NYMC Faculty Publications

Trends in Acute Kidney Injury and Outcomes After Early Percutaneous Coronary Intervention in Patients ≥75 years of Age With Acute Myocardial Infarction

Author Type(s)

Faculty

DOI

10.1016/j.amjcard.2013.06.008

Journal Title

The American Journal of Cardiology

First Page

1279

Last Page

1286

Document Type

Article

Publication Date

11-1-2013

Department

Medicine

Keywords

Acute Kidney Injury, Aged, Aged, 80 and over, Diagnosis-Related Groups, Female, Follow-Up Studies, Hospital Mortality, Humans, Incidence, Male, Myocardial Infarction, Odds Ratio, Percutaneous Coronary Intervention, Postoperative Complications, Retrospective Studies, Risk Assessment, Risk Factors, Time Factors, United States

Disciplines

Cardiology | Medicine and Health Sciences | Nephrology

Abstract

We analyzed the Nationwide Inpatient Sample database from 2002 to 2010 to examine the temporal trends in incidence of acute kidney injury (AKI), AKI requiring dialysis, and associated in-hospital mortality in patients ≥75 years of age hospitalized with acute myocardial infarction and undergoing early (within 24 hours) percutaneous coronary intervention. Of 2,225,707 patients ≥75 years of age with acute myocardial infarction, 233,508 (10.5%) underwent early percutaneous coronary intervention, of which 21,961 (9.4%) developed AKI and 1,257 (0.54%) developed AKI requiring dialysis. From 2002 to 2010, the incidence of AKI increased from 5.6% to 14.2% (p for trend

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