From: Iodinated contrast medium: Is there a re(n)al problem? A clinical vignette-based review
Reference | Setting/design | Contrast group (patients) | Control group (patients) | Additional means to delineate the renal risk attributable to contrast medium | Comments |
---|---|---|---|---|---|
Polena et al. [67] | ICU, Retrospective cohort (single-centre) | N = 75 AKI: 18.6% | N = 75 AKI: 2% | None |  |
Tremblay et al. [68] | Trauma centre; Retrospective cohort (single-centre) | N = 56 AKI: 3% | N = 39 AKI: 16% | None | Proportion of ICU patients unclear |
Oleinik et al. [69] | ED, patients with intracerebral haemorrhage; Retrospective cohort (single-centre) | N = 368 AKI: 6% OR 1.4 (95%CI 0.6–3.2) | N = 130 AKI: 14% | Multivariate regression | Proportion of ICU patients unclear |
Lima et al. [70] | Stroke patients; Retrospective cohort (single-centre) | N = 575 AKI: 5% OR 0.42 (95%CI 0.24–0.71) | N = 343 AKI: 10% | Multivariate regression | Proportion of ICU patients unclear |
Aulicky et al. [71] | Stroke patients; Retrospective cohort (single-centre) | N = 164 AKI: 3% | N = 77 AKI: 4% | Multivariate regression | Proportion of ICU patients unclear |
Mc Gillicuddy et al. [72] | Trauma centre, elderly trauma patients; Retrospective cohort (single-centre) | N = 822 AKI: 1.9% | N = 249 AKI: 2.4% | None | Proportion of ICU patients unclear |
Ng et al. [73] | ICU patients (oncology); Retrospective cohort (single-centre) | N = 81 AKI: 17% | N = 81 AKI: 17% | 1-to-1 matching on baseline serum creatinine, SOFA score and age |  |
Cely et al. [19] | ICU; Prospective cohort (single-centre) | N = 53 AKI: 9.4% | N = 53 AKI: 15% | 1-to-1 matching on baseline creatinine clearance, diabetes, mechanical ventilation, vasopressor use |  |
Sinert et al. [74] | ED patients with normal renal function; Retrospective cohort (2 centres) | N = 773 AKI: 5.7% | N = 2956 AKI: 9.0% | None |  |
Kim et al. [75] | ICU, trauma patients; Retrospective cohort (single-centre) | N = 389 AKI: 30% OR 0.99 (CI 95% 0.78–1.25) | N = 182 AKI: 29% | None |  |
Ehrmann et al. [20] | ICU; Prospective cohort (2 centres) | N = 146 AKI: 5.5% | N = 146 AKI: 5.5% | 1-to-1 propensity score matching** |  |
Christ et al. [76] | ICU patients after cardiac arrest; Retrospective cohort | N = 89 AKI: 15.7% | N = 53 AKI: 37.7% | None |  |
Gao et al. [77] | ICU; Retrospective cohort (single-centre) | N = 474 AKI: 14.8% OR 1.66 (95% CI 0.72–3.90) | N = 1,896 AKI: 12.4% | Multivariate regression |  |
Sonhaye et al. [78] | ED; Prospective cohort (single-centre) | N = 620 AKI: 3% OR: 95%CI is missing | N = 672 AKI: 2% | Multivariate regression | Proportion of patients admitted to the ICU unclear |
Heller et al. [79] | ED patients admitted to the hospital; Retrospective cohort (single-centre) | N = 6954 AKI: 8.6% | N = 909 AKI: 9.6% | None | 8% of patients admitted to the ICU |
McDonald et al. [16] | ICU; Retrospective cohort (single-centre) | N = 1223 with eGFR > 45 AKI: 31% OR 1.21 (CI 95% 0.87–1.68) N = 285 with eGFR ≤ 45 AKI: 50% OR 0.88 (CI95% 0.75–1.05) | N = 1223 with eGFR > 45 AKI: 34% N = 285 with eGFR ≤ 45 AKI: 45% | 1-to-1 propensity score matching** | An increased risk of dialysis was observed in patients with pre-contrast eGFR ≤ 45 ml/min/1.73 m2 |
Hinson et al. [25] | ED patients admitted to the hospital; Retrospective cohort (single-centre) | N = 7,201 AKI: 6.8% OR 1.00 (95% CI 0.99–1.01) | N = 10,733 AKI: 8.5% | 1-to-1 propensity-score matching** | ED critical care designation in 9% of patients Proportion of patients admitted to the ICU unclear |
Miyamoto et al. [17] | ICU, patients with sepsis-associated AKI receiving continuous RRT; Retrospective cohort (national database) | N = 3485 Composite outcome (in-hospital death or RRT dependence at discharge): 49.6% OR 0.98 (95% CI 0.88–1.07) RRT dependence at discharge: 4.4% OR 1.08 (95% CI 0.85–1.31) median duration of RRT: 4 [IQR 2–11] days | N = 3485 Composite outcome (in-hospital death or RRT dependence at discharge): 50.2% RRT dependence at discharge: 4.1% median duration of RRT: 4 [IQR 2–11] days | 1-to-1 propensity score matching** |  |
Shih et al. [80] | ICU (subgroup analysis), patients with CKD; Retrospective cohort (national database) | N = 51 30-day RRT: 25.5% aHR 0.95 (95% CI 0.44–2.05) | N = 176 30-day RRT: 25.6% | Cox proportional hazard model adjusted for age, sex and comorbid conditions | Analysis of the Taiwan National Health Insurance Research Database |
Goto et al. [81] | ICU (patients with sepsis and AKI); Retrospective cohort (single-centre) | N = 100 further deterioration of renal function = 34% | N = 100 further deterioration of renal function = 35% | 1-to-1 propensity score matching** |  |
Hinson et al. [82] | ED, patients with sepsis; Retrospective cohort (single-centre) | N = 1464 AKI: 7.2 OR 0.99 (95% CI 0.97–1.02) | N = 2707 AKI: 9.6% | 1-to-1 propensity score matching** | ED critical care designation in 4% of patients Proportion of patients admitted to the ICU unclear |
McGaha et al. [83] | Paediatric trauma centre, severely injured patients; Retrospective cohort (single-centre) | N = 164 AKI: 7.3% | N = 47 AKI: 8.5% | None | 57% of patients admitted to the ICU |
Williams et al. [18] | ICU; Retrospective cohort (6-hospital health system) | N = 2306 AKI: 19.3% OR 1.11 (95% CI 0.95–1.29) | N = 2306 AKI: 18.0% | 1-to-1 propensity score matching** |  |