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10.1002/ams2.346

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suck abstract from ncbi


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pmid29988642
      Acute+Med+Surg 2018 ; 5 (3 ): 278-284
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  • Using kidney size for early detection of contrast-induced nephropathy in the emergency department setting #MMPMID29988642
  • Hongo T ; Tsuchiya M ; Inaba M ; Takahashi K ; Nozaki S ; Fujiwara T ; Hiramatsu M
  • Acute Med Surg 2018[Jul]; 5 (3 ): 278-284 PMID29988642 show ga
  • AIM: We aimed to examine the relationship between kidney size and contrast-induced nephropathy (CIN) in patients who underwent contrast-enhanced computed tomography (CT) in the emergency department. METHODS: This single-center retrospective observational study was undertaken to evaluate risk factors for CIN at Okayama Saiseikai General Hospital (Okayama, Japan) from January 2014 through to December 2016. Contrast-induced nephropathy was defined as an absolute increase in serum creatinine level of ?0.5 mg/dL or ?25% over the baseline value within 72 h after contrast-enhanced CT. Independent risk factors for CIN were determined by multiple logistic regression analysis. The thickness of the kidney was evaluated as a predictor of CIN using the area under the receiver operating characteristic curve. We also analyzed CIN as an outcome using the Kaplan-Meier method. RESULTS: The incidence of CIN was 26/262 (9.9%). In the multivariate analysis, CIN was associated with renal thickness (odds ratio = 0.65; 95% confidence interval, 0.53-0.81). No patient underwent renal replacement therapy. CONCLUSION: Renal thickness could be used as a reliable, simple, and easily obtainable marker for identifying CIN in patients undergoing contrast-enhanced CT in the emergency department.
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