The global incidence and mortality of contrast-associated acute kidney injury following coronary angiography: a meta-analysis of 1.2 million patients
Background Contrast-associated acute kidney injury (CA-AKI) is a common complication after coronary angiography (CAG), which brings a poor prognosis. But up to now, there were fewer studies to discuss the incidence of CA-AKI comprehensively. We comprehensively explore the incidence of CA-AKI after c...
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| Veröffentlicht in: | Journal of nephrology 2021-10, Vol.34 (5), p.1479-1489 |
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| container_title | Journal of nephrology |
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| creator | Lun, Zhubin Liu, Liwei Chen, Guanzhong Ying, Ming Liu, Jin Wang, Bo Liang, Jingjing Yang, Yongquan Chen, Shiqun He, Yibo Chung, Edmund Y. M. Chen, Jiyan Ye, Jianfeng Liu, Yong |
| description | Background
Contrast-associated acute kidney injury (CA-AKI) is a common complication after coronary angiography (CAG), which brings a poor prognosis. But up to now, there were fewer studies to discuss the incidence of CA-AKI comprehensively. We comprehensively explore the incidence of CA-AKI after coronary angiography.
Methods
We searched Medline, Embase, and Cochrane Database of Systematic Reviews (to 30th June 2019). We evaluated the world’s incidence of the CA-AKI, and associated mortality, and to described geographic variations according to countries, regions, and economies. CA-AKI was defined as an increase in serum creatinine ≥ 0.5 mg/dl or ≥ 25% within 72 h. Random effects model meta-analyses and meta-regressions was performed to derive the sources of heterogeneity.
Results
A total of 134 articles (1,211,106 participants) were included in our meta-analysis. Most studies originated from China, Japan, Turkey and United States, from upper middle income and high income countries. The pooled incidence of CA-AKI after coronary angiography was 12.8% (95% CI 11.7–13.9%), and the CA-AKI associated mortality was 20.2% (95% CI 10.7–29.7%). The incidence of CA-AKI and the CA-AKI associated mortality were not declined over time (Incidence rate change: 0.23% 95% CI − 0.050 to 0.510
p
= 0.617; Mortality rate change: − 1.05% 95% CI − 3.070 to 0.970
p
= 0.308, respectively).
Conclusion
CA-AKI was a universal complication in many regions, and the burden of CA-AKI remains severe. In clinical practice, physicians should pay more attention to the occurrence and active prevention and treatment of CA-AKI.
Graphic abstract |
| doi_str_mv | 10.1007/s40620-021-01021-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8494686</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2536482632</sourcerecordid><originalsourceid>FETCH-LOGICAL-c423t-71ebc8c0401e418a9a94f35a1cb0e59706ae04e56888cf26a55121d37293892e3</originalsourceid><addsrcrecordid>eNp9kc2OFCEUhStG4_zoC7hi6aZGoICiXJiYiX_JJG7GNblN3aqmpaAFykk9iO8rbU9M3LgBcjnfgXtP07xi9IZR2r_JgipOW8pZS9lpZU-aS9Zz0Soqh6f1zGpRC64vmqucD5RyKbl43lx0gvZKa3bZ_LrfI5l93IEnLlg3YrBIIIxkiamAd2UjcSI2hpIglxZyjtZBwZGAXQuS724MuFX2sKaNTNH7-ODCXIkUA9QShNnFOcFxv70lQBYs0EIAv2WXT9bshpPFee9iIEcoDkPJL5pnE_iMLx_36-bbxw_3t5_bu6-fvty-v2ut4F1pe4Y7qy0VlKFgGgYYxNRJYHZHUQ49VYBUoKytajtxBVLWiYxdz4dODxy76-bd2fe47hYcLZ669OaY3FK_biI48-9NcHszx59Gi0EorarB60eDFH-smItZXLboPQSMazZcdkporjpepfwstSnmnHD6-wyj5pSnOedpapLmT56GVag7Q7mKw4zJHOKa6vTy_6jfU0Ok_w</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2536482632</pqid></control><display><type>article</type><title>The global incidence and mortality of contrast-associated acute kidney injury following coronary angiography: a meta-analysis of 1.2 million patients</title><source>SpringerNature Journals</source><creator>Lun, Zhubin ; Liu, Liwei ; Chen, Guanzhong ; Ying, Ming ; Liu, Jin ; Wang, Bo ; Liang, Jingjing ; Yang, Yongquan ; Chen, Shiqun ; He, Yibo ; Chung, Edmund Y. M. ; Chen, Jiyan ; Ye, Jianfeng ; Liu, Yong</creator><creatorcontrib>Lun, Zhubin ; Liu, Liwei ; Chen, Guanzhong ; Ying, Ming ; Liu, Jin ; Wang, Bo ; Liang, Jingjing ; Yang, Yongquan ; Chen, Shiqun ; He, Yibo ; Chung, Edmund Y. M. ; Chen, Jiyan ; Ye, Jianfeng ; Liu, Yong</creatorcontrib><description>Background
Contrast-associated acute kidney injury (CA-AKI) is a common complication after coronary angiography (CAG), which brings a poor prognosis. But up to now, there were fewer studies to discuss the incidence of CA-AKI comprehensively. We comprehensively explore the incidence of CA-AKI after coronary angiography.
Methods
We searched Medline, Embase, and Cochrane Database of Systematic Reviews (to 30th June 2019). We evaluated the world’s incidence of the CA-AKI, and associated mortality, and to described geographic variations according to countries, regions, and economies. CA-AKI was defined as an increase in serum creatinine ≥ 0.5 mg/dl or ≥ 25% within 72 h. Random effects model meta-analyses and meta-regressions was performed to derive the sources of heterogeneity.
Results
A total of 134 articles (1,211,106 participants) were included in our meta-analysis. Most studies originated from China, Japan, Turkey and United States, from upper middle income and high income countries. The pooled incidence of CA-AKI after coronary angiography was 12.8% (95% CI 11.7–13.9%), and the CA-AKI associated mortality was 20.2% (95% CI 10.7–29.7%). The incidence of CA-AKI and the CA-AKI associated mortality were not declined over time (Incidence rate change: 0.23% 95% CI − 0.050 to 0.510
p
= 0.617; Mortality rate change: − 1.05% 95% CI − 3.070 to 0.970
p
= 0.308, respectively).
Conclusion
CA-AKI was a universal complication in many regions, and the burden of CA-AKI remains severe. In clinical practice, physicians should pay more attention to the occurrence and active prevention and treatment of CA-AKI.
Graphic abstract</description><identifier>ISSN: 1121-8428</identifier><identifier>EISSN: 1724-6059</identifier><identifier>DOI: 10.1007/s40620-021-01021-1</identifier><identifier>PMID: 34076881</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Medicine ; Medicine & Public Health ; Nephrology ; Original ; Original Article ; Urology</subject><ispartof>Journal of nephrology, 2021-10, Vol.34 (5), p.1479-1489</ispartof><rights>The Author(s) 2021. corrected publication 2021</rights><rights>The Author(s) 2021, corrected publication 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c423t-71ebc8c0401e418a9a94f35a1cb0e59706ae04e56888cf26a55121d37293892e3</citedby><cites>FETCH-LOGICAL-c423t-71ebc8c0401e418a9a94f35a1cb0e59706ae04e56888cf26a55121d37293892e3</cites><orcidid>0000-0003-2224-4885</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40620-021-01021-1$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40620-021-01021-1$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Lun, Zhubin</creatorcontrib><creatorcontrib>Liu, Liwei</creatorcontrib><creatorcontrib>Chen, Guanzhong</creatorcontrib><creatorcontrib>Ying, Ming</creatorcontrib><creatorcontrib>Liu, Jin</creatorcontrib><creatorcontrib>Wang, Bo</creatorcontrib><creatorcontrib>Liang, Jingjing</creatorcontrib><creatorcontrib>Yang, Yongquan</creatorcontrib><creatorcontrib>Chen, Shiqun</creatorcontrib><creatorcontrib>He, Yibo</creatorcontrib><creatorcontrib>Chung, Edmund Y. M.</creatorcontrib><creatorcontrib>Chen, Jiyan</creatorcontrib><creatorcontrib>Ye, Jianfeng</creatorcontrib><creatorcontrib>Liu, Yong</creatorcontrib><title>The global incidence and mortality of contrast-associated acute kidney injury following coronary angiography: a meta-analysis of 1.2 million patients</title><title>Journal of nephrology</title><addtitle>J Nephrol</addtitle><description>Background
Contrast-associated acute kidney injury (CA-AKI) is a common complication after coronary angiography (CAG), which brings a poor prognosis. But up to now, there were fewer studies to discuss the incidence of CA-AKI comprehensively. We comprehensively explore the incidence of CA-AKI after coronary angiography.
Methods
We searched Medline, Embase, and Cochrane Database of Systematic Reviews (to 30th June 2019). We evaluated the world’s incidence of the CA-AKI, and associated mortality, and to described geographic variations according to countries, regions, and economies. CA-AKI was defined as an increase in serum creatinine ≥ 0.5 mg/dl or ≥ 25% within 72 h. Random effects model meta-analyses and meta-regressions was performed to derive the sources of heterogeneity.
Results
A total of 134 articles (1,211,106 participants) were included in our meta-analysis. Most studies originated from China, Japan, Turkey and United States, from upper middle income and high income countries. The pooled incidence of CA-AKI after coronary angiography was 12.8% (95% CI 11.7–13.9%), and the CA-AKI associated mortality was 20.2% (95% CI 10.7–29.7%). The incidence of CA-AKI and the CA-AKI associated mortality were not declined over time (Incidence rate change: 0.23% 95% CI − 0.050 to 0.510
p
= 0.617; Mortality rate change: − 1.05% 95% CI − 3.070 to 0.970
p
= 0.308, respectively).
Conclusion
CA-AKI was a universal complication in many regions, and the burden of CA-AKI remains severe. In clinical practice, physicians should pay more attention to the occurrence and active prevention and treatment of CA-AKI.
Graphic abstract</description><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephrology</subject><subject>Original</subject><subject>Original Article</subject><subject>Urology</subject><issn>1121-8428</issn><issn>1724-6059</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><recordid>eNp9kc2OFCEUhStG4_zoC7hi6aZGoICiXJiYiX_JJG7GNblN3aqmpaAFykk9iO8rbU9M3LgBcjnfgXtP07xi9IZR2r_JgipOW8pZS9lpZU-aS9Zz0Soqh6f1zGpRC64vmqucD5RyKbl43lx0gvZKa3bZ_LrfI5l93IEnLlg3YrBIIIxkiamAd2UjcSI2hpIglxZyjtZBwZGAXQuS724MuFX2sKaNTNH7-ODCXIkUA9QShNnFOcFxv70lQBYs0EIAv2WXT9bshpPFee9iIEcoDkPJL5pnE_iMLx_36-bbxw_3t5_bu6-fvty-v2ut4F1pe4Y7qy0VlKFgGgYYxNRJYHZHUQ49VYBUoKytajtxBVLWiYxdz4dODxy76-bd2fe47hYcLZ669OaY3FK_biI48-9NcHszx59Gi0EorarB60eDFH-smItZXLboPQSMazZcdkporjpepfwstSnmnHD6-wyj5pSnOedpapLmT56GVag7Q7mKw4zJHOKa6vTy_6jfU0Ok_w</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Lun, Zhubin</creator><creator>Liu, Liwei</creator><creator>Chen, Guanzhong</creator><creator>Ying, Ming</creator><creator>Liu, Jin</creator><creator>Wang, Bo</creator><creator>Liang, Jingjing</creator><creator>Yang, Yongquan</creator><creator>Chen, Shiqun</creator><creator>He, Yibo</creator><creator>Chung, Edmund Y. M.</creator><creator>Chen, Jiyan</creator><creator>Ye, Jianfeng</creator><creator>Liu, Yong</creator><general>Springer International Publishing</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2224-4885</orcidid></search><sort><creationdate>20211001</creationdate><title>The global incidence and mortality of contrast-associated acute kidney injury following coronary angiography: a meta-analysis of 1.2 million patients</title><author>Lun, Zhubin ; Liu, Liwei ; Chen, Guanzhong ; Ying, Ming ; Liu, Jin ; Wang, Bo ; Liang, Jingjing ; Yang, Yongquan ; Chen, Shiqun ; He, Yibo ; Chung, Edmund Y. M. ; Chen, Jiyan ; Ye, Jianfeng ; Liu, Yong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-71ebc8c0401e418a9a94f35a1cb0e59706ae04e56888cf26a55121d37293892e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nephrology</topic><topic>Original</topic><topic>Original Article</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lun, Zhubin</creatorcontrib><creatorcontrib>Liu, Liwei</creatorcontrib><creatorcontrib>Chen, Guanzhong</creatorcontrib><creatorcontrib>Ying, Ming</creatorcontrib><creatorcontrib>Liu, Jin</creatorcontrib><creatorcontrib>Wang, Bo</creatorcontrib><creatorcontrib>Liang, Jingjing</creatorcontrib><creatorcontrib>Yang, Yongquan</creatorcontrib><creatorcontrib>Chen, Shiqun</creatorcontrib><creatorcontrib>He, Yibo</creatorcontrib><creatorcontrib>Chung, Edmund Y. M.</creatorcontrib><creatorcontrib>Chen, Jiyan</creatorcontrib><creatorcontrib>Ye, Jianfeng</creatorcontrib><creatorcontrib>Liu, Yong</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lun, Zhubin</au><au>Liu, Liwei</au><au>Chen, Guanzhong</au><au>Ying, Ming</au><au>Liu, Jin</au><au>Wang, Bo</au><au>Liang, Jingjing</au><au>Yang, Yongquan</au><au>Chen, Shiqun</au><au>He, Yibo</au><au>Chung, Edmund Y. M.</au><au>Chen, Jiyan</au><au>Ye, Jianfeng</au><au>Liu, Yong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The global incidence and mortality of contrast-associated acute kidney injury following coronary angiography: a meta-analysis of 1.2 million patients</atitle><jtitle>Journal of nephrology</jtitle><stitle>J Nephrol</stitle><date>2021-10-01</date><risdate>2021</risdate><volume>34</volume><issue>5</issue><spage>1479</spage><epage>1489</epage><pages>1479-1489</pages><issn>1121-8428</issn><eissn>1724-6059</eissn><abstract>Background
Contrast-associated acute kidney injury (CA-AKI) is a common complication after coronary angiography (CAG), which brings a poor prognosis. But up to now, there were fewer studies to discuss the incidence of CA-AKI comprehensively. We comprehensively explore the incidence of CA-AKI after coronary angiography.
Methods
We searched Medline, Embase, and Cochrane Database of Systematic Reviews (to 30th June 2019). We evaluated the world’s incidence of the CA-AKI, and associated mortality, and to described geographic variations according to countries, regions, and economies. CA-AKI was defined as an increase in serum creatinine ≥ 0.5 mg/dl or ≥ 25% within 72 h. Random effects model meta-analyses and meta-regressions was performed to derive the sources of heterogeneity.
Results
A total of 134 articles (1,211,106 participants) were included in our meta-analysis. Most studies originated from China, Japan, Turkey and United States, from upper middle income and high income countries. The pooled incidence of CA-AKI after coronary angiography was 12.8% (95% CI 11.7–13.9%), and the CA-AKI associated mortality was 20.2% (95% CI 10.7–29.7%). The incidence of CA-AKI and the CA-AKI associated mortality were not declined over time (Incidence rate change: 0.23% 95% CI − 0.050 to 0.510
p
= 0.617; Mortality rate change: − 1.05% 95% CI − 3.070 to 0.970
p
= 0.308, respectively).
Conclusion
CA-AKI was a universal complication in many regions, and the burden of CA-AKI remains severe. In clinical practice, physicians should pay more attention to the occurrence and active prevention and treatment of CA-AKI.
Graphic abstract</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>34076881</pmid><doi>10.1007/s40620-021-01021-1</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0003-2224-4885</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of nephrology, 2021-10, Vol.34 (5), p.1479-1489 |
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| source | SpringerNature Journals |
| subjects | Medicine Medicine & Public Health Nephrology Original Original Article Urology |
| title | The global incidence and mortality of contrast-associated acute kidney injury following coronary angiography: a meta-analysis of 1.2 million patients |
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