METHOD FOR PREDICTING ACUTE KIDNEY INJURY IN PATIENTS WITH DECOMPENSATION OF CHRONIC HEART FAILURE BASED ON A RISK ASSESSMENT SYSTEM

摘要

FIELD: medicine. ;SUBSTANCE: invention relates to medicine, namely to internal diseases, nephrology, cardiology, and can be used in predicting acute kidney injury (AKI) in patients with acute decompensation of chronic heart failure (ADCHF). To do this, a risk assessment Scale is used, consisting of six parameters, each of which is assigned a certain number of points: the value of self-assessment of the state of their health to patients using a visual analog scale (VAS) is less than 25% - 4 points; an increase in creatinine at admission by 44 micromol/l compared with the basal - 3 points; the severity of clinical manifestations of the disease according to the Scale of assessment of the clinical condition of the patient with CHF (SACCP) more than 9 points - 2 points; an increase in the level of alanine aminotransferase (ALT) in the blood serum more than 2 upper limits of the norm - 2 points; the use of radiopaque substances - 2 points; the left ventricular ejection fraction less than 45% - 2 points. If the total score exceeds 5, a high probability of acute kidney injury is predicted. ;EFFECT: method provides early prediction of acute kidney injury in patients with acute decompensation of chronic heart failure by using a risk assessment scale based on available clinical, laboratory and instrumental parameters available to the attending physician already in the first hours of hospitalization of the patient and the appointment of which in cardiological practice is prescribed by the current standard, which makes it possible for timely prevention and treatment of these patients. ;1 cl, 1 tbl, 3 ex