Contrast-associated acute kidney injury following intravenous contrast media computed tomography; new concept and future directions: A systematic review study on emergencies patients

IF 0.2 Q4 UROLOGY & NEPHROLOGY
Hamidreza Khodabandeh, Arash Izadpanah Ghahremani, Ali Zolfi gol, Negar Jafari, Hussein Soleimantabar, Venus Shahabi Rabori, Hanie Fooladi, Fariba Asadi Noghabi, Ali Erfani, Reza Faramarzzadeh
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Abstract

Introduction: Computed tomography (CT) is a key method for various disorders. Image can be more quality with intravenous contrast media, however in some cases may be accompanied by a risk of kidney impairment. Objectives: This study aimed to investigate the association between acute kidney injury incidence and intravenous contrast media for CT in emergency patients. Methods and Materials: Search strategies were performed using standard keywords across international databases such as Web of Science, Scopus, Cochrane, PubMed, and Embase. Dimension, OpenGrey, DOAJ, CINAHL, and Google Scholar search engines were searched for a complete search. Additionally, manual searching was conducted using the references of related articles. Studies that reported the correlation between acute kidney injury incidence and intravenous contrast media were included in this systematic review. Results: First, 1185 studies were identified. After duplication, 533 studies remained and 417 were excluded. Out of 116 evaluated studies for retrieval, 49 were eliminated and 67 were assessed for eligibility. Ultimately, 28 studies with 48878 patients were included in the final review. Most of the studies were retrospective cohorts and have found no significant correlation between the incidence of acute kidney injury and intravenous contrast media administration (ICMA) for CT. Conclusion: Intravenous contrast media with a conventional dose for CT does not cause acute kidney injury unless in the presence of a particular condition. Registration: This study was compiled following the PRISMA checklist and its protocol was registered on the PROSPERO (CRD42023448461) and Research Registry (UIN: reviewregistry1690) websites.
静脉注射造影剂进行计算机断层扫描后出现的造影剂相关急性肾损伤;新概念和未来方向:急诊患者的系统回顾研究
计算机断层扫描(CT)是治疗各种疾病的关键方法。静脉造影剂可以提高图像质量,但在某些情况下可能伴有肾脏损害的风险。目的:本研究旨在探讨急诊患者急性肾损伤发生率与静脉CT造影剂的关系。方法和材料:使用国际数据库(如Web of Science、Scopus、Cochrane、PubMed和Embase)中的标准关键词执行搜索策略。对Dimension、OpenGrey、DOAJ、CINAHL和Google Scholar搜索引擎进行了完整的搜索。并利用相关文献的参考文献进行人工检索。报道急性肾损伤发生率与静脉造影剂相关性的研究被纳入本系统综述。结果:首先,确定了1185项研究。重复后,533项研究被保留,417项被排除。在116项被评估的研究中,49项被淘汰,67项被评估为合格。最终,28项研究共48878例患者被纳入最终综述。大多数研究都是回顾性队列,并没有发现急性肾损伤发生率与CT静脉造影剂给药(ICMA)之间的显著相关性。结论:常规剂量的CT静脉造影剂不会引起急性肾损伤,除非有特殊情况。注册:本研究按照PRISMA清单进行编制,其方案已在PROSPERO (CRD42023448461)和Research Registry (UIN: reviewregistry1690)网站上注册。
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来源期刊
Journal of Renal Injury Prevention
Journal of Renal Injury Prevention UROLOGY & NEPHROLOGY-
CiteScore
1.60
自引率
0.00%
发文量
36
期刊介绍: The Journal of Renal Injury Prevention (JRIP) is a quarterly peer-reviewed international journal devoted to the promotion of early diagnosis and prevention of renal diseases. It publishes in March, June, September and December of each year. It has pursued this aim through publishing editorials, original research articles, reviews, mini-reviews, commentaries, letters to the editor, hypothesis, case reports, epidemiology and prevention, news and views and renal biopsy teaching point. In this journal, particular emphasis is given to research, both experimental and clinical, aimed at protection/prevention of renal failure and modalities in the treatment of diabetic nephropathy. A further aim of this journal is to emphasize and strengthen the link between renal pathologists/nephropathologists and nephrologists. In addition, JRIP welcomes basic biomedical as well as pharmaceutical scientific research applied to clinical nephrology. Futuristic conceptual hypothesis that integrate various fields of acute kidney injury and renal tubular cell protection are encouraged to be submitted.
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