Frequency of Contrast Nephropathy after Intravenous Contrasted Computerized Tomography Scan in The Patients Admitted to Emergency Department

Yıl 2019, Cilt: 9 Sayı: 1, 22 - 29, 20.03.2019

Hakan Hakkoymaz Mehmet Okumuş

https://doi.org/10.31832/smj.512701

Öz

Frequency of Contrast Nephropathy after Intravenous Contrasted Computerized Tomography Scan in The Patients Admitted to Emergency Department

Objective: In this study, we aimed to determine contrast nephropathy incidence in patients who admitted to emergency department and got intravenous contrasted computerized tomography scan. 
Materials and Methods: Medical records patients who admitted to the emergency department between October 2013 and October 2014 and underwent intravenous contrasted computerized tomography scan were examined. 142 patients over 16 years old were included in our study. Patient data on demographics, clinical and laboratory findings, previous diagnoses, prognoses and prophylactic treatments were collected and examined. 
Results: 50,7 % of the patients were female and 49,3 % were male. The mean age was 52,0. 11,2 % of the patients had contrast nephropathy. When the patients were examined separately at 72th and 120th hours, the incidence of radiocontrast nephropathy was found as 9,2 % and 8,5 %, respectively. Women and patients who had diabetes mellitus, low glomerular filtration rate and malignancy were found to have a high risk for contrast nephropathy.
Conclusion: Intravenous contrast usage has increased in emergency departments. Appropriate risk assessment should be made and prophylactic treatment should be administered to the patients with high risk. Also, serum creatinine values should be examined before intravenous contrast administration and should be monitored closely after the exposure.

Anahtar Kelimeler

contrast-induced nephropathy, contrast media, emergency department

Acil Servise Başvuran Hastalarda İntravenöz Kontrast Madde Verilerek Çekilen Tomografi Sonrası Kontrast Madde Nefropatisi Gelişme Sıklığı

Öz

Acil Servise
Başvuran Hastalarda İntravenöz Kontrast Madde Verilerek Çekilen Tomografi
Sonrası Kontrast Madde Nefropatisi Gelişme Sıklığı

Amaç: Bu
çalışmada erişkin Acil Servisine başvuran ve intravenöz kontrast madde
verilerek bilgisayarlı tomografi çekilen hastalarda kontrast madde nefropatisi
gelişme sıklığının değerlendirilmesi amaçlanmıştır. 
Gereç ve Yöntem: Ekim 2013 - Ekim
2014 tarihleri arasında acil serviste intravenöz kontrast madde verilerek
bilgisayarlı tomografi çekildiği tespit edilen hastaların dosyaları,
retrospektif olarak tarandı. 16 yaş ve üstü 142 hasta çalışmaya alındı. Bu
hastaların demografik, klinik ve laboratuvar verileri, tanıları, klinik
sonlanmaları ve uygulanan profilaktik tedavileri değerlendirildi. 
Bulgular: Hastaların %50,7’sinin
kadın, %49,3’ünün erkek olduğu ve yaş ortalamasının 52,0 olduğu tespit edildi.
Hastaların % 11.2’sinde kontrast madde nefropatisi geliştiği belirlendi. Ayrıca
hastalar 72.saat ve 120.saat olarak iki ayrı zaman diliminde
değerlendirildiğinde kontrast madde nefropati sıklığı % 9.2 ve % 8.5 olarak
tespit edildi. Kadınlarda, diyabeti, malignitesi olanlarda, glomerüler
filtrasyon hızı düşük hastalarda kontrast madde nefropatisi gelişimi açısından
daha yüksek risk saptandı.
Sonuç: Acil servislerde kontrast
madde kullanımı hızla artmaktadır. Hastalara doğru bir risk analizi yapılmalı,
riskli gruplara gerekli profilaktik tedavi uygulanmalı ve kreatinin düzeyi
gerek uygulama öncesi gerekse uygulama sonrası sıkı takip edilmelidir.

Anahtar Kelimeler

kontrast madde nefropatisi, kontrast madde, acil servis

Kaynakça

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