Evidence map›Paper›PMID 32867690›Full record

ArticleBMC cardiovascular disorders2020

A prediction model of contrast-associated acute kidney injury in patients with hypoalbuminemia undergoing coronary angiography.

Liwei Liu, Jin Liu, Li Lei, Bo Wang, Guoli Sun, Zhaodong Guo, Yibo He, Feier Song, Zhubin Lun, Bowen Liu and 5 more

Registry-linked trialOpen access · goldAbstract readValidation Study
In one paragraph

Article in BMC cardiovascular disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01400295 (Predictive Value of the Contrast Media Volume to Creatinine Clearance Ratio for the Risk of Contrast-Induced Nephropathy After Coronary Angiography), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% of its field
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.

NCT01400295 completednot on this map

Predictive Value of the Contrast Media Volume to Creatinine Clearance Ratio for the Risk of Contrast-Induced Nephropathy After Coronary Angiography

TypeobservationalSponsorGuangdong Provincial People's HospitalRan2010 to 2013Enrolled3,000ConditionsContrast Induced Nephropathy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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

15 authors at 4 institutions in 1 country.

Liwei LiuThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Jin LiuDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.
Li LeiThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
Bo WangDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.
Guoli SunDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.
Zhaodong GuoDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.
Yibo HeDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.
Feier SongDepartment of Emergency and Critical Care Medicine, Guangdong Provincial People's Hospital and Guangdong Academy of Medical Sciences, Guangzhou, 510080, People's Republic of China.
Zhubin LunDepartment of Cardiology, Dongguan People's Hospital, Dongguan, 523059, China.
Bowen LiuGuangdong Provincial People's Hospital, School of Medicine, South China University of Technology, Guangzhou, 510100, China.
Guanzhong ChenGuangdong Provincial People's Hospital, School of Medicine, South China University of Technology, Guangzhou, 510100, China.
Shiqun ChenDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.
Yongquan YangDepartment of Cardiology, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.
Yong LiuThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China. liuyong2099@126.com.ORCID 0000-0003-2224-4885
Jiyan ChenThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China. chenjiyandr@126.com.
Guangdong Academy of Medical Sciences · CNGuangdong Provincial People's Hospital · CNSecond Affiliated Hospital of Guangzhou Medical University · CNDongguan People’s Hospital · CN

Funding

Beijing Lisheng Cardiovascular Pilot Foundation LHJJ201612127National Natural Science Foundation of China 81670339
6 · The paper itself

Abstract

backgroundRisk stratification is recommended as the key step to prevent contrast-associated acute kidney injury (CA-AKI) among at-risk patients following coronary angiography (CAG) and/or percutaneous coronary intervention (PCI). Patients with hypoalbuminemia are prone to CA-AKI and do not have their own risk stratification tool. Therefore, this study developed and validated a new model for predicting CA-AKI among hypoalbuminemia patients CAG/PCI.

methods1272 patients with hypoalbuminemia receiving CAG/PCI were enrolled and randomly allocated (2:1 ratio) into the development cohort (n = 848) and the validation cohort (n = 424). CA-AKI was defined as an increase of ≥0.3 mg/dL or 50% in serum creatinine (SCr) compared to baseline in the 48 to 72 h after CAG/PCI. A prediction model was established with independent predictors according to stepwise logistic regression, showing as a nomogram. The discrimination of the new model was evaluated by the area under the curve (AUC) and was compared to the classic Mehran CA-AKI model. The Hosmer-Lemeshow test was conducted to assess the calibration of our model.

resultsOverall, 8.4% (71/848) patients of the development group and 11.2% (48/424) patients of the validation group experienced CA-AKI. A new nomogram included estimated glomerular filtration rate (eGFR), serum albumin (ALB), age and the use of intra-aortic balloon pump (IABP); showed better predictive ability than the Mehran score (C-index 0.756 vs. 0.693, p = 0.02); and had good calibration (Hosmer-Lemeshow test p = 0.187).

conclusionsWe developed a simple model for predicting CA-AKI among patients with hypoalbuminemia undergoing CAG/PCI, but our findings need validating externally.

trial registrationhttp://www.ClinicalTrials.gov NCT01400295 , retrospectively registered 21 July 2011.

Indexed as

Clinical Decision RulesNomogramsAcute Kidney InjuryAgedBiomarkersContrast MediaCoronary AngiographyCoronary Artery DiseaseFemaleHumansHypoalbuminemiaMaleMiddle AgedPercutaneous Coronary InterventionPredictive Value of TestsProspective StudiesALB protein, humanBiomarkersContrast MediaSerum Albumin, HumanContrast-associated kidney injuryCoronary angiographyHypoalbuminemiaNomogramPercutaneous coronary intervention

Identifiers

PMID32867690
PMCPMC7460778
OpenAlexW3082678171

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Registered trials

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.