Source:
- Mehran R, Aymong ED, Nikolsky E, et al. (2004). “A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention: development and initial validation”. J. Am. Coll. Cardiol. 44 (7): 1393–9. doi:10.1016/j.jacc.2004.06.068. PMID 15464318.
You can do that using a simplified scoring system as follows (tested mainly on coronary angioplasty though): [ excel file is provided also)
Risk Factors:
- Systolic blood pressure <80 mm Hg – 5 points
- Intraarterial balloon pump – 5 points
- Congestive heart failure (Class III-IV or history of pulmonary edema) – 5 points
- Age >75 y – 4 points
- Hematocrit level <39% for men and <35% for women – 3 points
- Diabetes – 3 points
- Contrast media volume – 1 point for each 100 mL
- Renal insufficiency:
- Serum creatinine level >1.5 g/dL – 4 points
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- or
-
- Estimated Glomerular filtration rate (online calculator)
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-
- 2 for 40–60 mL/min/1.73 m2
- 4 for 20–40 mL/min/1.73 m2
- 6 for < 20 mL/min/1.73 m2
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Scoring:
5 or less points
5 or less points
- Risk of CIN – 7.5
- Risk of Dialysis – 0.04%
6–10 points
- Risk of CIN – 14.0
- Risk of Dialysis – 0.12%
11–16 points
- Risk of CIN – 26.1*
- Risk of Dialysis – 1.09%
>16 points
- Risk of CIN – 57.3
- Risk of Dialysis – 12.8%