Preventing contrast‐induced acute kidney injury in the emergency room

Abstract

According to a review summarizing recently published reports, little evidence supports this hypothesis. The diagnostic criteria were in accordance with the 2012 guidelines on the use of iodinated contrast media in patients with impaired renal function, as follows: those with ≥0.5 mg/dL or ≥25% increase in serum creatinine levels within 72 h after administering contrast agents were considered to have developed CIAKI. Summary of characteristics in patients with contrast‐induced acute kidney injury Diagnosis Age, years Gender Examination CKD Hypertension Diabetes Shock Congestive heart failure Vascular disease CPA 45 Male Cardiac catheterization − Unknown − + − − CPA 56 Male Cardiac catheterization + Unknown Unknown + − Unknown Head injury 82 Male Catheterization − + + − − + Pelvic injury 79 Male Catheterization + Unknown Unknown + − + Pelvic injury 70 Male Contrast CT − + + + − Unknown Septic shock 61 Male Contrast CT − − − + − − Iliopsoas abscess 55 Male Contrast CT − + + − − − Multiple trauma 81 Female Contrast CT − + − + − − Septic shock 38 Male Contrast CT − − − + − − +, Present; −, not present; CKD, chronic kidney disease; CPA, Cardio Pulmonary Arrest; CT, computed tomography.