Cited 16 times in
Incidence and outcome of contrast-associated acute kidney injury assessed with Risk, Injury, Failure, Loss, and End-stage kidney disease (RIFLE) criteria in critically ill patients of medical and surgical intensive care units: a retrospective study
DC Field | Value | Language |
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dc.contributor.author | 고신옥 | - |
dc.contributor.author | 김명화 | - |
dc.contributor.author | 김은정 | - |
dc.contributor.author | 나성원 | - |
dc.contributor.author | 조진선 | - |
dc.date.accessioned | 2016-02-04T11:16:23Z | - |
dc.date.available | 2016-02-04T11:16:23Z | - |
dc.date.issued | 2015 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/140055 | - |
dc.description.abstract | BACKGROUND: Contrast medium used for radiologic tests can decrease renal function. However there have been few studies on contrast-associated acute kidney injury in intensive care unit (ICU) patients. The objective of this study was to evaluate the incidence, characteristics, and outcome of contrast-associated acute kidney injury (CA-AKI) patients using the Risk, Injury, Failure, Loss, and End-stage kidney disease (RIFLE) criteria in critically ill patients in the ICU. METHODS: We conducted a retrospective study of adult patients who underwent contrast-enhanced radiologic tests from January 2011 to December 2012 in a 30-bed medical ICU and a 24-bed surgical ICU. RESULTS: The study included 335 patients, and the incidence of CA-AKI was 15.5%. The serum creatinine and estimated glomerular filtration rate values in the CA-AKI patients did not recover even at discharge from the hospital compared with the values prior to the contrast use. Among 52 CA-AKI patients, 55.8% (n = 29) had pre-existing kidney injury and 44.2% (n = 23) did not. The CA-AKI patients were divided into risk (31%), injury (31%), and failure (38%) by the RIFLE classification. The percentage of patients in whom AKI progressed to a more severe form (failure, loss, end-stage kidney disease) increased from 38% to 45% during the hospital stay, and the recovery rate of AKI was 17% at the time of hospital discharge. Because the Acute Physiology and Chronic Health Evaluation (APACHE) II score was the only significant variable inducing CA-AKI, higher APACHE II scores were associated with a higher risk of CA-AKI. The ICU and hospital mortality of patients with CA-AKI was significantly higher than in patients without CA-AKI. CONCLUSIONS: CA-AKI is associated with increases in hospital mortality, and can be predicted by the APACHE score. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 23 | - |
dc.relation.isPartOf | BMC ANESTHESIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Acute Kidney Injury/blood | - |
dc.subject.MESH | Acute Kidney Injury/chemically induced* | - |
dc.subject.MESH | Acute Kidney Injury/epidemiology* | - |
dc.subject.MESH | Acute Kidney Injury/physiopathology | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Contrast Media/adverse effects* | - |
dc.subject.MESH | Creatinine/blood | - |
dc.subject.MESH | Critical Illness/epidemiology* | - |
dc.subject.MESH | Critical Illness/mortality | - |
dc.subject.MESH | Disease Progression | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Glomerular Filtration Rate | - |
dc.subject.MESH | Hospital Mortality | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Incidence | - |
dc.subject.MESH | Intensive Care Units* | - |
dc.subject.MESH | Kidney Failure, Chronic/blood | - |
dc.subject.MESH | Kidney Failure, Chronic/diagnosis | - |
dc.subject.MESH | Kidney Failure, Chronic/epidemiology* | - |
dc.subject.MESH | Kidney Failure, Chronic/physiopathology | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Republic of Korea/epidemiology | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Severity of Illness Index | - |
dc.title | Incidence and outcome of contrast-associated acute kidney injury assessed with Risk, Injury, Failure, Loss, and End-stage kidney disease (RIFLE) criteria in critically ill patients of medical and surgical intensive care units: a retrospective study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | Myoung Hwa Kim | - |
dc.contributor.googleauthor | Shin Ok Koh | - |
dc.contributor.googleauthor | Eun Jung Kim | - |
dc.contributor.googleauthor | Jin Sun Cho | - |
dc.contributor.googleauthor | Sung-Won Na | - |
dc.identifier.doi | 10.1186/s12871-015-0008-x | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00126 | - |
dc.contributor.localId | A00429 | - |
dc.contributor.localId | A01232 | - |
dc.contributor.localId | A03914 | - |
dc.contributor.localId | A00816 | - |
dc.relation.journalcode | J00349 | - |
dc.identifier.eissn | 1471-2253 | - |
dc.identifier.pmid | 25780349 | - |
dc.subject.keyword | Contrast-associated acute kidney injury | - |
dc.subject.keyword | Intensive care unit | - |
dc.subject.keyword | RIFLE classification | - |
dc.contributor.alternativeName | Koh, Shin Ok | - |
dc.contributor.alternativeName | Kim, Myoung Hwa | - |
dc.contributor.alternativeName | Kim, Eun Jung | - |
dc.contributor.alternativeName | Na, Sung Won | - |
dc.contributor.alternativeName | Cho, Jin Sun | - |
dc.contributor.affiliatedAuthor | Koh, Shin Ok | - |
dc.contributor.affiliatedAuthor | Kim, Myoung Hwa | - |
dc.contributor.affiliatedAuthor | Na, Sung Won | - |
dc.contributor.affiliatedAuthor | Cho, Jin Sun | - |
dc.contributor.affiliatedAuthor | Kim, Eun Jung | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 15 | - |
dc.citation.startPage | 23 | - |
dc.identifier.bibliographicCitation | BMC ANESTHESIOLOGY, Vol.15 : 23, 2015 | - |
dc.identifier.rimsid | 45600 | - |
dc.type.rims | ART | - |
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