Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review
Joint Authors
Ali-Hassan-Sayegh, Sadegh
Mirhosseini, Seyed Jalil
Rahimizadeh, Elham
Ghodratipour, Zahra
Sarrafan-Chaharsoughi, Zahra
Dehghan, Ali Mohammad
Lotfaliani, Mohammad Reza
Rezaeisadrabadi, Mohammad
Kayvanpour, Elham
Sedaghat-Hamedani, Farbod
Zeriouh, Mohamed
Weymann, Alexander
Sabashnikov, Anton
Popov, Aron-Frederik
Source
Cardiology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-16, 16 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-21
Country of Publication
Egypt
No. of Pages
16
Main Subjects
Abstract EN
This systematic review with meta-analysis sought to determine comparison of efficacy and safety of hydration with sodium bicarbonate versus sodium chloride on contrast induced nephropathy and clinical outcomes.
We searched major electronic databases for studies in randomized controlled trials.
A value of P<0.1 for Q test or I2>50% indicated significant heterogeneity between the studies.
Literature search of all databases retrieved 650 studies.
29 studies enrolled in meta-analysis.
Pooled analysis indicated about the incidence of CIN (OR of 0.718; 95% CI: 0.60 to 0.85; P=0.000), requirement of hemodialysis (OR of 1.00; 95% CI: 0.49 to 2.01; P=0.9), mean changes of serum creatinine (WMD of 2.321; 95% CI: 1.995 to 2.648; P=0.000), length of hospital stays (WMD of −0.774; 95% CI: −1.65 to 0.10; P=0.08), major adverse cardiovascular events (OR = 1.075, 95% CI: 0.59 to 1.95; P=0.8), and mortality (OR of 0.73; 95% CI: 0.42 to 1.26; P=0.2).
Overall, hydration with sodium bicarbonate could significantly reduce CIN and the length of hospital stay compared to sodium chloride.
In addition NAC added as a supplement to sodium bicarbonate could increase prophylactic effects against nephropathy.
American Psychological Association (APA)
Ali-Hassan-Sayegh, Sadegh& Mirhosseini, Seyed Jalil& Rahimizadeh, Elham& Ghodratipour, Zahra& Sarrafan-Chaharsoughi, Zahra& Dehghan, Ali Mohammad…[et al.]. 2015. Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review. Cardiology Research and Practice،Vol. 2015, no. 2015, pp.1-16.
https://search.emarefa.net/detail/BIM-1060363
Modern Language Association (MLA)
Ali-Hassan-Sayegh, Sadegh…[et al.]. Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review. Cardiology Research and Practice No. 2015 (2015), pp.1-16.
https://search.emarefa.net/detail/BIM-1060363
American Medical Association (AMA)
Ali-Hassan-Sayegh, Sadegh& Mirhosseini, Seyed Jalil& Rahimizadeh, Elham& Ghodratipour, Zahra& Sarrafan-Chaharsoughi, Zahra& Dehghan, Ali Mohammad…[et al.]. Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review. Cardiology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-16.
https://search.emarefa.net/detail/BIM-1060363
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060363