The C-Reactive Protein to Albumin Ratio Predicts Acute Kidney Injury in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention

The relationship between acute kidney injury (AKI) and C-reactive protein (CRP) and albumin has been previously demonstrated in patients with ST elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (pPCI). However, to our knowledge, CRP to albumin ratio (CA...

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Bibliographic Details
Published in:Heart, lung & circulation lung & circulation, 2019-11, Vol.28 (11), p.1638-1645
Main Authors: Karabağ, Yavuz, Çağdaş, Metin, Rencuzogullari, Ibrahim, Karakoyun, Süleyman, Artaç, İnanç, İliş, Doğan, Yesin, Mahmut, Çiftçi, Handan, Erdoğdu, Halil Ibrahim, Tanboğa, Ibrahim Halil
Format: Article
Language:English
Subjects:
Acute kidney injury
Acute Kidney Injury - blood
Acute Kidney Injury - epidemiology
Acute Kidney Injury - etiology
Albumin
Biomarkers - blood
C-Reactive protein
C-Reactive Protein - metabolism
C-Reactive protein to albumin ratio
Electrocardiography
Female
Follow-Up Studies
Humans
Incidence
Male
Middle Aged
Percutaneous Coronary Intervention
Predictive Value of Tests
Preoperative Period
Primary percutaneous coronary intervention
Prognosis
Retrospective Studies
Serum Albumin - metabolism
ST elevation myocardial infarction
ST Elevation Myocardial Infarction - blood
ST Elevation Myocardial Infarction - complications
ST Elevation Myocardial Infarction - surgery
Turkey - epidemiology
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Summary:The relationship between acute kidney injury (AKI) and C-reactive protein (CRP) and albumin has been previously demonstrated in patients with ST elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (pPCI). However, to our knowledge, CRP to albumin ratio (CAR), a newly introduced inflammation-based risk score, has not yet been studied. In this study, we aimed to investigate the possible relationship between the CAR and AKI. A total of 815 consecutive STEMI patients treated with pPCI were reviewed. One hundred ten 110 (13.5%) patients developed AKI in the study population. The subjects were divided into two groups according to AKI development. The in-hospital mortality rate was higher in patients with AKI than those without AKI (15.5% vs. 1.3%; p
ISSN:1443-9506
1444-2892
DOI:10.1016/j.hlc.2018.08.009