Hydration Strategies for Preventing Contrast-Induced Acute Kidney Injury: A Systematic Review and Bayesian Network Meta-Analysis
Joint Authors
Liu, Tong-qiang
Cai, Qiuping
Jing, Ran
Zhang, Wanfen
Tang, Yushang
Li, Xiaoping
Source
Journal of Interventional Cardiology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-16, 16 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-11
Country of Publication
Egypt
No. of Pages
16
Main Subjects
Abstract EN
Aims.
Many previous studies have examined the effect of different hydration strategies on prevention of contrast-induced acute kidney injury (CI-AKI), but the optimal strategy is unknown.
We performed a network meta-analysis (NWM) of these previous studies to identify the optimal strategy.
Methods and Results.
Web of Science, PubMed, OVID Medline, and Cochrane Library were searched from their inception dates to September 30, 2018.
Randomized controlled trials (RCTs) were selected based on strict inclusion criteria, and a Bayesian NWM was performed using WinBUGS V.1.4.3.
We finally analyzed 60 eligible RCTs, which examined 21,293 patients and 2232 CI-AKI events.
Compared to intravenous 0.9% sodium chloride (reference), intravenous sodium bicarbonate (OR [95% CI]: 0.74 [0.57, 0.93]), hemodynamic guided hydration (0.41 [0.18, 0.93]), and RenalGuard guided hydration (0.32 [0.14, 0.70]) significantly reduced the occurrence of CI-AKI.
Oral hydration and intravenous 0.9% sodium chloride were each noninferior to no hydration in preventing CI-AKI.
Intravenous 0.9% sodium chloride, sodium bicarbonate, and hemodynamic guided hydration were each noninferior to oral hydration in preventing CI-AKI.
Based on surface under the cumulative ranking curve values, the RenalGuard system was best (0.974) and hemodynamic guided hydration was second best (0.849).
Conclusion.
There was substantial evidence to support the use of RenalGuard or hemodynamic guided hydration for preventing CI-AKI in high-risk patients, especially those with chronic kidney disease or cardiac dysfunction.
American Psychological Association (APA)
Cai, Qiuping& Jing, Ran& Zhang, Wanfen& Tang, Yushang& Li, Xiaoping& Liu, Tong-qiang. 2020. Hydration Strategies for Preventing Contrast-Induced Acute Kidney Injury: A Systematic Review and Bayesian Network Meta-Analysis. Journal of Interventional Cardiology،Vol. 2020, no. 2020, pp.1-16.
https://search.emarefa.net/detail/BIM-1187850
Modern Language Association (MLA)
Cai, Qiuping…[et al.]. Hydration Strategies for Preventing Contrast-Induced Acute Kidney Injury: A Systematic Review and Bayesian Network Meta-Analysis. Journal of Interventional Cardiology No. 2020 (2020), pp.1-16.
https://search.emarefa.net/detail/BIM-1187850
American Medical Association (AMA)
Cai, Qiuping& Jing, Ran& Zhang, Wanfen& Tang, Yushang& Li, Xiaoping& Liu, Tong-qiang. Hydration Strategies for Preventing Contrast-Induced Acute Kidney Injury: A Systematic Review and Bayesian Network Meta-Analysis. Journal of Interventional Cardiology. 2020. Vol. 2020, no. 2020, pp.1-16.
https://search.emarefa.net/detail/BIM-1187850
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1187850