Researchers at the University of Colorado in Denver analyzed nearly 986,000 patients from a national PCI registry. AKI occurred in 7.1 percent of patients, and 0.3 percent of patients subsequently required dialysis. For AKI patients, in-hospital mortality was 9.7 percent, compared with control PCI patient morality, which was 0.5 percent. For patients who required dialysis, in-hospital mortality jumped to 34 percent.
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Factors associated with a higher likelihood of developing AKI during PCI included ST-segment elevation heart attack presentation and cardiogenic shock. Researchers indicated that a knowledge of these risk factors could help clinicians reduce AKIs in at-risk patients undergoing PCI, according to a news release.
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