Association between uric acid level and contrast-induced acute kidney injury in patients with type 2 diabetes mellitus after coronary angiography: a retrospective cohort study
Abstract Background This study assessed the predictive value of uric acid (UA) for contrast-induced acute kidney injury (CI-AKI) in patients with type 2 diabetes mellitus (T2DM) who underwent coronary angiography (CAG). A nomogram to aid in the prediction of CI-AKI was also developed and validated,...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Nephrology |
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| Online Access: | https://doi.org/10.1186/s12882-022-03030-z |
| _version_ | 1811199560736833536 |
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| author | Haixia Tang Haoying Chen Zuolin Li Shengchun Xu Gaoliang Yan Chengchun Tang Hong Liu |
| author_facet | Haixia Tang Haoying Chen Zuolin Li Shengchun Xu Gaoliang Yan Chengchun Tang Hong Liu |
| author_sort | Haixia Tang |
| collection | DOAJ |
| description | Abstract Background This study assessed the predictive value of uric acid (UA) for contrast-induced acute kidney injury (CI-AKI) in patients with type 2 diabetes mellitus (T2DM) who underwent coronary angiography (CAG). A nomogram to aid in the prediction of CI-AKI was also developed and validated, and the construction of a prognostic nomogram combined with clinical features was attempted. Methods This study retrospectively enrolled T2DM patients who underwent CAG between December 2019 and December 2020 at the Affiliated Zhongda Hospital of Southeast University. Multivariable logistic regression analysis was used for the analysis of clinical outcomes. Receiver operating characteristic (ROC) analyses were performed to determine the area under the ROC curve (AUC) and the cut-off points for continuous clinical data. The prediction accuracies of models for CI-AKI were estimated through Harrell’s concordance indices (C-index). Nomograms of the prognostic models were plotted for individualized evaluations of CI-AKI in T2DM patients after CAG. Results A total of 542 patients with T2DM who underwent CAG were included in this study. We found that a high UA level (≥ 425.5 µmol/L; OR = 6.303), BUN level (≥ 5.98 mmol/L; OR = 3.633), Scr level (≥ 88.5 µmol/L; OR = 2.926) and HbA1C level (≥ 7.05%; OR = 5.509) were independent factors for CI-AKI in T2DM patients after CAG. The nomogram model based on UA, BUN, Scr and HbA1C levels presented outstanding performance for CI-AKI prediction (C-index: 0.878). Decision curve analysis (DCA) showed good clinical applicability in predicting the incidence of CI-AKI in T2DM patients who underwent CAG. Conclusion High UA levels are associated with an increased incidence of CI-AKI in T2DM patients after CAG. The developed nomogram model has potential predictive value for CI-AKI and might serve as an economic and efficient prognostic tool in clinical practice. |
| first_indexed | 2024-04-12T01:49:40Z |
| format | Article |
| id | doaj.art-ab78041467214be7a83b732012870b54 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-04-12T01:49:40Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-ab78041467214be7a83b732012870b542022-12-22T03:52:58ZengBMCBMC Nephrology1471-23692022-12-012311910.1186/s12882-022-03030-zAssociation between uric acid level and contrast-induced acute kidney injury in patients with type 2 diabetes mellitus after coronary angiography: a retrospective cohort studyHaixia Tang0Haoying Chen1Zuolin Li2Shengchun Xu3Gaoliang Yan4Chengchun Tang5Hong Liu6Institute of Nephrology, Zhongda Hospital, Southeast University School of MedicineDepartment of Ultrasonography, Taizhou central hospital, Taizhou university hospitalInstitute of Nephrology, Zhongda Hospital, Southeast University School of MedicineInstitute of Nephrology, Zhongda Hospital, Southeast University School of MedicineDepartment of Cardiology, Zhongda Hospital, Southeast University School of MedicineDepartment of Cardiology, Zhongda Hospital, Southeast University School of MedicineInstitute of Nephrology, Zhongda Hospital, Southeast University School of MedicineAbstract Background This study assessed the predictive value of uric acid (UA) for contrast-induced acute kidney injury (CI-AKI) in patients with type 2 diabetes mellitus (T2DM) who underwent coronary angiography (CAG). A nomogram to aid in the prediction of CI-AKI was also developed and validated, and the construction of a prognostic nomogram combined with clinical features was attempted. Methods This study retrospectively enrolled T2DM patients who underwent CAG between December 2019 and December 2020 at the Affiliated Zhongda Hospital of Southeast University. Multivariable logistic regression analysis was used for the analysis of clinical outcomes. Receiver operating characteristic (ROC) analyses were performed to determine the area under the ROC curve (AUC) and the cut-off points for continuous clinical data. The prediction accuracies of models for CI-AKI were estimated through Harrell’s concordance indices (C-index). Nomograms of the prognostic models were plotted for individualized evaluations of CI-AKI in T2DM patients after CAG. Results A total of 542 patients with T2DM who underwent CAG were included in this study. We found that a high UA level (≥ 425.5 µmol/L; OR = 6.303), BUN level (≥ 5.98 mmol/L; OR = 3.633), Scr level (≥ 88.5 µmol/L; OR = 2.926) and HbA1C level (≥ 7.05%; OR = 5.509) were independent factors for CI-AKI in T2DM patients after CAG. The nomogram model based on UA, BUN, Scr and HbA1C levels presented outstanding performance for CI-AKI prediction (C-index: 0.878). Decision curve analysis (DCA) showed good clinical applicability in predicting the incidence of CI-AKI in T2DM patients who underwent CAG. Conclusion High UA levels are associated with an increased incidence of CI-AKI in T2DM patients after CAG. The developed nomogram model has potential predictive value for CI-AKI and might serve as an economic and efficient prognostic tool in clinical practice.https://doi.org/10.1186/s12882-022-03030-zUric acidContrast induced-acute kidney injuryType 2 diabetes mellitusCoronary angiologyNomogram |
| spellingShingle | Haixia Tang Haoying Chen Zuolin Li Shengchun Xu Gaoliang Yan Chengchun Tang Hong Liu Association between uric acid level and contrast-induced acute kidney injury in patients with type 2 diabetes mellitus after coronary angiography: a retrospective cohort study BMC Nephrology Uric acid Contrast induced-acute kidney injury Type 2 diabetes mellitus Coronary angiology Nomogram |
| title | Association between uric acid level and contrast-induced acute kidney injury in patients with type 2 diabetes mellitus after coronary angiography: a retrospective cohort study |
| title_full | Association between uric acid level and contrast-induced acute kidney injury in patients with type 2 diabetes mellitus after coronary angiography: a retrospective cohort study |
| title_fullStr | Association between uric acid level and contrast-induced acute kidney injury in patients with type 2 diabetes mellitus after coronary angiography: a retrospective cohort study |
| title_full_unstemmed | Association between uric acid level and contrast-induced acute kidney injury in patients with type 2 diabetes mellitus after coronary angiography: a retrospective cohort study |
| title_short | Association between uric acid level and contrast-induced acute kidney injury in patients with type 2 diabetes mellitus after coronary angiography: a retrospective cohort study |
| title_sort | association between uric acid level and contrast induced acute kidney injury in patients with type 2 diabetes mellitus after coronary angiography a retrospective cohort study |
| topic | Uric acid Contrast induced-acute kidney injury Type 2 diabetes mellitus Coronary angiology Nomogram |
| url | https://doi.org/10.1186/s12882-022-03030-z |
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