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Prevalence and mortality of transient acute kidney injury within 48 h, as new subtype, following coronary angiography: a cohort study.

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收录情况： ◇ SCIE

作者：
Li Qiang[1] * ; Lin Mengfei[2] * ; Huang Haozhang[1,3] * ; Liu Liwei[1,3,4] * ; Chen Weihua[5] ; Huang Dehua[6] ; Tang Ronghui[7] ; Zhao Miao[7] ; Wei Wen[5] ; Wang Bo[1] ; Huang Zhidong[1] ; Tan Ning[1,3,8] ; Chen Jiyan[1,3,8] ; Chen Shiqun[1] ; Liu Jin[1] ; Liu Yong[1,3,8] ;
机构： [1]Department of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, South China University of Technology, Guangzhou 510100, China [2]Department of Cardiology, Maoming People’s Hospital, Maoming 525000, China [3]The Second School of Clinical Medicine, Southern Medical University, Guangzhou 510515, China [4]Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Diseases, Shanghai 200032, China [5]Longyan First Affiliated Hospital of Fujian Medical University, Longyan 364000, China [6]Department of Cardiology, People’s Hospital of Yangjiang, Yangjiang, Guangdong Province, China [7]Department of Ultrasound Imaging, Yunnan Fuwai Cardiovascular Hospital, Kunming, China [8]Guangdong Provincial People’s Hospital, School of Medicine, South China University of Technology, Guangzhou 510100, China
出处：
DOI： 10.1007/s10157-021-02166-w
ISSN：

摘要：
The association of transient acute kidney injury (AKI) with mortality was controversial. Our study aims to investigate the prevalence and impact of transient AKI on mortality in patients following coronary angiography (CAG).Our study retrospectively enrolled 3970 patients with pre-operative serum creatinine (Scr) and twice measurements within 48 h after procedure. Transient AKI defined as the diagnosis of AKI (Scr > 0.3 mg/dL or > 50% from the baseline level) on day 1 when Scr failed to meet the criteria for AKI on the day 2. Maintained AKI was defined as AKI not meeting the definition for transient AKI. The primary outcome was 1-year all-cause mortality. Multivariable logistic regression was used to assess the association between transient AKI and 1-year mortality.Among 3,970 participants, 861 (21.7%) occurred AKI, of whom 128 (14.9%) was transient AKI and 733 (85.1%) was maintained AKI. 312 (7.9%) patients died within 1-year after admission. After multivariable analysis, transient AKI was not associated with higher 1-year mortality [adjusted odds ratio (aOR), 1.37; CI 0.68-2.51] compared without AKI. Among AKI patients, transient AKI was associated with a 52% lower 1-year mortality compared with maintained AKI. Additionally, maintained AKI was significantly associated with higher 1-year mortality (aOR, 2.67; CI 2.05-3.47).Our data suggested that transient AKI within 48 h was a common subtype of AKI following CAG, without increasing mortality. More attention needs to be paid to the patients suffering from maintained AKI following CAG.© 2021. Japanese Society of Nephrology.

基金：
This study was supported by grants from National Key Research and Development Program of China, Grant (2016YFC1301202), Guangdong Provincial People’s Hospital Dengfeng Project Fund (DFJH201919) and The National Science Foundation for Young Scientist of China (Grant no. 8197021596, 81500520). The funders had no role in the study design, data collection and analysis,decision to publish, or preparation of the manuscript; the work was not funded by any industry sponsors.
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外文
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中科院(CAS)分区：
出版当年[2022]版：
大类 | 4 区 医学
小类 | 4 区 泌尿学与肾脏学
最新[2023]版：
大类 | 4 区 医学
小类 | 4 区 泌尿学与肾脏学
JCR分区：
出版当年[2021]版：
Q3 UROLOGY & NEPHROLOGY
最新[2023]版：
Q2 UROLOGY & NEPHROLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者：
第一作者机构： [1]Department of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, South China University of Technology, Guangzhou 510100, China
共同第一作者：
通讯作者：
通讯机构： [1]Department of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, South China University of Technology, Guangzhou 510100, China [3]The Second School of Clinical Medicine, Southern Medical University, Guangzhou 510515, China [8]Guangdong Provincial People’s Hospital, School of Medicine, South China University of Technology, Guangzhou 510100, China
推荐引用方式(GB/T 7714)：
Li Qiang,Lin Mengfei,Huang Haozhang,et al.Prevalence and mortality of transient acute kidney injury within 48 h, as new subtype, following coronary angiography: a cohort study.[J].CLINICAL AND EXPERIMENTAL NEPHROLOGY.2022,26(4):333-340.doi:10.1007/s10157-021-02166-w.
APA：
Li Qiang,Lin Mengfei,Huang Haozhang,Liu Liwei,Chen Weihua...&Liu Yong.(2022).Prevalence and mortality of transient acute kidney injury within 48 h, as new subtype, following coronary angiography: a cohort study..CLINICAL AND EXPERIMENTAL NEPHROLOGY,26,(4)
MLA：
Li Qiang,et al."Prevalence and mortality of transient acute kidney injury within 48 h, as new subtype, following coronary angiography: a cohort study.".CLINICAL AND EXPERIMENTAL NEPHROLOGY 26..4(2022):333-340

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