Yıl: 2022 Cilt: 24 Sayı: 2 Sayfa Aralığı: 130 - 139 Metin Dili: İngilizce DOI: 10.14744/ejp.2022.9521 İndeks Tarihi: 13-09-2022

Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism

Öz:
BACKGROUND AND AIM: The use of computed tomographic pulmonary angiogram (CTPA) without determining pretest probability leads to overuse and morbidities as contrast-induced acute kidney injury (CI-AKI). We aimed to assess the predictive role of Wells’ rule and revised Geneva scores together with the D-dimer test in patients who underwent CTPA for the suspicion of pulmonary embolism (PE) and to investigate the frequency of CI-AKI. METHODS: This single-center study was conducted as a retrospective analysis of patients who underwent CTPA. Demographic and clinical variables, risk factors, pretest probability score (PPS), and biomarkers were recorded from written or electronic medical records. RESULTS: A total of 1259 CTPA scans performed for suspicion of acute PE were screened. After exclusion, we analyzed 895 CTPAs. PE rates in the emergency department and in-patient wards were 9.1% and 13.9%, respectively. Immobility, high Wells’ rule, and Geneva scores were found to be predictors of PE. The [OR (95% CI)] were [12.92 (4.38–38.14)], p<0.001; [7.55 (1.96–28.61)], p<0.001; and [1.25 (1.07–1.39)], p=0.003, respectively. The diagnostic sensitivity of Wells’ rule and Geneva score for PE was 24.6% and 68.1%, respectively, while the diagnostic specificity for PE was 91.4% and 42.7% for Wells’ rule and revised Geneva score, respectively. CI-AKI was detected in 99 (20.7%) of 479 patients, and the history of myocardial infarction within 3 months was the only predictor of CI-AKI [OR (95% CI)] [6.30 (1.46–27.90)], p=0.014. CONCLUSIONS: D-dimer test and usage of PPS for patients considered PE may reduce overuse of CTPA and thereby CI-AKI prevalence.
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APA kılıç ö, ortaç ersoy n, Yildirim M, ROLLAS K, CAKIR B, Erbil B, Tanriover M, Topeli A (2022). Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. , 130 - 139. 10.14744/ejp.2022.9521
Chicago kılıç özgür,ortaç ersoy nazmiye ebru,Yildirim Mehmet,ROLLAS KAZIM,CAKIR BANU,Erbil Bulent,Tanriover Mine Durusu,Topeli Arzu Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. (2022): 130 - 139. 10.14744/ejp.2022.9521
MLA kılıç özgür,ortaç ersoy nazmiye ebru,Yildirim Mehmet,ROLLAS KAZIM,CAKIR BANU,Erbil Bulent,Tanriover Mine Durusu,Topeli Arzu Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. , 2022, ss.130 - 139. 10.14744/ejp.2022.9521
AMA kılıç ö,ortaç ersoy n,Yildirim M,ROLLAS K,CAKIR B,Erbil B,Tanriover M,Topeli A Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. . 2022; 130 - 139. 10.14744/ejp.2022.9521
Vancouver kılıç ö,ortaç ersoy n,Yildirim M,ROLLAS K,CAKIR B,Erbil B,Tanriover M,Topeli A Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. . 2022; 130 - 139. 10.14744/ejp.2022.9521
IEEE kılıç ö,ortaç ersoy n,Yildirim M,ROLLAS K,CAKIR B,Erbil B,Tanriover M,Topeli A "Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism." , ss.130 - 139, 2022. 10.14744/ejp.2022.9521
ISNAD kılıç, özgür vd. "Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism". (2022), 130-139. https://doi.org/10.14744/ejp.2022.9521
APA kılıç ö, ortaç ersoy n, Yildirim M, ROLLAS K, CAKIR B, Erbil B, Tanriover M, Topeli A (2022). Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. Eurasian Journal of Pulmonology, 24(2), 130 - 139. 10.14744/ejp.2022.9521
Chicago kılıç özgür,ortaç ersoy nazmiye ebru,Yildirim Mehmet,ROLLAS KAZIM,CAKIR BANU,Erbil Bulent,Tanriover Mine Durusu,Topeli Arzu Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. Eurasian Journal of Pulmonology 24, no.2 (2022): 130 - 139. 10.14744/ejp.2022.9521
MLA kılıç özgür,ortaç ersoy nazmiye ebru,Yildirim Mehmet,ROLLAS KAZIM,CAKIR BANU,Erbil Bulent,Tanriover Mine Durusu,Topeli Arzu Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. Eurasian Journal of Pulmonology, vol.24, no.2, 2022, ss.130 - 139. 10.14744/ejp.2022.9521
AMA kılıç ö,ortaç ersoy n,Yildirim M,ROLLAS K,CAKIR B,Erbil B,Tanriover M,Topeli A Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. Eurasian Journal of Pulmonology. 2022; 24(2): 130 - 139. 10.14744/ejp.2022.9521
Vancouver kılıç ö,ortaç ersoy n,Yildirim M,ROLLAS K,CAKIR B,Erbil B,Tanriover M,Topeli A Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. Eurasian Journal of Pulmonology. 2022; 24(2): 130 - 139. 10.14744/ejp.2022.9521
IEEE kılıç ö,ortaç ersoy n,Yildirim M,ROLLAS K,CAKIR B,Erbil B,Tanriover M,Topeli A "Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism." Eurasian Journal of Pulmonology, 24, ss.130 - 139, 2022. 10.14744/ejp.2022.9521
ISNAD kılıç, özgür vd. "Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism". Eurasian Journal of Pulmonology 24/2 (2022), 130-139. https://doi.org/10.14744/ejp.2022.9521