Research Article

Brain Natriuretic Peptide for Predicting Contrast-Induced Acute Kidney Injury in Patients with Acute Coronary Syndrome Undergoing Coronary Angiography: A Systematic Review and Meta-Analysis

Table 1

Characteristics of included studies.

MarkerStudyStudy typeDefinition of CI-AKIPopulationNo. of patientsMale/femaleMean age

BNPAkgul et al. 2013 [40]ProspectiveAn absolute increase in SCr of ≥0.3 mg/dl or ≥50% from the baselineSTEMI patients undergoing PCI424340/8455.3 ± 12.0
Moltrasio et al. 2014 [39]ProspectiveAn absolute increase in SCr of ≥0.3 mg/dlACS patients undergoing PCI639484/15570.6 ± 12.5
Tung et al. 2015 [38]ProspectiveAn absolute increase in SCr of ≥0.3 mg/dl or ≥50% from the baselineSTEMI patients undergoing PCI189163/2662.6 ± 13.9
Parenica et al. 2020 [35]RetrospectiveAn absolute increase in SCr of ≥0.3 mg/dl or ≥50% from the baselineSTEMI patients undergoing PCI427328/9973 (45–83) 62 (45–78)

NT-proBNPKurtul et al. 2014 [25]ProspectiveAn increase in SCr of ≥0.5 mg/dL or ≥25% above baseline within 72 hours after contrast administrationACS patients undergoing PCI436280/15662.27 ± 13.01
Liu et al. 2016 [24]ProspectiveAn increase in SCr of >0.5 mg/dL above baseline within 48 to 72 hours after contrast administrationSTEMI patients undergoing PCI283NA62.9 ± 12.3
Agarwal et al. 2018 [23]ProspectiveAn increase in SCr of ≥0.5 mg/dL or ≥25% above baseline within 48 hours after index angiographyACS patients undergoing PCI15096/5463.03 ± 9.07
Kopytsya et al. 2018 [37]RetrospectiveAn absolute increase in SCr of ≥0.3 mg/dl from the baseline within 48 hoursSTEMI patients undergoing SCAG68NANA
Alan et al. 2019 [36]ProspectiveAn absolute increase in SCr of ≥0.3 mg/dl at 48 h of injection or >50% above baseline within 72 hours after contrast administrationACS patients undergoing coronary angiography216170/4663.9 ± 12.3

BNP, B-type natriuretic peptide; NT-proBNP, N-terminal pro-B-type natriuretic peptide; CI-AKI, contrast-induced acute kidney injury; SCr, serum creatinine; ACS, acute coronary syndrome; STEMI, ST-elevation myocardial infarction; PCI, percutaneous coronary intervention; SCAG, selective coronary angiography; NA, not available; median (5th–95th percentile ranges).