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Postcontrast Acute Kidney Injury After Computed Tomography Pulmonary Angiography for Acute Pulmonary Embolism

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dc.contributor.author김민정-
dc.contributor.author김지훈-
dc.contributor.author박인철-
dc.contributor.author유제성-
dc.contributor.author정성필-
dc.contributor.author조아라-
dc.date.accessioned2020-06-04T08:41:20Z-
dc.date.available2020-06-04T08:41:20Z-
dc.date.issued2019-12-
dc.identifier.issn0736-4679-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/175845-
dc.description.abstractBackground: Despite the widespread use of computed tomography pulmonary angiography with contrast media for the diagnosis of acute pulmonary embolism, high-quality evidence on risk factors for postcontrast acute kidney injury related to its use is lacking. Objective: The present study aimed to investigate whether the level of estimated glomerular filtration rate observed in the emergency department (ED) is significantly associated with the occurrence of postcontrast acute kidney injury in patients undergoing computed tomography pulmonary angiography. Methods: We performed a retrospective observational study using data automatically collected by a clinical data retrieval system from 1300 patients who underwent computed tomography pulmonary angiography for suspected acute pulmonary embolism in the ED. A total of 632 patients were selected for the study after exclusion. Univariate analyses were performed to identify significant risk factors for postcontrast acute kidney injury (the primary outcome). Multivariate logistic regression analysis was used to confirm the effect of estimated glomerular filtration rate in the ED on the occurrence of postcontrast acute kidney injury after adjustment for confounding variables. Results: The total incidence rate of postcontrast acute kidney injury was 6.49% (41/632 patients). No statistically significant association between estimated glomerular filtration rate and the risk of postcontrast acute kidney injury was observed. Conclusion: Our study findings could serve as useful reference for physicians who are concerned about performing computed tomography pulmonary angiography for fear of renal function deterioration.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier-
dc.relation.isPartOfJOURNAL OF EMERGENCY MEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titlePostcontrast Acute Kidney Injury After Computed Tomography Pulmonary Angiography for Acute Pulmonary Embolism-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Emergency Medicine (응급의학교실)-
dc.contributor.googleauthorAra Cho-
dc.contributor.googleauthorMin Joung Kim-
dc.contributor.googleauthorJe Sung You-
dc.contributor.googleauthorHye Jung Shin-
dc.contributor.googleauthorEun Ju Lee-
dc.contributor.googleauthorIncheol Park-
dc.contributor.googleauthorSung Phil Chung-
dc.contributor.googleauthorJi Hoon Kim-
dc.identifier.doi10.1016/j.jemermed.2019.09.006-
dc.contributor.localIdA00470-
dc.contributor.localIdA05321-
dc.contributor.localIdA01628-
dc.contributor.localIdA02507-
dc.contributor.localIdA03625-
dc.contributor.localIdA05894-
dc.relation.journalcodeJ01390-
dc.identifier.pmid31740158-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S0736467919307796-
dc.subject.keywordacute kidney injury-
dc.subject.keywordacute pulmonary embolism-
dc.subject.keywordcomputed tomography pulmonary angiography-
dc.subject.keywordpostcontrast acute kidney injury-
dc.subject.keywordrenal function-
dc.contributor.alternativeNameKim, Min Joung-
dc.contributor.affiliatedAuthor김민정-
dc.contributor.affiliatedAuthor김지훈-
dc.contributor.affiliatedAuthor박인철-
dc.contributor.affiliatedAuthor유제성-
dc.contributor.affiliatedAuthor정성필-
dc.contributor.affiliatedAuthor조아라-
dc.citation.volume57-
dc.citation.number6-
dc.citation.startPage798-
dc.citation.endPage804-
dc.identifier.bibliographicCitationJOURNAL OF EMERGENCY MEDICINE, Vol.57(6) : 798-804, 2019-12-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers

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