Contrast-Induced Nephropathy (CIN)

Contrast-Induced Nephropathy (CIN)
(Last Updated - 8/9/2007)

Hypotension:                          Yes No
     -SBP < 80 x1 hour requiring inotropes or IABP w/in 24 hours of procedure
IABP:                                   Yes No
CHF:                                    Yes No
Age > 75 years:                      Yes No
Baseline Anemia:                    Yes No
     -< 39% in men or < 36% in women
Diabetes Mellitus:                    Yes No
Baseline Renal Insufficiency:      EGFR Normal (> 60) EGFR 40-60 EGFR 20-40 EGFR < 20
Contrast Volume:
     -1 point / 100 cc's of contrast

Total:

Score     CIN Risk     HD Risk
< 6           7.5%          0.04%
6-10         14.0%         0.12%
11-16       26.1%         1.09%
> 16         57.3%        12.6%

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References:

"A Simple Risk Score For Prediction Of Contrast-Induced Nephropathy After Percutaneous Coronary Intervention - Development And Initial Validation"
     JACC: 10/6/2004 - Volume 44(7): Pages 1393-1399.