349 695

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
dc.contributor.author고신옥-
dc.contributor.author김명화-
dc.contributor.author김은정-
dc.contributor.author나성원-
dc.contributor.author조진선-
dc.date.accessioned2016-02-04T11:16:23Z-
dc.date.available2016-02-04T11:16:23Z-
dc.date.issued2015-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/140055-
dc.description.abstractBACKGROUND: 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.statementOfResponsibilityopen-
dc.format.extent23-
dc.relation.isPartOfBMC ANESTHESIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAcute Kidney Injury/blood-
dc.subject.MESHAcute Kidney Injury/chemically induced*-
dc.subject.MESHAcute Kidney Injury/epidemiology*-
dc.subject.MESHAcute Kidney Injury/physiopathology-
dc.subject.MESHAged-
dc.subject.MESHContrast Media/adverse effects*-
dc.subject.MESHCreatinine/blood-
dc.subject.MESHCritical Illness/epidemiology*-
dc.subject.MESHCritical Illness/mortality-
dc.subject.MESHDisease Progression-
dc.subject.MESHFemale-
dc.subject.MESHGlomerular Filtration Rate-
dc.subject.MESHHospital Mortality-
dc.subject.MESHHumans-
dc.subject.MESHIncidence-
dc.subject.MESHIntensive Care Units*-
dc.subject.MESHKidney Failure, Chronic/blood-
dc.subject.MESHKidney Failure, Chronic/diagnosis-
dc.subject.MESHKidney Failure, Chronic/epidemiology*-
dc.subject.MESHKidney Failure, Chronic/physiopathology-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSeverity of Illness Index-
dc.titleIncidence 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.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorMyoung Hwa Kim-
dc.contributor.googleauthorShin Ok Koh-
dc.contributor.googleauthorEun Jung Kim-
dc.contributor.googleauthorJin Sun Cho-
dc.contributor.googleauthorSung-Won Na-
dc.identifier.doi10.1186/s12871-015-0008-x-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00126-
dc.contributor.localIdA00429-
dc.contributor.localIdA01232-
dc.contributor.localIdA03914-
dc.contributor.localIdA00816-
dc.relation.journalcodeJ00349-
dc.identifier.eissn1471-2253-
dc.identifier.pmid25780349-
dc.subject.keywordContrast-associated acute kidney injury-
dc.subject.keywordIntensive care unit-
dc.subject.keywordRIFLE classification-
dc.contributor.alternativeNameKoh, Shin Ok-
dc.contributor.alternativeNameKim, Myoung Hwa-
dc.contributor.alternativeNameKim, Eun Jung-
dc.contributor.alternativeNameNa, Sung Won-
dc.contributor.alternativeNameCho, Jin Sun-
dc.contributor.affiliatedAuthorKoh, Shin Ok-
dc.contributor.affiliatedAuthorKim, Myoung Hwa-
dc.contributor.affiliatedAuthorNa, Sung Won-
dc.contributor.affiliatedAuthorCho, Jin Sun-
dc.contributor.affiliatedAuthorKim, Eun Jung-
dc.rights.accessRightsfree-
dc.citation.volume15-
dc.citation.startPage23-
dc.identifier.bibliographicCitationBMC ANESTHESIOLOGY, Vol.15 : 23, 2015-
dc.identifier.rimsid45600-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.