Contrast-Induced Nephropathy among Adults after Administration of Intravenous Material in the Emergency Department at King Abdul-Aziz University Hospital

Al Saiari , Afaf; Al Saedi , Samiyah; Al Zahrani , Esraa; Kutbi , Latifah; Al Sahafi , Bothainah Abed A.; Al Harbi , Ghoson Ghonem; Abdelsalam , Mostafa; Bakhsh , Abdullah

doi:10.5742/MEWFM.2022.95235

Article Details

Contrast-Induced Nephropathy among Adults after Administration of Intravenous Material in the Emergency Department at King Abdul-Aziz University Hospital

Authors:

Al Saiari , Afaf | Al Saedi , Samiyah | Al Zahrani , Esraa | Kutbi , Latifah | Al Sahafi , Bothainah Abed A. | Al Harbi , Ghoson Ghonem | Abdelsalam , Mostafa | Bakhsh , Abdullah

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2022 Vol.20 Issue 1, pp.196-203

Document Type:

Article

Publication Date:

1/2022

Document Language:

English

Document ID (Org No.):

242898

Frequency:

Monthly

eISSN:

18390196

pISSN:

18390188

DOI:

10.5742/MEWFM.2022.95235

Descriptors:

Keywords:

Abstract:

 Background: Contrast-induced nephropathy (CIN) is known as the third most common cause of iatrogenic acute kidney injury after severe hypotension and surgery.Objectives: to assess the risk and estimate the incidence of contrast-induced nephropathy in low-risk patients.Methods: A retrospective study was done in King Abdul-Aziz University hospital (KAUH), Jeddah, Saudi Arabia. Data about adult patients who underwent CT was collected from electronic records of the Emergency Department. Patients were divided into two groups with and without injections of IV contrast, evenly. Data about patients’ demographics, diagnosis, chronic comorbidity, nephrotoxic medication, and serum creatinine were collected.Results: No significant difference was found in the pre-contrast serum creatinine in both groups, while eGFR was significantly higher among those receiving contrast media. Serum creatinine after 48 hours showed a significantly lower level while eGFR was significantly higher among those receiving contrast media. Before and 48 hours after the radiology,significant improvement was found between serum creatinine and eGFR levels among all patients, while the eGFR showed significant improvement among patients who received contrast media. About 26% of patients showed rising serum creatinine; of them and 10.5% of them matched the KDIGO guidelines for the diagnosis of acute kidney injury. Patients with worsening kidney function were older, diabetics and hypertensives. Age was the most independentpredictor for worsening of kidney function..Conclusion: In the current clinical setting, the administration of contrast media is not associated with an increased incidence of acute kidney injury.

Article Details

Contrast-Induced Nephropathy among Adults after Administration of Intravenous Material in the Emergency Department at King Abdul-Aziz University Hospital

Authors:

Al Saiari , Afaf | Al Saedi , Samiyah | Al Zahrani , Esraa | Kutbi , Latifah | Al Sahafi , Bothainah Abed A. | Al Harbi , Ghoson Ghonem | Abdelsalam , Mostafa | Bakhsh , Abdullah

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2022 Vol.20 Issue 1, pp.196-203

Document Type:

Article

Publication Date:

1/2022

Document Language:

English

Document ID (Org No.):

242898

Frequency:

Monthly

eISSN:

18390196

pISSN:

18390188

DOI:

10.5742/MEWFM.2022.95235

Descriptors:

NEPHROPATHY

KIDNEY DISEASES

EMERGENCY MEDICINE

HOSPITALS

SAUDI ARABIA

Nephropathy

Contrast

Emergency

Induced

Risk

Issues

Article Details

Authors: Al Saiari , Afaf | Al Saedi , Samiyah | Al Zahrani , Esraa | Kutbi , Latifah | Al Sahafi , Bothainah Abed A. | Al Harbi , Ghoson Ghonem | Abdelsalam , Mostafa | Bakhsh , Abdullah

Publisher: medi+WORLD International

Main Topics: Medicine

Journal: World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2022 Vol.20 Issue 1, pp.196-203

Document Type: Article

Publication Date: 1/2022

Document Language: English

Document ID (Org No.): 242898

Frequency: Monthly

eISSN: 18390196

pISSN: 18390188

DOI: 10.5742/MEWFM.2022.95235

Descriptors:

Issues

Authors:

Al Saiari , Afaf | Al Saedi , Samiyah | Al Zahrani , Esraa | Kutbi , Latifah | Al Sahafi , Bothainah Abed A. | Al Harbi , Ghoson Ghonem | Abdelsalam , Mostafa | Bakhsh , Abdullah

Publisher:

medi+WORLD International

Main Topics:

Medicine

Journal:

World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2022 Vol.20 Issue 1, pp.196-203

Document Type:

Article

Publication Date:

1/2022

Document Language:

English

Document ID (Org No.):

242898

Frequency:

Monthly

eISSN:

18390196

pISSN:

18390188

DOI:

10.5742/MEWFM.2022.95235