemmensen
  • Steffen Helqvist
  • Erik Jørgensen
  • Henning Kelbæk
  • Frants Pedersen
  • Kari Saunamäki
  • Jacob Lønborg
  • Holmvang, Lene

Objectives The aim of the study was to investigate the incidence, risk factors and long-term prognosis of acute kidney injury (AKI) in patients with ST-segment elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (primary PCI). Method A large-scale, retrospective cohort study based on procedure-related variables, biochemical and mortality data collected between 2009 and 2014 at Rigshospitalet, Copenhagen, Denmark. AKI was defined as an increase in serum creatinine of 25% during the first 72 hours after the index procedure. Results A total of 4239 patients were treated with primary PCI of whom 4002 had available creatinine measurements allowing for assessment of AKI and inclusion in this study. The mean creatinine value upon presentation for all patients was 84 μmol/l (standard deviation (SD) ±40) and 97 μmol/l (SD ±53) at peak. AKI occurred in a total of 765 (19.1%) patients. Independent risk factors for the occurrence of AKI were age, time from symptom onset to procedure, peak value of troponin-T, female sex and the contrast volume to eGFR ratio. In a multivariable adjusted analysis AKI was independently associated with a higher mortality rate at 5 years follow-up (hazard ratio 1.39 [95%-confidence interval 1.03–1.88]). Conclusion In STEMI patients treated with primary PCI one in five experiences acute kidney injury, which was associated with a substantial increase in both short- and long-term mortality.

OriginalsprogEngelsk
Artikelnummere0226625
TidsskriftPLoS ONE
Vol/bind14
Udgave nummer12
Antal sider11
ISSN1932-6203
DOI
StatusUdgivet - 2019

ID: 240530461