Acute kidney injury after contrast-enhanced examination among elderly

Author:

Aoki Beatriz Bonadio1,Fram Dayana1,Taminato Mônica1,Batista Ruth Ester Sayad1,Belasco Angélica1,Barbosa Dulce Aparecida1

Affiliation:

1. Universidade Federal de São Paulo, Brazil

Abstract

OBJECTIVES: to assess renal function in elderly patients undergoing contrast-enhanced computed tomography and identify the preventive measures of acute kidney injury in the period before and after the examination.METHOD: longitudinal cohort study conducted at the Federal University of São Paulo Hospital, from March 2011 to March 2013. All hospitalized elderly, of both sexes, aged 60 years and above, who performed the examination, were included (n=93). We collected sociodemographic data, data related to the examination and to the care provided, and creatinine values prior and post exam.RESULTS: an alteration in renal function was observed in 51 patients (54%) with a statistically significant increase of creatinine values (p<0.04), and two patients (4.0%) required hemodialysis.CONCLUSION: There is an urgent need for protocols prior to and post contrast-enhanced examination in the elderly, and other studies to verify the prognosis of this population.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

Reference25 articles.

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4. Nefropatía inducida por medios de contraste radiológico yodados;Balparda AJK;Iatreia.,2008

5. Principais causas de insuficiência renal aguda em unidades de terapia intensiva: intervenção de enfermagem;Souza SE;Rev Enferm. Ref.,2013

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