Evidence map›Paper›PMID 32461299›Full record

Observational studyBMJ open2020

Nomogram for contrast-induced acute kidney injury in patients with chronic kidney disease undergoing coronary angiography in China: a cohort study.

Li Lei, Yan Xue, Zhaodong Guo, Bowen Liu, Yibo He, Jin Liu, Zhiqiang Nie, Liling Chen, Kaihong Chen, Zhidong Huang and 4 more

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Li Lei *The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0001-5429-9675
Yan Xue *Department of Cardiology, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China.
Zhaodong Guo *Department of Cardiology, Provincial Key Laboratory of Coronary Heart Disease, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Affaliated Guangdong Provincial People's Hospital of South China University of Technology, Guangzhou, Guangdong, China.ORCID 0000-0001-5732-934X
Bowen Liu *Guangdong Provincial People's Hospital, School of Medicine, South China University of Technology, Guangzhou, Guangdong, China.
Yibo HeDepartment of Cardiology, Provincial Key Laboratory of Coronary Heart Disease, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Affaliated Guangdong Provincial People's Hospital of South China University of Technology, Guangzhou, Guangdong, China.ORCID 0000-0003-3777-9516
Jin LiuDepartment of Cardiology, Provincial Key Laboratory of Coronary Heart Disease, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Affaliated Guangdong Provincial People's Hospital of South China University of Technology, Guangzhou, Guangdong, China.ORCID 0000-0002-6638-2334
Zhiqiang NieDepartment of Cardiology, Provincial Key Laboratory of Coronary Heart Disease, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Affaliated Guangdong Provincial People's Hospital of South China University of Technology, Guangzhou, Guangdong, China.
Liling ChenDepartment of Cardiology, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, Fujian, China.
Kaihong ChenDepartment of Cardiology, Longyan First Affiliated Hospital of Fujian Medical University, Longyan, Fujian, China.
Zhidong HuangDepartment of Cardiology, Provincial Key Laboratory of Coronary Heart Disease, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Affaliated Guangdong Provincial People's Hospital of South China University of Technology, Guangzhou, Guangdong, China.
Min LiangDepartment of Respiratory Medicine, Maoming People's Hospital, Maoming, Guangdong, China.
Shiqun ChenDepartment of Cardiology, Provincial Key Laboratory of Coronary Heart Disease, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Affaliated Guangdong Provincial People's Hospital of South China University of Technology, Guangzhou, Guangdong, China.ORCID 0000-0002-2847-019X
Yong LiuThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China liuyong@gdph.org.cn chenjiyandr@126.com.ORCID 0000-0003-2224-4885
Jiyan ChenThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China liuyong@gdph.org.cn chenjiyandr@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo establish a nomogram for contrast-induced acute kidney injury (CI-AKI) risk assessment among patients with chronic kidney disease (CKD) undergoing coronary angiography (CAG) or percutaneous coronary intervention (PCI).

designProspective observational cohort study.

settingSouthern China.

interventionsNone.

participants643 consecutive patients with CKD (defined as estimated glomerular filtration rate calculated by Modification of Diet in Renal Disease formula <60 mL/min/1.73 mm OUTCOME MEASURES: The end point was CI-AKI defined as serum creatinine elevation ≥0.5 mg/dL or 25% from baseline within the first 48-72 hours following contrast exposure.Predictors of CI-AKI were selected by multivariable logistic regression and stepwise approach. A nomogram based on these predictors was constructed and compared with the classic Mehran Score. For validation, a bootstrap method (1000 times) was performed.

resultsThe nomogram including age, weight, heart rate, hypotension, PCI and β-blocker demonstrated a better predictive value than the classic Mehran Score (area under the curve: 0.78 vs 0.71, p=0.024), as well as a well-fitted calibration curve (χ

conclusionsWith fewer predictors and higher discriminative power, the present nomogram may be a simple and reliable tool to identify patients with CKD at risk of CI-AKI, whereas further external validations are needed.

Indexed as

Acute Kidney InjuryPercutaneous Coronary InterventionRenal Insufficiency, ChronicChinaCohort StudiesContrast MediaCoronary AngiographyHumansNomogramsProspective StudiesRisk AssessmentRisk FactorsContrast Mediaacute renal failurechronic renal failurecoronary intervention

Identifiers

PMID32461299
PMCPMC7259871

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.