Risk for Contrast Nephropathy in Patients Undergoing Coronarography
| Autor: | Gaetano La Manna, Leonardo G. Pancaldi, Giorgia Comai, Alessandro Capecchi, Maria Cappuccilli, Elisa Carretta, Sergio Stefoni, Alessandro Lombardi, Luigi Coli, Edlira Maska |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Ejection fraction business.industry medicine.medical_treatment Biomedical Engineering Medicine (miscellaneous) Renal function Bioengineering General Medicine medicine.disease Intensive care unit law.invention Nephropathy Biomaterials Contrast nephropathy law Internal medicine medicine In patient Intensive care medicine business Severe complication Dialysis |
| Zdroj: | Artificial Organs. 34:E193-E199 |
| ISSN: | 1525-1594 0160-564X |
| DOI: | 10.1111/j.1525-1594.2009.00984.x |
| Popis: | Among the causes of in-hospital acute renal failure, contrast-induced nephropathy ranks third in prevalence. Although it represents a condition of renal impairment with spontaneous recovery, contrast nephropathy should always be considered, because it prolongs hospitalization and it may become a severe complication requiring dialysis. The purposes of this study are: (i) to determine if the application of the most effective contrast-induced nephropathy prevention strategies in the Cardiology Intensive Care Unit can prove to be successful in reducing nephropathy risk; and (ii) to identify which of the involved risk factors persist after the preventive treatment. We examined the patients who had a coronarography at the Bentivoglio hospital from April 2007 to April 2008 who required at least 3 days of permanence in hospital due to the presence of potential risk factors; 136 out of 784 patients were included. Among the selected patients, 21 (15.44%) developed a renal impairment compatible with contrast-induced nephropathy. The risk factors that seemed to display the best correlation with risk of contrast nephropathy were advanced age and an ventricular failure (ejection fraction 70 years) determined a threefold increased risk of contrast nephropathy. Our data suggest that the development of contrast nephropathy following coronarography is associated with worse renal function during hospitalization and at discharge. |
| Databáze: | OpenAIRE |
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