Predictive Value of the Naples Prognostic Score for Acute Kidney Injury in ST-Elevation Myocardial Infarction Patients Undergoing Primary Percutaneous Coronary Intervention.
Suleyman KarakoyunMetin CagdasAziz İnan ÇelikTahir BezginIbrahim H TanbogaAli KaragözTufan ÇınarRemziye DoganMehmet SaygıVecih OduncuPublished in: Angiology (2023)
The purpose of this investigation was to investigate whether there was an association between the Naples prognostic score and the development of acute kidney injury (AKI) in ST-elevation myocardial infarction (STEMI) patients following primary percutaneous coronary intervention (pPCI). The study comprised 2901 consecutive STEMI patients who had pPCI. For each patient, the Naples prognostic score was determined. To evaluate the predictive performance of the Naples score (which included either continuous and categorical variables), we developed a Nested model and a nested model combined with the Naples score. The Naples prognostic score was the most significant predictor of AKI occurrence after admission creatinine, age, and contrast volume. The continuous Naples prognostic score model provided the best prediction performance and discriminative ability. The C-index of the Nested and full models with continuous Naples prognostic score were significantly higher than that of the Nested model. The decision curve analysis found that the overall model had a higher full range of probability of clinical net benefit than the baseline model, with a 10% AKI likelihood. The present study found that the Naples prognostic score may be useful to predict the risk of AKI in STEMI patients undergoing pPCI.
Keyphrases
- st elevation myocardial infarction
- percutaneous coronary intervention
- acute kidney injury
- st segment elevation myocardial infarction
- patients undergoing
- acute coronary syndrome
- coronary artery disease
- acute myocardial infarction
- antiplatelet therapy
- coronary artery bypass grafting
- cardiac surgery
- emergency department
- ejection fraction
- metabolic syndrome
- end stage renal disease
- heart failure
- magnetic resonance imaging
- uric acid
- patient reported outcomes