Determinants of Acute Kidney Injury After Endoscopic Retrograde Cholangiopancreatography in Patients With Liver Cirrhosis: Retrospective Observational Study - Scorecard - MDSpire
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Determinants of Acute Kidney Injury After Endoscopic Retrograde Cholangiopancreatography in Patients With Liver Cirrhosis: Retrospective Observational Study
Clinical Scorecard: Factors Influencing Acute Kidney Injury Following Endoscopic Retrograde Cholangiopancreatography in Individuals With Liver Cirrhosis: A Retrospective Observational Analysis
At a Glance
Category
Detail
Condition
Acute Kidney Injury (AKI) following ERCP in Liver Cirrhosis
Key Mechanisms
Complications from liver cirrhosis and systemic conditions affecting liver and kidney function.
Target Population
Patients aged ≥20 years with liver cirrhosis undergoing ERCP.
Care Setting
Retrospective analysis using the US Nationwide Inpatient Sample database.
Key Highlights
15% to 50% incidence of AKI in patients with liver cirrhosis.
30-day mortality rate for hospitalized AKI patients ranges from 30% to 70%.
ERCP is associated with significant complications, including AKI.
Chronic kidney disease is a known risk factor for complications after ERCP.
Study utilized a large-scale, nationally representative dataset.
Guideline-Based Recommendations
Diagnosis
AKI identified using ICD-10 codes for AKI and dialysis-related procedures.
Management
Monitor for complications post-ERCP, particularly in patients with liver cirrhosis.
Monitoring & Follow-up
Assess for signs of AKI and other complications during hospitalization.
Risks
Increased risk of dialysis-requiring AKI in patients with decompensated cirrhosis and other comorbidities.
Patient & Prescribing Data
Individuals with liver cirrhosis undergoing ERCP.
Limited data on AKI requiring dialysis specifically following ERCP in this population.
Clinical Best Practices
Utilize comprehensive data analysis to identify risk factors for AKI.
Implement preventive measures for high-risk patients undergoing ERCP.
