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10.1259/bjr.20130738

http://scihub22266oqcxt.onion/10.1259/bjr.20130738
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C4453133!4453133 !25009948
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suck abstract from ncbi


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pmid25009948
      Br+J+Radiol 2014 ; 87 (1041 ): 20130738
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  • The role of inflammation in contrast-induced nephropathy #MMPMID25009948
  • Kwasa EA ; Vinayak S ; Armstrong R
  • Br J Radiol 2014[Sep]; 87 (1041 ): 20130738 PMID25009948 show ga
  • OBJECTIVE: Global incidence of contrast-induced nephropathy (CIN) is 2-5%, but a recent Kenyan study highlighted a local incidence of 12-14% without offering an explanation for the higher incidence. This study proposes that inflammatory states confer a higher relative risk for development of CIN. Our objective was to determine the risk of developing CIN given the presence of an inflammatory state in patients in Kenya. METHODS: Prospective cohort study of patients undergoing a contrast-enhanced CT (CECT) scan in a private university teaching hospital in Kenya and having no known risk factors for CIN. 423 patients were recruited and grouped into those without inflammation (unexposed) having serum C-reactive protein (CRP) levels ?5 mg dl(-1) and those with evidence of inflammation having CRP levels >5 mg dl(-1). Serum creatinine (SCr) was measured before the CECT and 48 h following the CECT with CIN diagnosed by an increase of >25% in the SCr from the baseline. Relative risk was determined and multiple logistic regression analysis performed on biophysical variables and contrast volume to assess their effect on development of CIN. RESULTS: Patients with high CRP levels had a relative risk of developing CIN of 2.16 compared with those with normal levels of CRP (p = 0.016). No statistically significant association was seen between biophysical variables or volume of contrast and development of CIN. CONCLUSION: Ongoing inflammation doubles the likelihood of development of CIN. ADVANCES IN KNOWLEDGE: This study highlights the importance of inflammation as a risk factor in the development of CIN.
  • |Adult [MESH]
  • |Aged [MESH]
  • |C-Reactive Protein/analysis [MESH]
  • |Contrast Media/*adverse effects [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Incidence [MESH]
  • |Inflammation/*physiopathology [MESH]
  • |Kidney Diseases/*chemically induced/diagnostic imaging/*physiopathology [MESH]
  • |Logistic Models [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Prospective Studies [MESH]
  • |Radiography [MESH]


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