Revised Swedish guidelines on intravenous iodine contrast medium-induced acute kidney injury 2022 : A summary
(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.
(Less)
- author
- Nyman, Ulf LU ; Brismar, Torkel ; Carlqvist, Jeanette ; Hellström, Mikael ; Lindblom, Maria ; Lidén, Mats ; Liss, Per ; Sterner, Gunnar LU ; Wikner, Franciska and Leander, Peter LU
- organization
- publishing date
- 2023
- 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
- 2024-09-06 08:21:48
@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}}, }