Evidence map›Paper›PMID 41048940›Full record

SynthesisFrontiers in medicine2025

Risk prediction models for contrast-induced acute kidney injury in patients with acute coronary syndromes: a systematic review and meta-analysis.

Lu Zhang, Xuehua Cao, Yanmei Yang, Songying Fu, Yu Jia, Wanqing Hu, Feng Xiang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
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

7 authors.

Lu ZhangSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Sichuan, China.
Xuehua CaoDepartment of Gynecology Nursing, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Sichuan, China.
Yanmei YangSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Sichuan, China.
Songying FuSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Sichuan, China.
Yu JiaSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Sichuan, China.
Wanqing HuSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Sichuan, China.
Feng XiangSchool of Nursing, Chengdu University of Traditional Chinese Medicine, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Percutaneous coronary intervention (PCI) has become a crucial method for the treatment of acute coronary syndromes (ACS), which includes ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI), and unstable angina (UA). However, contrast-induced acute kidney injury(CI-AKI) is one of its serious complications. A growing number of models have been used to predict ACS patients undergoing coronary angiography (CAG) or PCI, but the predictive efficacy of these models is unclear. Methods: We systematically searched PubMed, Web of Science, The Cochrane Library, and Embase from the inception to May 18, 2024. This study excluded non-English studies to reduce potential language bias. The Prediction Model Risk of Bias Assessment Tool (PROBAST) was used to evaluate bias risk and applicability of the studies in the prediction model, and the area under the curve (AUC) values of the models were meta-analyzed by Stata 15.0 software. Results: 13,834 articles were retrieved, and 16 studies were finally included after screening. The incidence of CI-AKI in patients with ACS underwent PCI or CAG ranged from 4.66 to 19.85%. The developed models exhibited a pooled AUC of 0.804 (95% CI: 0.772-0.836), while the validation models demonstrated a pooled AUC of 0.785 (95% CI: 0.747-0.823). However, significant heterogeneity was observed in both the development and validation cohorts (89.7 and 84.8%, respectively), along with publication bias ( Conclusion: No existing model for CI-AKI after CAG or PCI can currently be recommended for routine use due to the high risk of bias and the lack of external validation. Researchers should follow PROBAST and use a prospective design with a large sample size to improve the quality of prediction models and provide better clinical value. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42024573128.

Indexed as

acute coronary syndromescontrast-induced acute kidney injurycoronary angiographymeta-analysispercutaneous coronary interventionprediction model

Identifiers

PMID41048940
PMCPMC12488721

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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.