Renin-angiotensin-aldosterone system inhibition decreased contrast-associated acute kidney injury in chronic kidney disease patients

Bibliographic Details
Title: Renin-angiotensin-aldosterone system inhibition decreased contrast-associated acute kidney injury in chronic kidney disease patients
Authors: Yi-Ting Chen, Chieh-Kai Chan, Wen-Yi Li, Tao-Min Huang, Tai-Shuan Lai, Vin-Cent Wu, Tzong-Shinn Chu
Source: Journal of the Formosan Medical Association, Vol 120, Iss 1, Pp 641-650 (2021)
Publisher Information: Elsevier, 2021.
Publication Year: 2021
Collection: LCC:Medicine (General)
Subject Terms: Renin-angiotensin-aldosterone system, Contrast nephropathy, Acute kidney disease, Chronic kidney disease, Medicine (General), R5-920
More Details: Background/Purpose: Chronic kidney disease (CKD) is a risk factor for contrast associated acute kidney injury (CA-AKI). The risk of renin-angiotensin-aldosterone system inhibitor (RASi) use in patients with CKD before the administration of contrast is not clear. Methods: In this nested case–control study, 8668 patients received contrast computed tomography (CT) from 2013 to 2018 during index administration in a multicenter hospital cohort. The identification of AKI is based on the Kidney Disease: Improving Global Outcomes (KDIGO) serum creatinine criteria within 48 h after contrast medium used. Results: Finally, 986 patients (age, 63.36 ± 12.22; men, 72.92%) with CKD (estimated glomerular filtration rate (eGFR) = 35.0 ± 19.8 mL/min/1.73 m2) were eligible for analysis. After the index date, RASi users (n = 315) were less likely to develop CA-AKI (13.65% vs 30.4%, p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0929-6646
Relation: http://www.sciencedirect.com/science/article/pii/S092966462030334X; https://doaj.org/toc/0929-6646
DOI: 10.1016/j.jfma.2020.07.022
Access URL: https://doaj.org/article/3854db1e9d254a2abf5051e28343b497
Accession Number: edsdoj.3854db1e9d254a2abf5051e28343b497
Database: Directory of Open Access Journals
More Details
ISSN:09296646
DOI:10.1016/j.jfma.2020.07.022
Published in:Journal of the Formosan Medical Association
Language:English