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营养状况对行外周血管介入治疗患者造影剂肾病的预后价值。

Prognostic value of nutrition for contrast-induced nephropathy in patients undergoing peripheral vascular intervention.

机构信息

Department of Cardiology, Bitlis State Hospital, Beş Minare, Selahattin Eyyübi Street, No: 160, 13000 Center, Bitlis, Turkey.

Department of Cardiology, Mus State Hospital, Saltukgazi Neighborhood, Hospital Street, Malazgirt, Mus, 49400, Turkey.

出版信息

Biomark Med. 2024;18(19):801-811. doi: 10.1080/17520363.2024.2395248. Epub 2024 Sep 4.

Abstract

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). 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. 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,  = 0.021). Nomogram had higher discriminative ability than both PNI and CONUT scores and discriminative abilities were similar for PNI and CONUT scores. Malnutrition, as identified by the CONUT and PNI, was found to be associated with a high risk of CA-AKI development following PVI.

摘要

目的是研究通过控制营养状况(CONUT)和预后营养指数(PNI)评分评估的营养不良对周围血管介入(PVI)后对比剂相关急性肾损伤(CA-AKI)发展的预测价值。这项回顾性横断面观察性研究纳入了 243 例连续接受 PVI 的患者。根据 CA-AKI 的发生情况,将患者分为两组。CA-AKI 患者的 PNI 评分较低,PNI 评分是 CA-AKI 发展的独立预测因素(优势比:0.518,95%置信区间:2.295-0.908,=0.021)。列线图的鉴别能力高于 PNI 和 CONUT 评分,且 PNI 和 CONUT 评分的鉴别能力相似。CONUT 和 PNI 确定的营养不良与 PVI 后 CA-AKI 发展的高风险相关。

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