Lipids & metabolic liver disease

Long- and very long-chain ceramides are predictors of acute kidney injury in patients with acute coronary syndrome: the PEACP study

Cardiovasc DiabetolPublished Prospective multicentre cohort study

Main finding · AKIResult — go to the resultOdds ratio 3.503 95% CI 1.743–7.040

Authors' conclusion

Long-chain and very-long-chain ceramide levels may help determine the high AKI risk beyond traditional assessments.

Study context

Population
Patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention, Prospective Multicenter Study for Early Evaluation of Acute Chest Pain
Participants
842 patients
Exposure
Plasma ceramide levels at admission and acute kidney injury (AKI) risk
Outcome
AKI (2012 KDIGO criteria)
Follow-up
During hospitalisation
Methodological detailsmulticenter
  • Multicenter

Main finding

AKI

Odds ratio

3.503

95% CI 1.743–7.040

P < 0.001

Cer(d18:1/24:2) Q4vs Q1
OR 3.503 (95% CI 1.743–7.040); P < 0.001

As reported in the abstract

Developed AKI during hospitalisation
139 (16.5%)

Observational data: associations, not effects.

Further findings

Discrimination for AKI (AUC)

AUC of ceramides for AKI (P < 0.001)
0.581-0.661
AUC of Mehran risk score alone
0.780
AUC of each ceramide combined with Mehran risk score, greater than Mehran score alone
0.802-0.808

Original publication

Long- and very long-chain ceramides are predictors of acute kidney injury in patients with acute coronary syndrome: the PEACP study. Cardiovasc Diabetol. Published 20 April 2023. doi:10.1186/s12933-023-01831-6

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