• In patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI), five simple variables unrelated to the procedure may accurately identify those at increased risk of contrast-associated acute kidney injury (CA-AKI).
• Assessing the risk of CA-AKI at the time of hospital admission for STEMI may facilitate the timely implementation of adequate preventive measures and inform patient centered decisions.
• Further research is needed to identify optimal hydration protocols and adjunctive therapies aimed a mitigating the risk of CA-AKI after primary PCI.

中文翻译：

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评估直接 PCI 后急性肾损伤的风险：越简单越好

• 在接受直接经皮冠状动脉介入治疗 (PCI) 的 ST 段抬高型心肌梗死 (STEMI) 患者中，与手术无关的五个简单变量可以准确识别那些存在对比剂相关急性肾损伤 (CA-AKI) 风险增加的患者。
• 在 STEMI 入院时评估 CA-AKI 的风险可能有助于及时实施适当的预防措施并告知以患者为中心的决策。
• 需要进一步研究来确定旨在降低直接 PCI 后 CA-AKI 风险的最佳补液方案和辅助疗法。