A hospital-based study on risk factors and outcomes of Contrast Induced Acute Kidney Injury (CI-AKI)
Autor: | Harish Saini, Khushboo Rani, Shiv Shankar Sharma, Partha Pratim Mandal, Prem Shankar Patel, Anupam Agrawal, Shivendra Kumar Singh |
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Rok vydání: | 2020 |
Předmět: | |
Zdroj: | Panacea Journal of Medical Sciences. 10:227-234 |
ISSN: | 2348-7682 2249-8176 |
DOI: | 10.18231/j.pjms.2020.048 |
Popis: | Background: Contrast-induced acute kidney injury (CI-AKI) is one of the most common causes of hospital-acquired AKI. This study was aimed to analyse the incidence of CI-AKI and associated risk factors in hospitalized patients undergoing CT or Catheter related contrast based procedures. Materials and Methods: This cross-sectional observational study was conducted between September 2016 and August 2018. Hospitalized patients of either sex, aged >18 years scheduled for contrastenhanced computed tomography (CECT), peripheral angiography (PAG), percutaneous transluminal coronary angioplasty (PTCA), or coronary angiography (CAG), with eGFR >30 were evaluated for CIAKI after excluding other causes of AKI. Results: A total of 300 patients were enrolled, of which 266 patients completed the study (CECT/PAG, n=138; PTCA/CAG, n=128). The mean age of the patients was 45.85 15.14 years and the majority of patients were males (n=164, 61.6%). The incidence of CI-AKI was 15.6% (n=41). A total of 28.8% of patients with diabetes and 31.1% patients aged >60 years developed CI-AKI. Overall, the increasing contrast volume significantly (p=0.002) increased the incidence of CI-AKI. The incidence of CI-AKI in patients mild renal dysfunction increased significantly (from 5.5% at |
Databáze: | OpenAIRE |
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