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. 2022 Sep 30;29(5):858–865. doi: 10.5603/CJ.a2021.0005

Table 1.

Overview of important studies on renal function impairment in acute pulmonary embolism (APE).

Study or author’s name Year Patients group Main results
ICOPER study [27] 1999 2454 Creatinine > 177 μmol/L predicts 3-month mortality
Kostrubiec el al. [7] 2010 220 eGFR ≤ 35 mL/min in normotensive APE patients increases the risk of 30-day mortality
eGFR combined with troponin level — improves the risk stratification
Kostriubiec et al. [35] 2012 142 NGAL plasma level was significantly higher in non-survivors
Increase level of NGAL and cystatin C — higher rate of 30-day all-cause and pulmonary embolism-related mortality, and 180-day mortality
Cystatin C — most significant predictor of death in multivariable analysis
Hestia study [28] 2013 496 APE patients with eGFR < 30 mL/min (C–G) as an indicator of in-hospital treatment
Altınsoy et al. [31] 2017 99 GFR (CKD-EPI or MDRD) with elevated troponin is an independent predictor of adverse outcome in normotensive APE
GFR correlated with right ventricle dysfunction
Ho and Harahsheh [21] 2018 137 CIN risk score is significantly better than PESI in the prediction of CIN leading to dialysis
PESI has the advantage of better survival prognosis
Kostrubiec et al. [6] 2019 2247 GFR ≤ 60 mL/min/1.73 m2 (MDRD) is a risk factor of 30- and 180-day mortality
GFR ≤ 60 mL/min/1.73 m2 enhanced the European Society of Cardiology risk stratification
Lower eGFR is associated with higher occurrence of bleeding
Catella et al [30] RIETE study sub-analysis 2019 4676 Severe renal impairment is associated with higher rate of major bleedings during anticoagulation
Low GFR subgroups with higher all-cause mortality

CIN — contrast-induced nephropathy; CKD-EPI — Chronic Kidney Disease Epidemiology Collaboration; eGFR — estimated glomerular filtration rate; MDRD — modification of diet in renal disease; NGAL — urinary neutrophil gelatinase-associated lipocalin; PESI — pulmonary embolism severity index