Table 2.
Predictors Used for Each CA‐AKI Prediction Model
Full Model | Pragmatic Full Model | Pragmatic Minimum Model |
---|---|---|
Contrast volume | Contrast volume | Contrast volume |
Age | Age | Age |
Sex | Sex | Sex |
BMI | BMI | BMI |
IABP before procedure | IABP before procedure | IABP before procedure |
CrCl | CrCl | CrCl |
Preprocedure hemoglobin | Preprocedure hemoglobin | Preprocedure hemoglobin |
History of diabetes mellitus | History of diabetes mellitus | |
History of hypertension | History of hypertension | |
History of HF | History of HF | |
Preprocedure cardiogenic shock | Preprocedure cardiogenic shock | |
HF symptoms in past 2 weeks | ||
History of MI | ||
History of PCI | ||
History of CABG | ||
History of CVD | ||
History of PAD | ||
History of chronic lung disease | ||
CAD presentation (UA, NSTEMI, STEMI) | ||
Cardiac arrest in past 24 hours |
We constructed 3 specific models for predicting CA‐AKI: full, pragmatic full, and pragmatic minimum models. The full model included all predictors used in a widely cited National Cardiovascular Data Registry–based CA‐AKI risk prediction model. 17 The pragmatic full model included only those predictors from the full model that would be easily extracted from an EHR, but would potentially require further interpretation of the EHR data. The pragmatic minimum model included only those predictors from the full model that would be guaranteed to be derivable from an EHR without significant interpretation of the EHR data. Contrast volume was additionally included in all 3 models, as it was the variable of interest. BMI indicates body mass index; CA‐AKI, contrast‐associated acute kidney injury; CABG, coronary artery bypass grafting, CVD, cerebrovascular disease; CrCl, creatinine clearance; CAD, coronary artery disease; EHR, electronic health record; HF, heart failure; IABP, intra‐aortic balloon pump; MI, myocardial infarction; NSTEMI, non–ST‐segment–elevation myocardial infarction; PCI, percutaneous coronary intervention, PAD, peripheral artery disease; STEMI, ST‐segment–elevation myocardial infarction; and UA, unstable angina.