Relationship between red cell distribution width and contrast-induced nephropathy in patients who underwent primary percutaneous coronary intervention

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dc.authorid0000-0003-2112-4056
dc.authorscopusid26532378600
dc.authorscopusid16315021800
dc.authorscopusid57216014831
dc.authorscopusid56715752200
dc.authorscopusid6505680586
dc.authorscopusid7005837198
dc.authorwosidBilir, Bülent/AAK-5656-2021
dc.authorwosidAlpsoy, Seref/Z-1808-2018
dc.contributor.authorAkkoyun, Dursun Çayan
dc.contributor.authorAkyüz, Aydın
dc.contributor.authorKurt, Ömer
dc.contributor.authorBilir, Bülent
dc.contributor.authorAlpsoy, Şeref
dc.contributor.authorGüler, Niyazi
dc.date.accessioned2022-05-11T14:10:04Z
dc.date.available2022-05-11T14:10:04Z
dc.date.issued2015
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Kardiyoloji Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description.abstractObjective: This study evaluated the relationship between contrast-induced nephropathy (CIN) and red cell distribution width (RDW) in patients who underwent primary percutaneous coronary intervention (PCI). Methods: A total of 359 patients with ST elevation myocardial infarction (STEMI) who had undergone primary PCI were included in the study. An increase of 25% in serum creatinine value after 48 h, or an increase of >0.5 mg/dL in the basal value was defined as CIN. Results: Of the patients included in the study, 49 (13.8%) developed CIN. Compared to the CIN-negative group, CINpositive patients had increased RDW values (16.9 +/- 2.00 and 14.8 +/- 2.14 respectively, p<0.001). The latter were also older patients, and had increased age rates of diabetes mellitus, baseline creatinine,Delta-creatinine and amount of contrast media were higher and left ventricular ejection fraction and baseline glomerular filtration rate (GFR) were lower in the CIN-positive group than in the CIN-negative group. A statistically weak correlation was found between RDW and change in creatinine levels (Delta-creatinine) (r=0.250, p=0.002). Diabetes mellitus (odds ratio [OR]: 3.252, 95% CI=1.184-8.951, p=0.022), high RDW (OR: 1.716, 95% CI=1.363-2.157, p<0.001), baseline low GFR (OR: 0.941, 95% CI=0.9250.971, p<0.001),Delta-creatinine (OR: 1.197, 95% CI=1.0612.986, p=0.006) and increased amount of contrast media (OR: 1.187, 95% CI=1.048-3.02, p=0.001) used were observed as independent predictors of CIN. Conclusion: The study found diabetes mellitus, high RDW, basal low GFR,Delta.creatinine and increased contrast amount used to be the independent predictors of CIN in STEMI patients who underwent PCI.
dc.identifier.doi10.5543/tkda.2015.37941
dc.identifier.endpage620
dc.identifier.issn1016-5169
dc.identifier.issue7en_US
dc.identifier.pmid26536986
dc.identifier.scopus2-s2.0-84949997943
dc.identifier.scopusqualityQ4
dc.identifier.startpage613
dc.identifier.urihttps://doi.org/10.5543/tkda.2015.37941
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5272
dc.identifier.volume43
dc.identifier.wosWOS:000421983700006
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAkkoyun, Dursun Çayan
dc.institutionauthorAkyüz, Aydın
dc.institutionauthorKurt, Ömer
dc.institutionauthorBilir, Bülent
dc.institutionauthorAlpsoy, Şeref
dc.institutionauthorGüler, Niyazi
dc.language.isoen
dc.publisherTurkish Soc Cardiology
dc.relation.ispartofTurk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAngioplasty
dc.subjectballoon
dc.subjectcoronary
dc.subjectcontrast media
dc.subjectcontrast induced nephropathy
dc.subjectmyocardial infarction
dc.subjectpercutaneous transluminal
dc.subjectcoronary angioplasty
dc.subjectred cell distribution width
dc.titleRelationship between red cell distribution width and contrast-induced nephropathy in patients who underwent primary percutaneous coronary intervention
dc.typeArticle

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