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Revised Swedish guidelines on intravenous iodine contrast medium-induced acute kidney injury 2022 : A summary

Nyman, Ulf LU ; Brismar, Torkel ; Carlqvist, Jeanette ; Hellström, Mikael ; Lindblom, Maria ; Lidén, Mats ; Liss, Per ; Sterner, Gunnar LU ; Wikner, Franciska and Leander, Peter LU (2023) In Acta Radiologica 64(5). p.1859-1864
Abstract

The Swedish Society of Uroradiology has revised their computed tomography (CT) guidelines regarding iodine contrast media-induced acute kidney injury (CI-AKI). They are more cautious compared to the European Society of Urogenital Radiology and the American College of Radiology since the actual risk of CI-AKI remains uncertain in patients with moderate to severe kidney damage due to a lack of prospective controlled studies and mainly based on retrospective propensity score-matched studies with low-grade evidence. Another source of uncertainty is the imprecision of glomerular filtration rate (GFR) estimating equations. However, randomized hydration studies indictae an upper limit risk of CI-AKI of about 5% for outpatients with a GFR in... (More)

The Swedish Society of Uroradiology has revised their computed tomography (CT) guidelines regarding iodine contrast media-induced acute kidney injury (CI-AKI). They are more cautious compared to the European Society of Urogenital Radiology and the American College of Radiology since the actual risk of CI-AKI remains uncertain in patients with moderate to severe kidney damage due to a lack of prospective controlled studies and mainly based on retrospective propensity score-matched studies with low-grade evidence. Another source of uncertainty is the imprecision of glomerular filtration rate (GFR) estimating equations. However, randomized hydration studies indictae an upper limit risk of CI-AKI of about 5% for outpatients with a GFR in the range of 30–44 or 45–59 mL/min/1.73m2 combined with multiple risk factors. Apart from GFR limits, the guideline also includes limits for systemic contrast medium exposure expressed in gram-iodine/GFR ratio.

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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute kidney injury, contrast media, glomerular filtration rate, spiral computed, tomography
in
Acta Radiologica
volume
64
issue
5
pages
1859 - 1864
publisher
SAGE Publications
external identifiers
  • pmid:36749001
  • scopus:85147702791
ISSN
0284-1851
DOI
10.1177/02841851231151511
language
English
LU publication?
yes
id
8e73a087-60f2-4240-a27e-745b0fd15686
date added to LUP
2023-02-23 15:56:04
date last changed
2024-06-14 00:14:37
@article{8e73a087-60f2-4240-a27e-745b0fd15686,
  abstract     = {{<p>The Swedish Society of Uroradiology has revised their computed tomography (CT) guidelines regarding iodine contrast media-induced acute kidney injury (CI-AKI). They are more cautious compared to the European Society of Urogenital Radiology and the American College of Radiology since the actual risk of CI-AKI remains uncertain in patients with moderate to severe kidney damage due to a lack of prospective controlled studies and mainly based on retrospective propensity score-matched studies with low-grade evidence. Another source of uncertainty is the imprecision of glomerular filtration rate (GFR) estimating equations. However, randomized hydration studies indictae an upper limit risk of CI-AKI of about 5% for outpatients with a GFR in the range of 30–44 or 45–59 mL/min/1.73m<sup>2</sup> combined with multiple risk factors. Apart from GFR limits, the guideline also includes limits for systemic contrast medium exposure expressed in gram-iodine/GFR ratio.</p>}},
  author       = {{Nyman, Ulf and Brismar, Torkel and Carlqvist, Jeanette and Hellström, Mikael and Lindblom, Maria and Lidén, Mats and Liss, Per and Sterner, Gunnar and Wikner, Franciska and Leander, Peter}},
  issn         = {{0284-1851}},
  keywords     = {{Acute kidney injury; contrast media; glomerular filtration rate; spiral computed; tomography}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{1859--1864}},
  publisher    = {{SAGE Publications}},
  series       = {{Acta Radiologica}},
  title        = {{Revised Swedish guidelines on intravenous iodine contrast medium-induced acute kidney injury 2022 : A summary}},
  url          = {{http://dx.doi.org/10.1177/02841851231151511}},
  doi          = {{10.1177/02841851231151511}},
  volume       = {{64}},
  year         = {{2023}},
}