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Published on: January 28, 2020
The role of systemic immune-inflammatory index in predicting contrast-induced nephropathy in non-ST-segment elevation
Ozan Tezen1, Mert İlker Hayıroğlu2, Levent Pay3
1Department of Cardiology, Bayrampasa State Hospital, Istanbul, Turkey.
Insights
The systemic immune-inflammation index (SII) can predict contrast-induced nephropathy (CIN) in non-ST-segment elevation myocardial infarction (NSTEMI) patients. A high SII value indicates a significant risk for developing CIN after procedures.
Area of Science:
- Cardiology
- Nephrology
- Immunology
Background:
- Contrast-induced nephropathy (CIN) is a complication following contrast media exposure.
- Non-ST-segment elevation myocardial infarction (NSTEMI) patients are at risk for CIN.
- The systemic immune-inflammation index (SII) reflects systemic inflammation.
Purpose of the Study:
- To investigate the association between SII and CIN development in NSTEMI patients.
- To determine if SII can serve as a predictive marker for CIN.
Main Methods:
- A cohort of 1124 NSTEMI patients was analyzed.
- Patients were categorized into two groups based on CIN development.
- The relationship between SII and CIN incidence was statistically examined.
Main Results:
- Significant differences in age, chronic renal failure, LAD stenosis, SII, and CRP were noted between groups.
- An SII value of 709 or higher demonstrated predictive capability for CIN.
- The predictive power for CIN was 74% sensitivity and 74% specificity.
Conclusions:
- The systemic immune-inflammation index (SII) shows potential as a predictor of CIN in NSTEMI patients.
- Elevated SII levels may indicate an increased risk for contrast-induced nephropathy.
Abstract:
Aim: Systemic immune-inflammation index (SII) is obtained by multiplying the platelets by the ratio of neutrophils to lymphocytes. We aimed to examine the relationship between contrast induced nephropathy (CIN) development and SII in non-ST-segment elevation myocardial infarction (NSTEMI) patients.Methods: 1124 NSTEMI patients included and divided into two groups according to the development of CIN. The relationship between SII and CIN development was examined.Results: Among two groups, significant differences were observed in terms of age, chronic renal failure, presence of critical stenoses in the LAD, SII and C-reactive protein (CRP). It was calculated that a value of 709 and above for SII had a predictive power with 74% sensitivity and 74% specificity for CIN.Conclusion: SII has the potential to predict the development of CIN in NSTEMI patients.
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