Table 4.
Risk score for developing acute kidney injury due to iodinated radiocontrast nephropathy (CI-AKI)
| Risk factors | Points awarded |
|---|---|
| Hypotension | 5 |
| Intra-aortic balloon pump | 5 |
| Chronic heart failure | 5 |
| Age >75 years | 4 |
| Anemia | 3 |
| Diabetes | 3 |
| Iodinated contrast volume | 1 per 100 ml |
| Serum creatinine >1.5 mg/dl | 4 |
| Or eGFR <60ml/min | 2 if eGFR 40–60 ml/min |
| 4 if eGFR 20–40 ml/min | |
| 6 if eGFR <20ml/min | |
| Score <5 | 7.5% risk CI-AKI 0.04% risk dialysis |
| Score 6–10 | 14% risk CI-AKI 0.12% risk dialysis |
| Score 11–16 | 26.1% risk CI-AKI 1.09% risk dialysis |
| Score >16 | 57.3% risk CI-AKI 21.6% risk dialysis |
Abbreviations: CI-AKI, contrast-induced acute kidney injury; eGFR, estimated glomerular filtration rate.
Adapted from www.esur.org/.../Guidelines/ESUR_2007_Guideline_6_Kern_Ubersite Accessed 1 July 2012.