Can HALP score predict post-contrast acute kidney injury and 6-year mortality in patients undergoing endovascular abdominal aneurysm repair?
Vascular, cilt.33, sa.2, ss.253-260, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 2
- Basım Tarihi: 2025
- Doi Numarası: 10.1177/17085381241246905
- Dergi Adı: Vascular
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE
- Sayfa Sayıları: ss.253-260
- Anahtar Kelimeler: Endovascular abdominal aortic aneurysm repair, HALP score, post-contrast acute kidney injury
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: The aim of this study is to investigate the relationship between HALP score and post-contrast acute kidney injury (PC-AKI) and average 6-year mortality in patients undergoing endovascular abdominal aortic aneurysm repair (EVAR). Methods: 125 patients who underwent EVAR between January 2015 and December 2020 were included in our study. HALP score was calculated with the formula “hemoglobin × albumin × lymphocyte count/platelet count.” In the first phase of the study, two groups were developed: those who developed PC-AKI and those who did not. In the second stage, statistical analysis was performed by creating two groups: average 6-year mortality and survivors group. Results: HALP score was found to be lower in the PC-AKI group [26.12 (14–61.54) versus 40.53 (7.22–103.61); p <.001]. Low HALP score was found to be both a dependent and independent predictor of the development of PC-AKI (p =.019). HALP score was also found to be lower in the mortality group compared to the survivors [28.97 (12.6–103.61) versus 40.81 (7.22-99) p =.004]. Low HALP score was found to be only a dependent predictor of mortality. The development of PC-AKI was found to be an independent predictor of mortality (p =.042). Conclusions: The HALP score, which can be calculated with a simple formula, can be used to predict PC-AKI and medium-long-term mortality in EVAR patients.