Predictive value of ACEF score for acute kidney injury after surgical aortic valve replacement

Gökhan Demirci; Ali Rıza Demir; Serkan Kahraman; Sencer Çamcı; Emre Yılmaz

Makale detayları

Predictive value of ACEF score for acute kidney injury after surgical aortic valve replacement

Yazarlar:

Gökhan Demirci | Ali Rıza Demir | Serkan Kahraman | Sencer Çamcı | Emre Yılmaz

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Cardiology

Dergi:

The European Research Journal Vol.10 Issue 3, pp.254-261

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001315668

pISSN:

2149-3189

Anahtar kelimeler:

Özet:

 Objectives: Aortic stenosis is the most common form of degenerative heart valve disease. Acute kidney injury AKI after aortic valve replacement AVR is a common complication and is related to worse outcomes. Age, creatinine, and ejection fraction ACEF score is a simple scoring method that includes three parameters. Our study aimed to evaluate whether ACEF score could predict the development of AKI in patients who underwent AVR. Methods: A total of 366 consecutive patients who underwent isolated AVR for symptomatic severe aortic stenosis were evaluated retrospectively. The development of AKI was the primary endpoint of the study. The ACEF score was calculated by the formula: age yearsleft ventricular ejection fraction   1 if baseline serum creatinine was 2 mgdL. According to the ACEF score the study population was divided into two groups. Results: AKI was developed in 66 18 patients. The cut-off value of the ACEF score for the prediction of AKI was 1.07 with a sensitivity of 69.7 and a specificity of 56.7 AUC 0.663; 95 CI: 0.589-0.736; P0.001. AKI incidence was found to be higher in patients with high ACEF score than low ACEF score 46 26.1 vs. 20 10.5; P0.001. In addition, ACEF score OR: 2.599; 95 CI: 1.399-4.828; P0.002 and hemoglobin levels OR: 0.837; 95 CI: 0.729-0.961; P0.012 were found to be independent predictors of AKI. Conclusions: Our study revealed that the ACEF score is an independent predictor of AKI. ACEF score, as a simple and objective score, can be useful in predicting AKI in patients undergoing AVR.

 Objectives: Aortic stenosis is the most common form of degenerative heart valve disease. Acute kidney injury AKI after aortic valve replacement AVR is a common complication and is related to worse outcomes. Age, creatinine, and ejection fraction ACEF score is a simple scoring method that includes three parameters. Our study aimed to evaluate whether ACEF score could predict the development of AKI in patients who underwent AVR. Methods: A total of 366 consecutive patients who underwent isolated AVR for symptomatic severe aortic stenosis were evaluated retrospectively. The development of AKI was the primary endpoint of the study. The ACEF score was calculated by the formula: age yearsleft ventricular ejection fraction   1 if baseline serum creatinine was 2 mgdL. According to the ACEF score the study population was divided into two groups. Results: AKI was developed in 66 18 patients. The cut-off value of the ACEF score for the prediction of AKI was 1.07 with a sensitivity of 69.7 and a specificity of 56.7 AUC 0.663; 95 CI: 0.589-0.736; P0.001. AKI incidence was found to be higher in patients with high ACEF score than low ACEF score 46 26.1 vs. 20 10.5; P0.001. In addition, ACEF score OR: 2.599; 95 CI: 1.399-4.828; P0.002 and hemoglobin levels OR: 0.837; 95 CI: 0.729-0.961; P0.012 were found to be independent predictors of AKI. Conclusions: Our study revealed that the ACEF score is an independent predictor of AKI. ACEF score, as a simple and objective score, can be useful in predicting AKI in patients undergoing AVR.

 Objectives: Aortic stenosis is the most common form of degenerative heart valve disease. Acute kidney injury AKI after aortic valve replacement AVR is a common complication and is related to worse outcomes. Age, creatinine, and ejection fraction ACEF score is a simple scoring method that includes three parameters. Our study aimed to evaluate whether ACEF score could predict the development of AKI in patients who underwent AVR. Methods: A total of 366 consecutive patients who underwent isolated AVR for symptomatic severe aortic stenosis were evaluated retrospectively. The development of AKI was the primary endpoint of the study. The ACEF score was calculated by the formula: age yearsleft ventricular ejection fraction   1 if baseline serum creatinine was 2 mgdL. According to the ACEF score the study population was divided into two groups. Results: AKI was developed in 66 18 patients. The cut-off value of the ACEF score for the prediction of AKI was 1.07 with a sensitivity of 69.7 and a specificity of 56.7 AUC 0.663; 95 CI: 0.589-0.736; P0.001. AKI incidence was found to be higher in patients with high ACEF score than low ACEF score 46 26.1 vs. 20 10.5; P0.001. In addition, ACEF score OR: 2.599; 95 CI: 1.399-4.828; P0.002 and hemoglobin levels OR: 0.837; 95 CI: 0.729-0.961; P0.012 were found to be independent predictors of AKI. Conclusions: Our study revealed that the ACEF score is an independent predictor of AKI. ACEF score, as a simple and objective score, can be useful in predicting AKI in patients undergoing AVR.

 Objectives: Aortic stenosis is the most common form of degenerative heart valve disease. Acute kidney injury AKI after aortic valve replacement AVR is a common complication and is related to worse outcomes. Age, creatinine, and ejection fraction ACEF score is a simple scoring method that includes three parameters. Our study aimed to evaluate whether ACEF score could predict the development of AKI in patients who underwent AVR. Methods: A total of 366 consecutive patients who underwent isolated AVR for symptomatic severe aortic stenosis were evaluated retrospectively. The development of AKI was the primary endpoint of the study. The ACEF score was calculated by the formula: age yearsleft ventricular ejection fraction   1 if baseline serum creatinine was 2 mgdL. According to the ACEF score the study population was divided into two groups. Results: AKI was developed in 66 18 patients. The cut-off value of the ACEF score for the prediction of AKI was 1.07 with a sensitivity of 69.7 and a specificity of 56.7 AUC 0.663; 95 CI: 0.589-0.736; P0.001. AKI incidence was found to be higher in patients with high ACEF score than low ACEF score 46 26.1 vs. 20 10.5; P0.001. In addition, ACEF score OR: 2.599; 95 CI: 1.399-4.828; P0.002 and hemoglobin levels OR: 0.837; 95 CI: 0.729-0.961; P0.012 were found to be independent predictors of AKI. Conclusions: Our study revealed that the ACEF score is an independent predictor of AKI. ACEF score, as a simple and objective score, can be useful in predicting AKI in patients undergoing AVR.

Makale detayları

Predictive value of ACEF score for acute kidney injury after surgical aortic valve replacement

Yazarlar: Gökhan Demirci | Ali Rıza Demir | Serkan Kahraman | Sencer Çamcı | Emre Yılmaz

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Cardiology

Dergi: The European Research Journal Vol.10 Issue 3, pp.254-261

Belge Tipi: Makale

Yayın Tarihi: 4/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001315668

pISSN: 2149-3189

Acute kidney injury

aortic stenosis

aortic valve replacement

predictors

ACEF score

Sayı

Yazarlar:

Gökhan Demirci | Ali Rıza Demir | Serkan Kahraman | Sencer Çamcı | Emre Yılmaz

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Cardiology

Dergi:

The European Research Journal Vol.10 Issue 3, pp.254-261

Belge Tipi:

Makale

Yayın Tarihi:

4/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001315668

pISSN:

2149-3189