KaydedilenlerDerginizi ekleyin

Dergiler / The European Research Journal / 2022 / Cilt: 8 - Sayı: 5

Investigation of the relationship between contrast nephropathy development and body mass index in patients receiving contrast media in the emergency department

Mehmet Seyit Şerif DİLEK
Yeşim İŞLER
Halil KAYA
Melih YÜKSEL
Sayfa
612–618
Yayın Tarihi
2022-09-04
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

However, the risk of CIN development was higher in patients over 40 and especially in patients with CHF.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Objectives: This study aims to investigate the risk factors in patients presenting to the emergency department, undergoing contrast-enhanced computed tomography (CT), and developing contrast-induced nephropathy (CIN) and whether there is a relationship between CIN and body mass index (BMI).
📊
Temel Bulgular & Veri:Methods: A total of 336 patients presenting to the emergency department between 15.3.2019 -31.12.2019 and underwent CT by administering intravenous (IV) contrast agent (CA) were prospectively analyzed.
💡
Sonuç & Katkı:However, the risk of CIN development was higher in patients over 40 and especially in patients with CHF.
🔬Tür:Araştırma Makalesi
📍Kapsam:2019 Verileri
⚙️Değişkenler:Contrast-induced nephropathy · body mass index · emergency medicine

Abstract

Objectives: This study aims to investigate the risk factors in patients presenting to the emergency department, undergoing contrast-enhanced computed tomography (CT), and developing contrast-induced nephropathy (CIN) and whether there is a relationship between CIN and body mass index (BMI). Methods: A total of 336 patients presenting to the emergency department between 15.3.2019 -31.12.2019 and underwent CT by administering intravenous (IV) contrast agent (CA) were prospectively analyzed. Patients' age, gender, chronic diseases, height, weight, BMI, and hospitalization or discharge information were recorded. Control creatinine was measured at 72nd and 120th hours. Patients who developed CIN were recorded. Results: The mean age of the patients was 57 years (min: 18-max: 96) and 56.5% were male. CIN developed in 6.5% of the patients. Congestive heart failure (CHF) was associated with the increased risk of CIN (p = 0.045). There was a significant increase in CIN risk in patients aged 40-70 years (p = 0.008). The risk of CIN development was increased with advanced age (p = 0.002). Dialysis was required in 13% of patients who developed CIN. There was no significant relationship between BMI and CIN development (p = 0.740). Conclusions: We did not find a significant relationship between BMI and CIN. However, the risk of CIN development was higher in patients over 40 and especially in patients with CHF.

🔖

Bu Makaleye Atıf Yap

DİLEK, M. S. Ş., İŞLER, Y., KAYA, H., YÜKSEL, M. (2022). Investigation of the relationship between contrast nephropathy development and body mass index in patients receiving contrast media in the emergency department. The European Research Journal, Cilt: 8 - Sayı: 5, 612–618. https://ajindex.com/articles/703938

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (13)

  1. Reddan D. Patients at high risk of adverse events from intravenous contrast media after computed tomography examination. Eur J Radiol 2007;62:26-32
  2. Rudnick MR, Goldfarb S. Pathogenesis of contrast-induced nephropathy experimental and clinical observations with an emphasis on the role of osmolalithy. Rev Cardiovasc Med 2003;4(Suppl 5):28-33
  3. Wysowski DK, Nourjah P. Deaths attributed to X-ray contrast media on U.S. death certificates. AJR Am J Roentgenol 2006;186:613-5
  4. Aspellin P, Aubry P, Fransson SG, Strasser R, Willenbrock R, Berg KJ. Nephrotoxic effects in high risk patients undergoing angiography. (NEFRIC study). N Eng J Med. 2003;348:491-9
  5. Jorgensen AL. Contrast-induced nephropathy pathophysiology and preventive strategies. Crit Care Nurse 2013;33:37-46
  6. Hassen GW, Hwang A, Liu LL, Mualim F, Sembo T, Tu TJ, et al. Follow up for emergency department patients after intravenous contrast and risk of nephropathy. West J Emerg Med 2014;15:276-81
  7. Brendan J, Barrett M, Patrick SP. Contrast-induced nephropathy in rmergency department patients receiving abdominal contrast-enhanced computed tomography. Ann Emerg Med 2008;52:136
  8. Cronin RE. Contrast-induced nephropathy: pathogenesis and prevention. Pediatr Nephrol 2009;25:191-204 9. Rihal CS, Textor SC, Grill DE, Berger PB, Ting HH, Best PJ, et al. Incidence and prognostic importance of acute renal failure after percutaneous coronary intervention. Circulation 2002;105:2259-64
  9. Thomsen H, Morcos S. Contrast media and the kidney: European Society of Urogenital Radiology (ESUR) guidelines. Br J Radiol 2003;76:513-8
  10. Nash K, Hafeez A, Hou S. Hospital acquired renal insufficiency. Am J Kidney Dis 2002;39:930-6
  11. Mitchell AM, Kline JA. Contrast nephropathy following computed tomography angiography of the chest for pulmonary embolism in the emergency department. J Thromb Haemost 2007;5:50-4 13. Kim KS, Kim K, Hwang SS, Jo YH, Lee CC, Kim TY, et al. Risk stratification nomogram for nephropathy after abdominal contrast-enhanced computed tomography. Am J Emerg Med 2011;29:412-7 14. Gleeson, TG, Bulugahapitiya S. Contrast-induced nephropathy. Am J Roentgenol 2004;183:1673-89
  12. Mohammed NM, Mahfouz A, Achkar K, Rafiye IM, Hajar R. Contrast-induced Nephropathy; Heart Views 2013;14:106-16
  13. Kiski D, Stepper W, Breithardt G, Reinecke H. Impact of female gender on frequency of contrast medium-induced nephropathy: post hoc analysis of dialysis versus diuresis trial. J Womens Health (Lar