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10.1111/j.1553-2712.2012.01374.x http://scihub22266oqcxt.onion/10.1111/j.1553-2712.2012.01374.x C5366244!5366244!22687176     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=22687176&cmd=llinks): Failed to open stream: HTTP request failed! 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Prospective Study of the Incidence of Contrast-Induced Nephropathy Among Patients Evaluated for Pulmonary Embolism by Contrast-Enhanced Computed Tomography |pdf=|usr=}}{{22687176}} gab.com Text Prospective Study of the Incidence of Contrast-Induced Nephropathy Among Patients Evaluated for Pulmonary Embolism by Contrast-Enhanced Computed Tomography JO: Acad Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=22687176 #FOAvip Objectives: Contrast-enhanced computed tomography of the pulmonary arteries (CTPA) has become the mainstay to evaluate patients with suspected pulmonary embolism (PE), and is one of the most common contrast-enhanced CT imaging studies performed in the emergency department (ED). While contrast-induced nephropathy (CIN) is a known complication, this risk is not well-defined in the ED or other ambulatory setting. The aim of this study was to define the risk of CIN following CTPA. Methods: The authors enrolled and followed a prospective, consecutive cohort (June 2007 through January 2009) of patients who received intravenous contrast for CTPA in the ED of a large, academic tertiary care center. Study outcomes included 1) CIN defined an increase in serum creatinine ?0.5 mg/dL or ?25%, 2 to 7 days following contrast administration; and 2) severe renal failure defined as an increase in serum creatinine to ?3.0 mg/dL, or the need for dialysis within 45 days and/or renal failure as a contributing cause of death at 45 days, determined by the consensus of three independent physicians. Results: One hundred seventy-four patients underwent CTPA, which demonstrated acute PE in 12 (7%, 95% CI = 3% to 12%). Twenty-five patients developed CIN (14%, 95% CI = 10% to 20%) including one with acute PE. The development of CIN after CTPA significantly increased the risk of the composite outcome of severe renal failure or death from renal failure within 45 days (relative risk = 36, 95% CI = 3 to 384). No severe adverse outcomes were directly attributable to complications of venous thromboembolism (VTE) or its treatment. Conclusions: In this population, CIN was at least as common as the diagnosis of PE after CTPA; the development of CIN was associated with an increased risk of severe renal failure and death within the subsequent 45 days. Clinicians should consider the risk of CIN associated with CTPA and discuss this risk with patients. Twit Text FOAVip Prospective Study of the Incidence of Contrast-Induced Nephropathy Among Patients Evaluated for Pulmonary Embolism by Contrast-Enhanced Computed Tomography ????Acad Emerg Med http://www.kidney.de/pget.php?&tw=1&pmid=22687176 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=22687176 #FOAvip English Wikipedia <ref>{{Cite pmid|22687176}}</ref> Prospective Study of the Incidence of Contrast-Induced Nephropathy Among Patients Evaluated for Pulmonary Embolism by Contrast-Enhanced Computed Tomography #MMPMID22687176 Mitchell AM; Jones AE; Tumlin JA; Kline JA Acad Emerg Med 2012[Jun]; 19 (6): 618-25 PMID22687176show ga Objectives: Contrast-enhanced computed tomography of the pulmonary arteries (CTPA) has become the mainstay to evaluate patients with suspected pulmonary embolism (PE), and is one of the most common contrast-enhanced CT imaging studies performed in the emergency department (ED). While contrast-induced nephropathy (CIN) is a known complication, this risk is not well-defined in the ED or other ambulatory setting. The aim of this study was to define the risk of CIN following CTPA. Methods: The authors enrolled and followed a prospective, consecutive cohort (June 2007 through January 2009) of patients who received intravenous contrast for CTPA in the ED of a large, academic tertiary care center. Study outcomes included 1) CIN defined an increase in serum creatinine ?0.5 mg/dL or ?25%, 2 to 7 days following contrast administration; and 2) severe renal failure defined as an increase in serum creatinine to ?3.0 mg/dL, or the need for dialysis within 45 days and/or renal failure as a contributing cause of death at 45 days, determined by the consensus of three independent physicians. Results: One hundred seventy-four patients underwent CTPA, which demonstrated acute PE in 12 (7%, 95% CI = 3% to 12%). Twenty-five patients developed CIN (14%, 95% CI = 10% to 20%) including one with acute PE. The development of CIN after CTPA significantly increased the risk of the composite outcome of severe renal failure or death from renal failure within 45 days (relative risk = 36, 95% CI = 3 to 384). No severe adverse outcomes were directly attributable to complications of venous thromboembolism (VTE) or its treatment. Conclusions: In this population, CIN was at least as common as the diagnosis of PE after CTPA; the development of CIN was associated with an increased risk of severe renal failure and death within the subsequent 45 days. Clinicians should consider the risk of CIN associated with CTPA and discuss this risk with patients. äProspective Study of the Incidence of Contrast-Induced Nephropathy Amo(epmc).pdf DeepDyve Pubget Overpricing