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Delayed recovery of contrast induced kidney injury post angiography : rate and risk factors
Joint Authors
Yasin, Adil J.
al-Saffar, Hilal B.
Source
Journal of the Faculty of Medicine Baghdad
Issue
Vol. 57, Issue 3 (30 Sep. 2015), pp.183-187, 5 p.
Publisher
University of Baghdad Faculty of Medicine
Publication Date
2015-09-30
Country of Publication
Iraq
No. of Pages
5
Main Subjects
Topics
Abstract EN
Background : Exposure to Contrast media is the third leading cause of hospital acquired acute kidney injury.
It follows a predictable time of onset and a less predictable scenario in recovery.
This is related to certain factors, but at the end there will be asubstantial association with increased mortality, morbidity, and length of hospitalization.
Objectives: To define the Incidence of persistent contrast induced renal impairment a month after angiography and to define the risk factors for such persistence Patients and Methods: One hundred and one patients (101) were enrolled in this study.
All were referred to the Iraqi Center for Heart Diseases in Baghdad/ Iraq for coronary and/or peripheral vascular angiography from October 2009 to July 2010.
All patients’ clinical and laboratory data including baseline renal function tests were ordered and recorded with subsequent risk categorization.
Post procedure serum creatinine checked on regular intervals (48 hours, one week, and then weekly for three months for those with serum creatinine consistent with the contrast induced - acute kidney injury (CI-AKI) definition at 48 hours.
Results: The mean age for the study group was 62±16.9 with 78 (77%) male.
Twenty three patients (22.7%) had diabetes mellitus.
Thirteen patients (12.7%)had a pre-existing renal impairment.
Twenty one patients (20.7%) received extradoses of contrast.
Thirty two patients (31.6%) developed CIN by the definition within 48 hours of the procedure with the mean serum creatinine of 1.8 mg/dl.
Seven patients (6.8%) continued to have impaired renal function at week 4 and persisted to have such low GFR up to three months of the procedure.
Baseline low GFR, Diabetes mellitus and extradoses of contrast were independent risk factors for the occurrence of CIN and delayed renal recovery.
Conclusion: The risk of poor renal recovery after contrast cannot be overlooked.
Preexisting renal function impairment, diabetes mellitus, and extra doses of contrast media are independent risk factors for such delay.
American Psychological Association (APA)
al-Saffar, Hilal B.& Yasin, Adil J.& Ala Ali. 2015. Delayed recovery of contrast induced kidney injury post angiography : rate and risk factors. Journal of the Faculty of Medicine Baghdad،Vol. 57, no. 3, pp.183-187.
https://search.emarefa.net/detail/BIM-616831
Modern Language Association (MLA)
al-Saffar, Hilal B.…[et al.]. Delayed recovery of contrast induced kidney injury post angiography : rate and risk factors. Journal of the Faculty of Medicine Baghdad Vol. 57, no. 3 (2015), pp.183-187.
https://search.emarefa.net/detail/BIM-616831
American Medical Association (AMA)
al-Saffar, Hilal B.& Yasin, Adil J.& Ala Ali. Delayed recovery of contrast induced kidney injury post angiography : rate and risk factors. Journal of the Faculty of Medicine Baghdad. 2015. Vol. 57, no. 3, pp.183-187.
https://search.emarefa.net/detail/BIM-616831
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 186-187
Record ID
BIM-616831