SavedAdd your journal

Journals / Eurasian Journal of Pulmonology / 2022 / Cilt: 24 - Sayı: 2

Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism

Özgür KILIÇ
Ebru ORTAÇ ERSOY
Mehmet YILDIRIM
Kazım ROLLAS
Banu ÇAKIR
Bülent ERBİL
Mine DURUSU TANRIÖVER
Arzu TOPELİ
Pages
130–139
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The [OR (95% CI)] were [12.92 (4.38–38.14)], p

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND AND AIM: The use of computed tomographic pulmonary angiogram (CTPA) without determining pretest probability leads to overuse and morbidities as contrast-induced acute kidney injury (CI-AKI).
📊
Key Findings & Data:RESULTS: A total of 1259 CTPA scans performed for suspicion of acute PE were screened.
💡
Conclusion & Impact:The [OR (95% CI)] were [12.92 (4.38–38.14)], p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

BACKGROUND AND AIM: The use of computed tomographic pulmonary angiogram (CTPA) without determining pretest probability leads to overuse and morbidities as contrast-induced acute kidney injury (CI-AKI). We aimed to assess the predictive role of Wells’ rule and revised Geneva scores together with the D-dimer test in patients who underwent CTPA for the suspicion of pulmonary embolism (PE) and to investigate the frequency of CI-AKI. METHODS: This single-center study was conducted as a retrospective analysis of patients who underwent CTPA. Demographic and clinical variables, risk factors, pretest probability score (PPS), and biomarkers were recorded from written or electronic medical records. RESULTS: A total of 1259 CTPA scans performed for suspicion of acute PE were screened. After exclusion, we analyzed 895 CTPAs. PE rates in the emergency department and in-patient wards were 9.1% and 13.9%, respectively. Immobility, high Wells’ rule, and Geneva scores were found to be predictors of PE. The [OR (95% CI)] were [12.92 (4.38–38.14)], p

🔖

Cite This Article

KILIÇ, Ö., ERSOY, E. O., YILDIRIM, M., ROLLAS, K., ÇAKIR, B., ERBİL, B., TANRIÖVER, M. D., TOPELİ, A. (2022). Predictive role of pretest probability scores and risk factors of contrast-induced acute kidney injury in patients who underwent CT pulmonary angiography for the suspicion of pulmonary embolism. Eurasian Journal of Pulmonology, Cilt: 24 - Sayı: 2, 130–139. https://ajindex.com/articles/509537

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Goldhaber SZ, Bounameaux H. Pulmonary embolism and deep vein thrombosis. Lancet 2012;379:1835–46
  2. Sharma S, Lucas CD. Increasing use of CTPA for the investigation of suspected pulmonary embolism. Postgrad Med 2017;129:193–7
  3. Venous thromboembolic diseases: diagnosis, management and thrombophilia testing. London: National Institute for Health and Care Excellence (NICE); 2020 Mar 26
  4. Konstantinides SV, Meyer G, Becattini C, Bueno H, Geersing GJ, Harjola VP, et al; ESC Scientific Document Group. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J 2020;41:543–603
  5. Mayo J, Thakur Y. Pulmonary CT angiography as first-line imaging for PE: image quality and radiation dose considerations. AJR Am J Roentgenol 2013;200:522–8
  6. Smith-Bindman R, Lipson J, Marcus R, Kim KP, Mahesh M, Gould R, et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med 2009;169:2078–86
  7. Wylie JD, Jenkins PA, Beckmann JT, Peters CL, Aoki SK, Maak TG. Computed tomography scans in patients with young adult hip pain carry a lifetime risk of malignancy. Arthroscopy 2018;34:155–63
  8. Mamlouk MD, vanSonnenberg E, Gosalia R, Drachman D, Gridley D, Zamora JG, et al. Pulmonary embolism at CT angiography: implications for appropriateness, cost, and radiation exposure in 2003 patients. Radiology 2010;256:625–32
  9. Mitchell AM, Jones AE, Tumlin JA, Kline JA. Prospective study of the incidence of contrast-induced nephropathy among patients evaluated for pulmonary embolism by contrast-enhanced computed tomography. Acad Emerg Med 2012;19:618–25
  10. Costa AF, Basseri H, Sheikh A, Stiell I, Dennie C. The yield of CT pulmonary angiograms to exclude acute pulmonary embolism. Emerg Radiol 2014;21:133–41
  11. Chen Z, Deblois S, Toporowicz K, Boldeanu I, Francoeur MO, Sadouni M, et al. Yield of CT pulmonary angiography in the diagnosis of acute pulmonary embolism: short report. BMC Res Notes 2019;12:41
  12. Albrecht MH, Bickford MW, Nance JW Jr, Zhang L, De Cecco CN, Wichmann JL, et al. State-of-the-art pulmonary CT angiography for acute pulmonary embolism. AJR Am J Roentgenol 2017;208:495– 504
  13. Righini M, Robert-Ebadi H, Le Gal G. Diagnosis of acute pulmonary embolism. J Thromb Haemost 2017;15:1251–61
  14. Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Gr