A Risk Score To Predict Contrast-Induced Nephropathy After Percutaneous Coronary Angioplasty
Risk Factors
Select Values Here
Risk Score
Age (yrs)
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Gender
Male
Female
See GFR
Is The Patient African-American?
Yes
No
See GFR
Is Hypotension Present?*
Yes
No
Is Intra-Aortic Balloon Pump Present?
Yes
No
Congestive Heart Failure**
No
Yes
Hematocrit
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Diabetes
No
Yes
Volume Of Contrast Medium Used in cc
0-100
101-200
201-300
301-400
401-500
501-600
601-700
701-800
801-900
901-1000
1001-1100
1101-1200
Serum Creatinine in mg/dl
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
2
2.1
2.2
2.3
2.4
2.5
2.6
2.7
2.8
2.9
3
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
3.9
4
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
5
5.1
5.2
5.3
5.4
5.5
5.6
5.7
5.8
5.9
6
6.1
6.2
6.3
6.4
6.5
6.6
6.7
6.8
6.9
7
7.1
7.2
7.3
7.4
7.5
7.6
7.7
7.8
7.9
8
8.1
8.2
8.3
8.4
8.5
8.6
8.7
8.8
8.9
9
9.1
9.2
9.3
9.4
9.5
9.6
9.7
9.8
9.9
10
See GFR
Glomerular Filtration Rate Index (GFR)
Risk of Contrast-Induced Nephropathy***
Risk of Need For Dialysis
One-Year Mortality Risk
Mehran R et al. J. Am. Coll. Cardiol. 2004;44:1393-1399. (Columbia University)
*Hypotension = systolic blood pressure <80 mmHg for at least 1 hr requiring inotropic
support or intra-aortic balloon pump support within 24 hr periprocedurally.
**CHF = congestive heart failure class III/IV by New York Heart Association and/or
history of pulmonary edema. ***Contrast-induced nephropathy is increase in serum creatinine >=25% and/or >=0.5 mg/dl at 48 hours after PCI vs. baseline.
Web calculator design and HTML transfer by Dr. John Coyle (2006) who has made minor adjustments to the calculator to avoid paradoxical outcomes.
For Prevention of CIN:
http://www.zunis.org/SCAI_CIN_Recs.htm
,
For Comments on this study:
http://www.zunis.org/CIN Risk Pop.png
For A Flow Chart for CIN Prevention:
http://zunis.org/management_of_cin_risk.htm
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