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Rationale and objectives: Since 1930 it has been accepted that intravenous injection of io-dinated contrast agent as part of contrast-enhanced computed tomography (CE-CT) imaging can induce a contrast-associated acute kidney injury (CA-AKI). For the last 10 years, studies have investigated this iatrogenia. However, those works didn't concern French population and particularly patient hospitalised after emergency department (ED) visit.
This study as-sessed the CA-AKI incidence and factor risks in patients hospitalised after a CE-CT in ED.
This was a retrospective cohort observational study in the ED of the Beaujon University Hospital between October 31st 2019 to January 24th 2022.
Patients over 16 years old who presented to the emergency department and underwent an intravenous contrast-enhanced CT were eligible. To be included, patients were required to have at least two creatinine measurements: one taken within 24 hours before CT and a second measurement taken between 48 hours to the seventh day following the initial test. The CT examination had to be performed at Beaujon Hospital with the injection of iodinated contrast agents such as IOMERON® (iomeprol) or XENETIX® (iobitridol).
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| there is no intervention | Other | NO INTERVENTION |
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome was the occurrence of CA-AKI defined as KDIGO (Kidney Disease Improval Global Outcomes) tage 1 or higher within seven days after contrast-enhanced CT. | BETWEEN 2 and 7 DAYS ATER CT -SCAN |
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Inclusion Criteria:
Exclusion Criteria:
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Patients over 16 years old who presented to the emergency department and underwent an intravenous contrast-enhanced CT were eligible.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hopital Beaujon | Clichy | Île-de-France (Paris) | 92110 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41462065 | Derived | Lecomte E, Vaittinada Ayar P, Vilgrain V, Vaittinada Ayar P. Incidence and risk factors of contrast-associated acute kidney injury in patients hospitalised after contrast-enhanced computed tomography in the emergency department. Int J Emerg Med. 2025 Dec 29;18(1):265. doi: 10.1186/s12245-025-01058-0. |
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| ID | Term |
|---|---|
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |