超老年患者对比后急性损伤:CT扫描视角
Yedidah Fraenkel1, Naama R Bogot2, Ruth Cytter Kuint2
1Radiology Unit, Clalit Medical Services, Jerusalem, Israel.
Japanese journal of radiology
|September 12, 2024
概括
对比增强CT扫描对于超级老年患者 (≥85岁) 是安全的,没有增加损伤的风险. 基线肌素水平被确定为对比后急性损伤 (PC-AKI) 的关键风险因素.
科学领域:
- 放射学 放射学是一门学科.
- 腎臟病學 (nephrology) 是一種醫學.
- 老年病的医生 老年病的医生
背景情况:
- 静脉注射 (IV) 的对比介质可以提高计算机断层扫描 (CT) 的准确性.
- 高龄是对比后急性损伤 (PC-AKI) 的已知危险因素.
- 在超级老年人 (≥85岁) 中PC-AKI的数据有限.
研究的目的:
- 为了调查85岁及以上的个体中PC-AKI发生率,进行用IV对比的CT扫描.
- 在这个人口群体中识别PC-AKI的风险因素.
主要方法:
- 从2005年到2021年,对85岁以上的住院患者进行了回顾性队列研究.
- 分类为IV对比和非IV对比组.
- 收集人口统计,临床和功能数据.
主要成果:
- 包括7078名患者;40%接受了IV对照剂.
- 在CT后72小时内,整体AKI为5.72%.
- 多变量分析显示,对照和非对照组之间的PC-AKI没有显著差异 (OR 1,p=0.92). 基线肌素是一个显著的风险因素.
结论:
- 对比增强CT扫描对于超级老年患者来说似乎是安全的,特别是那些患有正常到轻度功能障碍的患者.
- 结果支持在这个人群中使用对比度增强CT.
- 对超级老年人的对比增强CT进行风险效益评估至关重要.
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