Association of prognostic nutritional index with risk of contrast induced nephropathy: A meta-analysis

Although prognostic nutritional index (PNI) has been frequently applied in patients with malignancy or those during postoperative recovery, whether it is also an optimal indicator of the risk of contrast-induced nephropathy (CIN) in patients receiving coronary angiography remains uncertain. This met...

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Published in:Frontiers in nutrition (Lausanne) 2023-03, Vol.10, p.1154409-1154409
Main Authors: Chang, Wei-Ting, Sun, Cheuk-Kwan, Wu, Jheng-Yan, Huang, Po-Yu, Liu, Ting-Hui, Chang, Ying-Jen, Lin, Yao-Tsung, Kang, Fu-Chi, Hung, Kuo-Chuan
Format: Article
Language:English
Subjects:
contrast-induced nephropathy
coronary angiography
myocardial infarction
Nutrition
percutaneous coronary intervention
prognostic nutritional index
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Summary:Although prognostic nutritional index (PNI) has been frequently applied in patients with malignancy or those during postoperative recovery, whether it is also an optimal indicator of the risk of contrast-induced nephropathy (CIN) in patients receiving coronary angiography remains uncertain. This meta-analysis aimed at investigating the clinical association of PNI with the risk of CIN in patients receiving coronary angiography or percutaneous coronary intervention. Embase, Medline, Cochrane Library, and Google scholar were searched for studies until January 2023. The relationship between CIN risk and PNI (i.e., low vs. high) (primary outcome) as well as other variables (secondary outcomes) were analyzed using a random-effects model. Overall, 10 observational studies with 17,590 patients (pooled incidence of CIN: 18%) were eligible for analysis. There was a higher risk of CIN in patients with a low PNI compared to those with a high PNI [odd ratio (OR) = 3.362, 95% confidence interval (CI): 2.054 to 5.505,  
ISSN:2296-861X
2296-861X
DOI:10.3389/fnut.2023.1154409