Risk Predictors for Postcontrast Acute Kidney Injury
| Autor: | Maria Ukhanova, Trudy Millard Krause, Kevin W. Finkel, Frances Lee Revere |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Contrast Media Pharmacy 030204 cardiovascular system & hematology urologic and male genital diseases 030218 nuclear medicine & medical imaging Insurance Claim Review 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Claims data Kidney injury Humans Medicine Radiology Nuclear Medicine and imaging Risk factor urogenital system business.industry Incidence Incidence (epidemiology) Acute kidney injury Acute Kidney Injury Middle Aged medicine.disease United States female genital diseases and pregnancy complications Cohort Female Extraction methods business |
| Zdroj: | Journal of the American College of Radiology. 15:1547-1552 |
| ISSN: | 1546-1440 |
| DOI: | 10.1016/j.jacr.2018.04.015 |
| Popis: | Objective To evaluate risk predictors of acute kidney injury (AKI) after contrast-media procedures in a broader cohort of patients than previously reported. Data Sources Comprehensive medical and pharmacy commercial claims data from 2012 to 2014. Data Collection and Extraction Methods Claims associated with contrast-media procedures for 2,737,020 persons between January 1, 2012 and November 30, 2014, were reviewed. Principal Findings The overall incidence of AKI after a contrast-media procedure was 0.85%. AKI occurred in 26% of cases that had two or more contrast procedures within 30 days, compared with 9% of non-AKI cases. Although the incidence of postcontrast AKI was low, 10% of patients who developed AKI had a recent previous episode of AKI. In cases when AKI had occurred within 180 days of contrast administration, the odds of subsequent kidney injury was 9.39. Conclusions Overall, there is a low risk (0.85%) of developing an AKI after a procedure with contrast-media consistent with several recent studies. However, in adults with a recent history of AKI, physicians must consider this history as a risk factor for subsequent AKI. |
| Databáze: | OpenAIRE |
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