Prognostic value of nutrition for contrast-induced nephropathy in patients undergoing peripheral vascular intervention.
Ahmet KaradumanCemalettin YilmazMustafa Ferhat KetenIsmail BalabanFaysal SaylikElnur AlizadeRegayip ZehirPublished in: Biomarkers in medicine (2024)
Background: The objective was to examine the predictive value of malnutrition, assessed via the Controlling Nutritional status (CONUT) and Prognostic Nutrition Index (PNI) scores, in the development of contrast-associated acute kidney injury (CA-AKI) following peripheral vascular intervention (PVI). Methods: This retrospective cross-sectional observational study included the enrollment of 243 consecutive patients who underwent PVI. Patients were categorized into two groups based on the occurrence of CA-AKI. Results: Patients with CA-AKI had lower PNI scores and the PNI score was an independent predictor of CA-AKI development (Odds Ratio: 0.518, 95% CI: 2.295-0.908, p = 0.021). Nomogram had higher discriminative ability than both PNI and CONUT scores and discriminative abilities were similar for PNI and CONUT scores. Conclusion: Malnutrition, as identified by the CONUT and PNI, was found to be associated with a high risk of CA-AKI development following PVI.
Keyphrases
- acute kidney injury
- end stage renal disease
- cross sectional
- cardiac surgery
- randomized controlled trial
- chronic kidney disease
- ejection fraction
- newly diagnosed
- patients undergoing
- physical activity
- peritoneal dialysis
- protein kinase
- risk assessment
- prognostic factors
- magnetic resonance imaging
- healthcare
- computed tomography
- squamous cell carcinoma
- patient reported outcomes