Relationship between Braden Scale scores and acute kidney injury among patients with acute coronary syndrome: a multicentre retrospective cohort study,BMJ Open

当前位置： X-MOL 学术 › BMJ Open › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Relationship between Braden Scale scores and acute kidney injury among patients with acute coronary syndrome: a multicentre retrospective cohort study
BMJ Open ( IF 2.4 ) Pub Date : 2022-01-01 , DOI: 10.1136/bmjopen-2021-049102
Zhichao Li _{1,

2} , Bofu Liu ₁ , Dongze Li ₁ , Yu Jia ₁ , Lei Ye ₁ , Xiaoyang Liao ₃ , Zhi Zeng ₄ , Zhi Wan ₄

Affiliation

Objectives To evaluate the impact of pressure ulcer events assessed by the Braden Scale (BS) on acute kidney injury (AKI) in patients with acute coronary syndrome (ACS). Design A multicentre retrospective cohort study. Setting Chest pain centres from seven tertiary hospitals in China. Participants We analysed 3185 patients with ACS from the Retrospective Evaluation of Acute Chest Pain study. The patients were divided into three groups (B1, B2 and B3) according to their BS scores (≤12 vs 13–14 vs ≥15, respectively) at admission. Outcome measures AKI was defined according to the criteria of the 2012 Kidney Disease: Improving Global Outcomes. Multivariate logistic analysis was used to evaluate the relationship between the BS score and AKI. Results There were 461 patients (14.5%) with ACS who had the complication of AKI. Patients with a lower score on the BS had a higher incidence of AKI (p<0.001). Multivariate logistic regression analysis showed that adjusted ORs of the BS score for AKI were 2.242 (B1 vs B3: 95% CI: 1.643 to 3.060, p<0.001) and 1.566 (B2 vs B3: 95% CI: 1.186 to 2.069, p=0.002). The receiver operating characteristic curve analysis showed that the area under the curve of the BS score was 0.719 (95% CI: 0.702 to 0.736; p<0.001) for AKI. Conclusions The BS score was independently associated with AKI. It may be a useful tool to identify those who may benefit from further prediction and prevention of AKI in patients with ACS. Trail registration number ChiCTR1900024657 (). The satge rekates to results. Data are available upon reasonable request.

更新日期：2022-01-06

点击分享查看原文

点击收藏

公开下载

阅读更多本刊新发论文本刊介绍/投稿指南