Hypotension at Hospital Presentation and Post-Contrast Acute Kidney Injury following Computed Tomography with Contrast Media.

ABSTRACT:

Introduction

Post-contrast acute kidney injury (PC-AKI) is a major complication of contrast media usage; risks for PC-AKI are generally evaluated before computed tomography (CT) with contrast at the emergency department (ED). Although persistent hypotension (systolic blood pressure [sBP] <80 mm Hg for 1 h) is associated with increased PC-AKI incidence, it remains unclear whether transient hypotension that is haemodynamically stabilized before CT is a risk of PC-AKI. We hypothesized that hypotension on ED arrival would be associated with higher PC-AKI incidence even if CT with contrast was performed after patients are appropriately resuscitated.

Methods

This multicentre retrospective observational study was conducted at three tertiary care centres during 2013-2014. We identif

SUBMITTER: Yoshizawa J 

PROVIDER: S-EPMC10137311 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature