Relationship between ideal cardiovascular health score and perioperative acute kidney injury: A case‐control study

• Published in: Clinical cardiology (Mahwah, N.J.) N.J.), 2024-01, Vol.47 (1), p.e24159-n/a
• Main Authors: Li, Jin‐Qiu, An, Yuan, Wang, Tai, Guo, Ping‐Xuan, Chen, Shuo‐Hua, Liu, Bing‐Bing, Liu, Hai
• Format: Article
• Language: English
• Subjects: acute kidney injury; Antidiabetics; Antihypertensives; Blood pressure; Body mass index; cardiovascular health score; Clinical Trial; Creatinine; Diabetes; Exercise; Health behavior; Heart failure; Hypertension; Kidney diseases; Lipids; Physical fitness; Regression analysis; Risk factors; Salt; Smoking; Surgery; Urine
• ISSN: 0160-9289; 1932-8737
• DOI: 10.1002/clc.24159

Background Maintaining ideal cardiovascular health scores (CHS) may indirectly contribute to reducing the risk of perioperative acute kidney injury (AKI), which has never been explored previously. In this study, we aimed to explore the relationship between CHS and AKI and provide new ideas for AKI prevention and treatment. Methods We examined the effects of CHS on the occurrence of AKI among 2783 participants from the Kailuan study, who received general anesthesia during noncardiac surgery from 2016 to 2020. The odds ratios (ORs) and 95% confidence intervals (95% CIs) for AKI were calculated by using the logistic regression. Results Among 2783 participants 187 were diagnosed with perioperative AKI. We found an inverse relationship between the CHS scores and the risk of AKI. Participants with CHS score ≥ 10 had 57% decreased risk of AKI (OR = 0.43, 95% CI = 0.23, 0.79), compared with participants with CHS score ≤ 7, especially in men (OR = 0.39, 95% CI: 0.20, 0.76). In addition, participants who never smoked, exercised frequently, and had normal blood pressure had decreased risk of AKI, with corresponding ORs (95% CIs) of 0.66 (0.47, 0.91), 0.73 (0.60, 0.92), and 0.46 (0.28, 0.75), respectively. Conclusions CHS was strongly associated with the risk of perioperative AKI, and higher CHS scores were associated with a lower risk of AKI. Further research is needed to explore the long‐term effects of achieving and maintaining an ideal CHS on AKI risk. In the current study, we found that cardiovascular health scores (CHS) score strongly associated with the risk of perioperative acute kidney injury (AKI), with higher CHS scores associated with a lower risk of AKI, These findings provide a theoretical basis and clinical evidence for preventing perioperative AKI.