Spencer KT
Tanzania
Research Article
Comparison of the Kidney Injury Risk Tool to the Clinical Assessment of Contrast Induced Nephropathy Risk
Author(s): Cisneros M, Sevenster M, Forsberg T, Lee ME, Nathan S, Liu P, Mukta D, Chang PJ, Spencer KT and Blair JEACisneros M, Sevenster M, Forsberg T, Lee ME, Nathan S, Liu P, Mukta D, Chang PJ, Spencer KT and Blair JEA
Objective: CIN is the most common non-cardiac complication following coronary angiography, however riskstratification for CIN can be cumbersome. We hypothesize that a computer-based Kidney Injury Risk Tool (KIRT) would assess contrast-induced nephropathy (CIN) risk accurately and may out-perform standard clinical estimation. Methods: This was a prospective study of all-comers undergoing coronary angiography at a single institution. KIRT is based upon an established risk model and risk factors were derived from the electronic medical records using phenotyping rules. Operator reported and KIRT-derived risk factors were compared against adjudicated ground truth obtained by a blinded investigator through chart review and accuracy of the risk model outputs were compared. Operator’s assessment of risk without risk model vs. KIRT assessment were compared and analyzed (Wilcoxon-test, an.. View More»
