PMID- 36942879 OWN - NLM STAT- MEDLINE DCOM- 20231023 LR - 20231023 IS - 1784-973X (Electronic) IS - 0001-5385 (Linking) VI - 78 IP - 8 DP - 2023 Oct TI - A new marker for the prediction of contrast induced-acute kidney injury following primary percutaneous coronary intervention: logarithm of haemoglobin-albumin product. PG - 901-909 LID - 10.1080/00015385.2023.2187126 [doi] AB - BACKGROUND: Contrast-induced acute kidney injury (CI-AKI) is a disorder that adversely affects the prognosis of STEMI. The study aimed to assess the predictive value of a new marker, logarithm of haemoglobin and albumin product (LHAP) on the risk of CI-AKI development after primary percutaneous coronary intervention (p-pci). METHOD: We retrospectively enrolled 3057 patients with ST-elevation acute myocardial infarction who were treated with p-PCI. The primary outcome was CI-AKI, defined as >25% or >0.5 mg/dl increase of baseline creatinine values during post-procedural 48 h. RESULTS: First, a baseline model was produced to determine the predictors of CI-AKI, then haemoglobin, albumin and LHAP were included in the base model and the performances of all models were compared. The predictive accuracy (Likelihood ratio chi(2) and R(2)) and discrimination (ROC-AUC) of the model including LHAP were significantly higher than that of models including both albumin and Hgb. LHAP best cut-off value for the development of CI-AKI was 9.26 (sensitivity 68% and specificity 66%). CONCLUSION: LHAP values were the most important predictor of CI-AKI, followed by creatinine value and Killip class. LHAP values are significantly associated with CI-AKI after p-PCI. FAU - Ozveren, Olcay AU - Ozveren O AD - Department of Cardiology, Yeditepe University Hospital, Istanbul, Turkey. FAU - Tanalp, Ali Cevat AU - Tanalp AC AD - Department of Cardiology, Gebze Medicalpark Hospital, Gebze, Turkey. FAU - Tanboga, Ibrahim Halil AU - Tanboga IH AD - Department of Cardiology and Biostatistics, Nisantasi University, Istanbul, Turkey. FAU - Karagoz, Ali AU - Karagoz A AUID- ORCID: 0000-0002-0438-2021 AD - Department of Cardiology, Kartal Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey. FAU - Saygi, Mehmet AU - Saygi M AD - Department of Cardiology, Hisar Intercontinental Hospital, Istanbul, Turkey. FAU - Birdal, Oguzhan AU - Birdal O AD - Department of Cardiology, Ataturk University, Yakutiye, Turkey. FAU - Turkyilmaz, Erdem AU - Turkyilmaz E AD - Department of Cardiology, Medifema Hospital, Torbali, Turkey. FAU - Durmus, Erdal AU - Durmus E AD - Department of Cardiology, Yeditepe University Hospital, Istanbul, Turkey. FAU - Oduncu, Vecih AU - Oduncu V AD - Department of Cardiology, Bahcesehir University, Istanbul, Turkey. LA - eng PT - Journal Article DEP - 20230321 PL - England TA - Acta Cardiol JT - Acta cardiologica JID - 0370570 RN - 0 (Contrast Media) RN - AYI8EX34EU (Creatinine) RN - 0 (Hemoglobins) RN - 0 (Albumins) SB - IM MH - Humans MH - Risk Factors MH - Retrospective Studies MH - Risk Assessment MH - *Percutaneous Coronary Intervention/adverse effects MH - Contrast Media/adverse effects MH - Creatinine/adverse effects MH - *Acute Kidney Injury/chemically induced/diagnosis MH - *ST Elevation Myocardial Infarction/diagnosis/surgery MH - Hemoglobins MH - Albumins/adverse effects OTO - NOTNLM OT - Hemoglobin OT - acute kidney injury OT - albumin OT - creatinine OT - morbidity OT - myocardial infarction EDAT- 2023/03/22 06:00 MHDA- 2023/10/23 12:44 CRDT- 2023/03/21 08:12 PHST- 2023/10/23 12:44 [medline] PHST- 2023/03/22 06:00 [pubmed] PHST- 2023/03/21 08:12 [entrez] AID - 10.1080/00015385.2023.2187126 [doi] PST - ppublish SO - Acta Cardiol. 2023 Oct;78(8):901-909. doi: 10.1080/00015385.2023.2187126. Epub 2023 Mar 21.