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Published on: April 18, 2013
Frequency and risk factors of contrast-induced nephropathy after contrast procedures in a Nigerian tertiary centre
1Nephrology Unit, Department of Medicine, University of Benin Teaching Hospital.Benin City, Edo State.
Insights
Contrast-induced nephropathy (CIN) affects 35.9% of patients receiving intravenous contrast. Baseline renal insufficiency, anemia, and age over 55 are key risk factors for developing this acute renal failure.
Area of Science:
- Nephrology
- Radiology
- Clinical Medicine
Background:
- Contrast-induced nephropathy (CIN) is a significant cause of hospital-acquired acute renal failure (ARF).
- Increasing use of contrast media highlights the need for incidence and risk factor data, especially in developing nations.
- Existing data on CIN following intravenous contrast media is limited.
Purpose of the Study:
- To determine the frequency of CIN in patients receiving intravenous contrast.
- To identify risk factors associated with CIN in a tertiary healthcare setting.
- To assess the predictive value of identified risk factors for CIN.
Main Methods:
- A prospective observational study involving 180 consenting patients over 6 months.
- Collection of blood and urine samples pre-contrast and up to 72 hours post-exposure.
- Analysis included hematocrit, serum urea, electrolytes, creatinine, and urinalysis.
Main Results:
- The overall frequency of CIN was 35.9%.
- One patient required hemodialysis due to CIN.
- Univariate analysis identified baseline renal insufficiency, anemia, and age >55 years as significant risk factors for CIN.
Conclusions:
- CIN is a frequent complication following intravenous contrast administration.
- Baseline renal insufficiency, anemia, and older age are associated with increased CIN risk.
- Further multivariate analysis is needed to confirm independent predictive value of these risk factors.
Abstract:
Contrast-induced nephropathy (CIN) is a significant yet underestimated problem in clinical practice. The increasing use of contrast media in diagnostic and interventional procedures over the last 30 years has resulted in CIN becoming the third leading cause of hospital-acquired acute renal failure (ARF) in developed countries. Despite this, there is still a paucity of data on the incidence of CIN following intravenous contrast media especially in developing countries. The goals of this study were to determine the frequency and risk factors of CIN amongst patients receiving intravenous contrast in a tertiary health institution. This is a hospital-based prospective observational study. One hundred and eighty (180) consenting patients were recruited consecutively over a 6-month period. Venous blood and urine were collected for haematocrit, serum urea, electrolytes and creatinine estimation and urinalysis, before contrast exposure and up to 72 hours post-exposure. The frequency of CIN was 35.9% and one patient required haemodialysis. Baseline renal insufficiency, anaemia and age >55 years were significant risk factors for CIN and predictive of CIN in univariate but not multivariate analysis.
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