Evaluation of the radiocontrast nephropathy development due to the contrast-enhanced CT applications in emergency department


Saracoglu G., Yanturalı S., Atilla R., Bayram B., Akyol P. Y.

ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, vol.13, no.9, pp.947-951, 2022 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 13 Issue: 9
  • Publication Date: 2022
  • Doi Number: 10.4328/acam.20768
  • Journal Name: ANNALS OF CLINICAL AND ANALYTICAL MEDICINE
  • Journal Indexes: Emerging Sources Citation Index (ESCI)
  • Page Numbers: pp.947-951
  • Keywords: Contrast Material, Emergency Department, Nephropathy, PERCUTANEOUS CORONARY INTERVENTION, CHRONIC KIDNEY-DISEASE, RISK, IMPACT, ANGIOGRAPHY, PROTOCOLS, FAILURE, INJURY
  • Dokuz Eylül University Affiliated: Yes

Abstract

Aim: We aimed to determine the incidence of post-contrast acute kidney injury (PC-AKI), the demographic characteristics of patients, and the reasons that facilitate the development of PC-AKI in patients who were admitted to the emergency department and underwent computed tomography (CT) with intravascular contrast media. Material and Methods: This study is a retrospective, cross-sectional and analytical study. Patients over the age of 18 who underwent CT with intravascular contrast media and were hospitalized for at least 48 hours were included in this study. The development of PC-AKI and the clinical and demographic characteristics of the patients were evaluated.Results: A total of 816 patients were included in the study. Thirty-six (4.4%) patients developed PC-AKI. We found that the average length of hospital stay was 22.2 +/- 41.7 days. Patients with a history of hypertension (HT) and diabetes mellitus (DM) and who had hypotension on admission to the emergency department were found to have a higher risk of developing PC-AKI (p<0.05 for all of them). The development of PC-AKI was significantly higher in patients receiving ACE inhibitors (p=0.004). When the clinical outcomes of the patients with PC-AKI were evaluated, it was observed that 47.2% (n=17) of them died. Mortality was statistically significantly higher in patients with PC-AKI than in the patients without PC-AKI (p<0.0001). Discussion: PC-AKI led to an increase in the length of hospital stay of patients. The patients with PC-AKI had a higher mortality rate compared with the patients without PC-AKI.