Contrast Material–induced Nephrotoxicity and Intravenous Low-Osmolality Iodinated Contrast Material: Risk Stratification by Using Estimated Glomerular Filtration Rate
Matthew S. Davenport,Shokoufeh Khalatbari,R H Cohan,Jonathan R. Dillman,James D. Myles,James H. Ellis +5 more
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TLDR
IV LOCM is a nephrotoxic risk factor in patients with a stable eGFR less than 30 mL/min/1.73 m(2) or greater, with a trend toward significance at 30-44 mL/Min/1m(2), while IV LOCM does not appear to be a nePHrotoxic Risk Factor in patientsWith stable renal function.Abstract:
Intravenous low-osmolality contrast material is a nephrotoxic risk factor in patients with stable estimated glomerular filtration (eGFR) rate of less than 30 mL/min/1.73 m2, with a trend toward significance in patients with stable eGFR of 30–44 mL/min/1.73 m2.read more
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Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury
Ravindra L. Mehta,John A. Kellum,Sudhir V. Shah,Bruce A. Molitoris,Claudio Ronco,David G. Warnock,Adeera Levin +6 more
TL;DR: An initiative to develop uniform standards for defining and classifying AKI and to establish a forum for multidisciplinary interaction to improve care for patients with or at risk for AKI is described.
Journal ArticleDOI
Global epidemiology and outcomes of acute kidney injury
Eric Hoste,John A. Kellum,Nicholas M. Selby,Alexander Zarbock,Paul M. Palevsky,Sean M. Bagshaw,Stuart L. Goldstein,Jorge Cerdá,Lakhmir S. Chawla +8 more
TL;DR: The global epidemiology of acute kidney injury is described and the influence of modifiable and non-modifiable AKI risk factors, delayed diagnosis, variation in diagnostic criteria and disparities in access to health care are also discussed.
Journal ArticleDOI
Use of Intravenous Iodinated Contrast Media in Patients with Kidney Disease: Consensus Statements from the American College of Radiology and the National Kidney Foundation.
Matthew S. Davenport,Matthew S. Davenport,Mark A. Perazella,Mark A. Perazella,Jerry Yee,Jonathan R. Dillman,Jonathan R. Dillman,Derek M. Fine,Derek M. Fine,Robert J. McDonald,Robert J. McDonald,Roger A. Rodby,Roger A. Rodby,Carolyn L. Wang,Carolyn L. Wang,Jeffrey C. Weinreb,Jeffrey C. Weinreb +16 more
TL;DR: Although the true risk of CI-AKI remains uncertain for patients with severe kidney disease, prophylaxis with intravenous normal saline is indicated for patients who have AKI or an estimated glomerular filtration rate less than 30 mL/min/1.73 m2 who are not undergoing maintenance dialysis.
Journal ArticleDOI
Risk of Intravenous Contrast Material–mediated Acute Kidney Injury: A Propensity Score–matched Study Stratified by Baseline-estimated Glomerular Filtration Rate
Jennifer S. McDonald,Robert J. McDonald,Rickey E. Carter,Richard W. Katzberg,David F. Kallmes,Eric E. Williamson +5 more
TL;DR: Diminished eGFR is associated with an increased risk of SCr-defined AKI following CT examinations, however, the risk of AKI is independent of contrast material exposure, even in patients with less than 30 mL/min/1.73 m(2).
Journal ArticleDOI
Side Effects of Radiographic Contrast Media: Pathogenesis, Risk Factors, and Prevention
TL;DR: It is advised to discontinue potentially nephrotoxic medications, to choose radiocontrast media at lowest dosage, and to encourage oral or intravenous hydration, and in high-risk patients N-acetylcysteine may also be given.
References
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Journal ArticleDOI
Acute Kidney Injury Network: Report of an Initiative to Improve Outcomes in Acute Kidney Injury
Ravindra L. Mehta,John A. Kellum,Sudhir V. Shah,Bruce A. Molitoris,Claudio Ronco,David G. Warnock,Adeera Levin +6 more
TL;DR: The Acute Kidney Injury Network (AKI Network) as discussed by the authors is a multidisciplinary collaborative network focused on AKI, which was established to improve care for patients with or at risk for AKI.
Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury
Ravindra L. Mehta,John A. Kellum,Sudhir V. Shah,Bruce A. Molitoris,Claudio Ronco,David G. Warnock,Adeera Levin +6 more
TL;DR: An initiative to develop uniform standards for defining and classifying AKI and to establish a forum for multidisciplinary interaction to improve care for patients with or at risk for AKI is described.
Journal ArticleDOI
Hospital-acquired renal insufficiency.
TL;DR: Renal function in 4,622 consecutive patients admitted to the medical and surgical services of an urban tertiary care hospital was followed up prospectively from the time of admission and age and preexisting renal insufficiency were risk factors for HARI.
Book
The Kidney: Structure and Function in Health and Disease
TL;DR: This book is certainly one of the best that embraces the whole subject of surgery and it presents a thoroughly readable, sound picture of the essentials of surgery.
Journal ArticleDOI
Contrast induced nephropathy: updated ESUR Contrast Media Safety Committee guidelines.
Fulvio Stacul,Aart J. van der Molen,Peter Reimer,Judith A. W. Webb,Henrik S. Thomsen,Henrik S. Thomsen,Sameh K. Morcos,Torsten Almén,Peter Aspelin,Marie-France Bellin,Olivier Clément,Gertraud Heinz-Peer +11 more
TL;DR: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 1999 guidelines on contrast medium-induced nephropathy (CIN) with updated topics covered.