Predicting angiography- induced acute renal function impairment: Clinical risk model

S. T. Cochran, W. S. Wong, D. J. Roe

Research output: Contribution to journalArticle

122 Scopus citations

Abstract

Two hundred sixty-six patients were evaluated for development of acute renal function impairment after renal angiography. Forty-five (16.9%) had a significant increase in serum level of creatinine (sCr), six developed oliguria or anuria, and one required permanent dialysis. Age, proteinuria, abnormal baseline sCr, use of Renografin 76, and preexisting renal disease were the five independent risk factors in the series. An odds-ratio analysis establishes the relative risk (i.e., likelihood) of developing acute renal insufficiency when a given risk factor is present. For example, patients with underlying renal disease were 6.6 times more likely to develop a transient increase in sCr than those with no renal disease. A clinical test model was devised to predict the likelihood that a given individual would develop acute renal insufficiency after renal angiography on the basis of the number of risk factors present. An increasing relation was demonstrated; the more factors present, the more likely it becomes that a patient will develop acute renal insufficiency.

Original languageEnglish (US)
Pages (from-to)1027-1033
Number of pages7
JournalAmerican Journal of Roentgenology
Volume141
Issue number5
DOIs
StatePublished - Jan 1 1983
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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