Acute kidney injury after contrast-enhanced examination among elderly

OBJECTIVES: to assess renal function in elderly patients undergoing contrast-enhanced computed tomography and identify the preventive measures of acute kidney injury in the period before and after the examination. METHOD: longitudinal cohort study conducted at the Federal University of São Paulo Hos...

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Detalhes bibliográficos
Autores: Aoki, Beatriz Bonadio, Fram, Dayana, Taminato, Mônica, Batista, Ruth Ester Assayag [UNIFESP], Belasco, Angélica Gonçalves Silva [UNIFESP], Barbosa, Dulce Aparecida [UNIFESP]
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/8500
Acesso em linha:http://dx.doi.org/10.1590/0104-1169.3440.2462
http://repositorio.unifesp.br/handle/11600/8500
Access Level:acceso abierto
Palavra-chave:Acute Kidney Injury
Contrast Media
Aged
Nursing Care
Lesão Renal Aguda
Meios de Contraste
Idoso
Cuidados de Enfermagem
Descrição
Resumo:OBJECTIVES: to assess renal function in elderly patients undergoing contrast-enhanced computed tomography and identify the preventive measures of acute kidney injury in the period before and after the examination. METHOD: longitudinal cohort study conducted at the Federal University of São Paulo Hospital, from March 2011 to March 2013. All hospitalized elderly, of both sexes, aged 60 years and above, who performed the examination, were included (n=93). We collected sociodemographic data, data related to the examination and to the care provided, and creatinine values prior and post exam. RESULTS: an alteration in renal function was observed in 51 patients (54%) with a statistically significant increase of creatinine values (p<0.04), and two patients (4.0%) required hemodialysis. CONCLUSION: There is an urgent need for protocols prior to and post contrast-enhanced examination in the elderly, and other studies to verify the prognosis of thi population.