Contrast induced nephropathy natural history, complications and prognosis: Difference between revisions
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==Natural history, Complications and Prognosis== | ==Natural history, Complications and Prognosis== | ||
Studies have substantiated greater all-cause and cardiovascular mortality<ref name="pmid15519007">{{cite journal| author=Marenzi G, Lauri G, Assanelli E, Campodonico J, De Metrio M, Marana I et al.| title=Contrast-induced nephropathy in patients undergoing primary angioplasty for acute myocardial infarction. | journal=J Am Coll Cardiol | year= 2004 | volume= 44 | issue= 9 | pages= 1780-5 | pmid=15519007 | doi=10.1016/j.jacc.2004.07.043 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15519007 }} </ref>, prolonged duration of hospitalization<ref name="pmid14668704">{{cite journal| author=McCullough PA, Sandberg KR| title=Epidemiology of contrast-induced nephropathy. | journal=Rev Cardiovasc Med | year= 2003 | volume= 4 Suppl 5 | issue= | pages= S3-9 | pmid=14668704 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14668704 }} </ref>, and late cardiovascular events<ref name="pmid16949375">{{cite journal| author=McCullough PA, Adam A, Becker CR, Davidson C, Lameire N, Stacul F et al.| title=Epidemiology and prognostic implications of contrast-induced nephropathy. | journal=Am J Cardiol | year= 2006 | volume= 98 | issue= 6A | pages= 5K-13K | pmid=16949375 | doi=10.1016/j.amjcard.2006.01.019 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16949375 }} </ref> associated with CIN. The evidence is seen mostly in patients undergoing PCI.<ref name="pmid18802377">{{cite journal| author=McCullough PA| title=Radiocontrast-induced acute kidney injury. | journal=Nephron Physiol | year= 2008 | volume= 109 | issue= 4 | pages= p61-72 | pmid=18802377 | doi=10.1159/000142938 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18802377 }} </ref><ref name="pmid16928802">{{cite journal| author=Weisbord SD, Chen H, Stone RA, Kip KE, Fine MJ, Saul MI et al.| title=Associations of increases in serum creatinine with mortality and length of hospital stay after coronary angiography. | journal=J Am Soc Nephrol | year= 2006 | volume= 17 | issue= 10 | pages= 2871-7 | pmid=16928802 | doi=10.1681/ASN.2006030301 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16928802 }} </ref> Weisbord et al showed that an absolute increase in serum creatinine of 0.25 to 0.5 mg/dL within 72 hours after coronary angiography was associated with significantly greater odds for in-hospital mortality in the 30 day period following the procedure.<ref name="pmid16928802">{{cite journal| author=Weisbord SD, Chen H, Stone RA, Kip KE, Fine MJ, Saul MI et al.| title=Associations of increases in serum creatinine with mortality and length of hospital stay after coronary angiography. | journal=J Am Soc Nephrol | year= 2006 | volume= 17 | issue= 10 | pages= 2871-7 |pmid=16928802 | doi=10.1681/ASN.2006030301 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16928802 }} </ref> | Studies have substantiated greater all-cause and cardiovascular mortality<ref name="pmid15519007">{{cite journal| author=Marenzi G, Lauri G, Assanelli E, Campodonico J, De Metrio M, Marana I et al.| title=Contrast-induced nephropathy in patients undergoing primary angioplasty for acute myocardial infarction. | journal=J Am Coll Cardiol | year= 2004 | volume= 44 | issue= 9 | pages= 1780-5 | pmid=15519007 | doi=10.1016/j.jacc.2004.07.043 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15519007 }} </ref>, prolonged duration of hospitalization<ref name="pmid14668704">{{cite journal| author=McCullough PA, Sandberg KR| title=Epidemiology of contrast-induced nephropathy. | journal=Rev Cardiovasc Med | year= 2003 | volume= 4 Suppl 5 | issue= | pages= S3-9 | pmid=14668704 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14668704 }} </ref>, and late cardiovascular events<ref name="pmid16949375">{{cite journal| author=McCullough PA, Adam A, Becker CR, Davidson C, Lameire N, Stacul F et al.| title=Epidemiology and prognostic implications of contrast-induced nephropathy. | journal=Am J Cardiol | year= 2006 | volume= 98 | issue= 6A | pages= 5K-13K | pmid=16949375 | doi=10.1016/j.amjcard.2006.01.019 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16949375 }} </ref> associated with CIN. The evidence is seen mostly in patients undergoing PCI.<ref name="pmid18802377">{{cite journal| author=McCullough PA| title=Radiocontrast-induced acute kidney injury. | journal=Nephron Physiol | year= 2008 | volume= 109 | issue= 4 | pages= p61-72 | pmid=18802377 | doi=10.1159/000142938 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18802377 }} </ref><ref name="pmid16928802">{{cite journal| author=Weisbord SD, Chen H, Stone RA, Kip KE, Fine MJ, Saul MI et al.| title=Associations of increases in serum creatinine with mortality and length of hospital stay after coronary angiography. | journal=J Am Soc Nephrol | year= 2006 | volume= 17 | issue= 10 | pages= 2871-7 | pmid=16928802 | doi=10.1681/ASN.2006030301 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16928802 }} </ref> Weisbord et al showed that an absolute increase in serum creatinine of 0.25 to 0.5 mg/dL within 72 hours after coronary angiography was associated with significantly greater odds for in-hospital mortality in the 30 day period following the procedure.<ref name="pmid16928802">{{cite journal| author=Weisbord SD, Chen H, Stone RA, Kip KE, Fine MJ, Saul MI et al.| title=Associations of increases in serum creatinine with mortality and length of hospital stay after coronary angiography. | journal=J Am Soc Nephrol | year= 2006 | volume= 17 | issue= 10 | pages= 2871-7 |pmid=16928802 | doi=10.1681/ASN.2006030301 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16928802 }} </ref> The need for dialysis following CIN is also a separate prognostic indicator. Dialysis requirement has been associated with a fivefold increase in all-cause mortality when compared to patients with CIN not requiring renal replacement.<ref name="pmid9375704">{{cite journal| author=McCullough PA, Wolyn R, Rocher LL, Levin RN, O'Neill WW| title=Acute renal failure after coronary intervention: incidence, risk factors, and relationship to mortality. | journal=Am J Med | year= 1997 | volume= 103 | issue= 5 | pages= 368-75 | pmid=9375704 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9375704 }} </ref> | ||
==References== | ==References== |
Revision as of 21:42, 1 October 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohamed Moubarak, M.D. [2]
Overview
The reported incidence varies widely according to the presence or absence of risk factors, and usually associated with a significantly higher risk of in-hospital and 1-year mortality, even in patients who do not need dialysis.
Natural history, Complications and Prognosis
Studies have substantiated greater all-cause and cardiovascular mortality[1], prolonged duration of hospitalization[2], and late cardiovascular events[3] associated with CIN. The evidence is seen mostly in patients undergoing PCI.[4][5] Weisbord et al showed that an absolute increase in serum creatinine of 0.25 to 0.5 mg/dL within 72 hours after coronary angiography was associated with significantly greater odds for in-hospital mortality in the 30 day period following the procedure.[5] The need for dialysis following CIN is also a separate prognostic indicator. Dialysis requirement has been associated with a fivefold increase in all-cause mortality when compared to patients with CIN not requiring renal replacement.[6]
References
- ↑ Marenzi G, Lauri G, Assanelli E, Campodonico J, De Metrio M, Marana I; et al. (2004). "Contrast-induced nephropathy in patients undergoing primary angioplasty for acute myocardial infarction". J Am Coll Cardiol. 44 (9): 1780–5. doi:10.1016/j.jacc.2004.07.043. PMID 15519007.
- ↑ McCullough PA, Sandberg KR (2003). "Epidemiology of contrast-induced nephropathy". Rev Cardiovasc Med. 4 Suppl 5: S3–9. PMID 14668704.
- ↑ McCullough PA, Adam A, Becker CR, Davidson C, Lameire N, Stacul F; et al. (2006). "Epidemiology and prognostic implications of contrast-induced nephropathy". Am J Cardiol. 98 (6A): 5K–13K. doi:10.1016/j.amjcard.2006.01.019. PMID 16949375.
- ↑ McCullough PA (2008). "Radiocontrast-induced acute kidney injury". Nephron Physiol. 109 (4): p61–72. doi:10.1159/000142938. PMID 18802377.
- ↑ 5.0 5.1 Weisbord SD, Chen H, Stone RA, Kip KE, Fine MJ, Saul MI; et al. (2006). "Associations of increases in serum creatinine with mortality and length of hospital stay after coronary angiography". J Am Soc Nephrol. 17 (10): 2871–7. doi:10.1681/ASN.2006030301. PMID 16928802.
- ↑ McCullough PA, Wolyn R, Rocher LL, Levin RN, O'Neill WW (1997). "Acute renal failure after coronary intervention: incidence, risk factors, and relationship to mortality". Am J Med. 103 (5): 368–75. PMID 9375704.