MULTIMORBIDITY AS ONE OF RISK PREDICTORS FOR CONTRAST INDUCED NEPHROPATHY IN GERIATRIC PRACTICE
https://doi.org/10.24884/1561-6274-2017-21-1-34-38
Abstract
AIM: research of multimorbidity as a risk factor for contrast induced nephropathy after X-ray endovascular intervention in patients of senior age groups. PATIENTS AND METHODS. Patients of following age groups were examined: 34 – 59 years (49,7±7,8 years) – 35 people (control group), 60 – 74 years (66,1±4,1) – 48 people and 75 – 82 years (78,8±4,2) – 22 people. Kidneys functional status examination was performed in patients of advanced and senile age before and after 24, 48 120 hours after X-ray endovascular intervention. Effect of multimorbidity states on contrast induced nephropathy (CIN) development. RESULTS. Strong correlation between different multimorbidity factors, serum creatinine concentration in different time periods after X-ray endovascular intervention and risk of CIN was revealed. CONCLUSION: in patients of advanced and senile age multimorbidity is a risk factor for CIN development when carrying out X-ray endovascular interventions.
About the Authors
A. I. Ariev
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Prof. Alexander L. Ariev, MD, PhD, DMedSci.
Department Gerontology, geriatrics and Nursing Care.
199015, St-Petersburg, Kirochnaya str., 41
A. A. Chesnokov
City geriatric medico-social center
Russian Federation
Russian Federation
Dr. Alexander A. Chesnokov, deputy chief physician for quality of medical care.
190103, St-Petersburg, Fontanka River Embankment, 148
S. D. Dzakhova
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Dr. Svetlana D. Dzahova, MD, PhD, , associate professor.
Department Gerontology, geriatrics and Nursing Care.
199015, St-Petersburg, Kirochnaya str., 41
N. A. Ovsiannikova
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Dr. Natalia A. Ovsiannikova, MD, PhD, associate professor.
Department Gerontology, geriatrics and Nursing Care.
199015, St-Petersburg, Kirochnaya str., 41
G. T. Arieva
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Russian Federation
Dr. Galina T. Arieva, MD, PhD, associate professor.
Department Gerontology, geriatrics and Nursing Care.
199015, St-Petersburg, Kirochnaya str., 41
References
1. Смирнов АВ, Каюков ИГ, Добронравов ВА, Румянцев АШ. Острое повреждение почек : концептуальные проблемы. Нефрология 2014; 18(2): 8-24 [Smirnov AV, Kaiukov IG, Dobronravov VA, Rumyantsev ASh. Ostroe povrezhdenie pochek: kontceptual`nye problemy`. Nefrologia 2014; 18(2): 8-24]
2. Смирнов АВ, Добронравов ВА, Шилов ЕМ, Румянцев АШ. Острое повреждение почек. В Шилов ЕМ, Смирнов АВ, Козловская НЛ, ред. Нефрология. Клинические рекомендации. ГЭОТАР-Медиа, М., 2016: 561-616 [Smirnov AV, Dobronravov VA, Shilov EM, Rumyantsev ASh. Ostroe povrezhdenie pochek. V Shilov EM, Smirnov AV, Kozlovskaia NL, red. Nefrologiia. Clinicheskie rekomendatcii. GE`OTAR-Media, M., 2016: 561-616]
3. Каюков ИГ, Румянцев АШ. Контраст-индуцированное острое повреждение почек. В Смирнов АВ, Добронравов ВА, Румянцев АШ, Каюков ИГ, ред. Острое повреждение почек. Медицинское информационное издательство, М., 2015: 393-415 [Kaiukov IG, Rumyantsev ASh. Kontrast-indutcirovannoe ostroe povrezhdenie pochek. V Smirnov AV, Dobronravov VA, Rumiantcev ASh, Kaiukov IG, red. Ostroe povrezhdenie pochek. Meditcinskoe informatcionnoe izdatel`stvo, M., 2015: 393-415]
4. Bartorelli AL, Marenzi G. Contrast-induced nephropathy. J Interv Cardiol 2008 Feb.; 21(1):74-85
5. Chong E, Poh KK, Liang S et al. Comparison of risks and clinical predictors of contrast-induced nephropathy in patients undergoing emergency versus non-emergency percutaneous coronary interventions. J Int Cardiol 2010; 23: 451-459
6. Silver SA, Shah PM, Chertow GM et al. Risk prediction models for contrast induced nephropathy: systematic review. BMJ 2015 Aug 27; 351:h4395
7. Marenzi G, Lauri G, Assanelli E et al. Contrast-induced nephropathy in patients undergoing primary angioplasty for acute myocardial infarction. J Am Coll Cardiol 2004;44:1780-1785
8. Victor SM, Gnanaraj A, S V et al. Risk scoring system to predict contrast induced nephropathy following percutaneous coronary intervention. Indian Heart J 2014;66:517-524
9. Белялов ФИ. Лечение внутренних болезней в условиях коморбидности: монография; изд. 8-е, перераб. и доп. РИО ИГИУВа, Иркутск, 2011: 300 [Belialov FI. Lechenie vnutrennikh boleznei` v usloviiakh komorbidnosti: monografiia; izd. 8, pererab. i dop. Irkutsk: RIO IGIUVa, 2011: 300]
10. Andrew S. Levey, MD; Lesley A. et al. A New Equation to Estimate Glomerular Filtration Rate. Ann Intern Med 2009; 150(9):604-612]
11. Mehran R, Aymong ED, Nikolsky E et al. A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention: development and initial validation. J Am CollCardiol 2004; 44: 1393-1399 12/ Barrett BJ, Parfrey PS. Preventing nephropathy induced by contrast medium. N Engl J Med 2006; 354 (4): 379-386
12. Miller MD, Paradis CF, Houck PR et al. Rating chronic medical illness burden in geropsychiatric practice and research: application of the Cumulative Illness Rating Scale. Psychiatry Res 1992 Mar; 41(3):237-248
Review
For citations:
Ariev A.I., Chesnokov A.A., Dzakhova S.D., Ovsiannikova N.A., Arieva G.T. MULTIMORBIDITY AS ONE OF RISK PREDICTORS FOR CONTRAST INDUCED NEPHROPATHY IN GERIATRIC PRACTICE. Nephrology (Saint-Petersburg). 2017;21(1):34-38. (In Russ.) https://doi.org/10.24884/1561-6274-2017-21-1-34-38
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