SHOCK INDEX-C: A NEWFOUND SPECTRUM OF SHOCK INDEX WITH GREAT ACCURACY TO PREDICT CONTRAST INDUCED NEPHROPATHY IN PRIMARY PERCUTANEOUS CORONARY INTERVENTION COHORT

Objectives: This study was conducted to assess the predictive value of Shock Index-Creatinine Clearance (SI-C) for risk stratification contrast induced nephropathy (CIN) in patients after primary percutaneous coronary intervention (PPCI). Methodology: 1150 consecutive STEMI and candidates PPCI presenting at our tertiary care cardiac center were included this study. Patients with significant hemodynamic instability, allergic reaction agent or having exposure within a week prior those requiring renal replacement therapy excluded from SI-C Mehran scores calculated rise post procedure serum creatinine level by 0.5 mg/dL up 25% baseline characterized as CIN. The power both SIC score assessed help receiver operating characteristic (ROC) curve analysis. Results: Out participants, 960 male mean age 55.64 ± 11.45 years. which 113 (9.8%) developed Area under cure (AUC) prediction CIN 0.702 [95% confidence interval (CI): 0.651 0.753] against 0.633 CI: 0.574 0.692] score. also retained its statistical significance independent predictor adjusted odds ratio 1.01 1.02] on multivariable regression Conclusion: has demonstrated strong discriminative determine setting when compared