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Crit Care Nurse ; 31(1): e17-22, 2011 Feb.
Article in English | MEDLINE | ID: mdl-21285460

ABSTRACT

BACKGROUND: Patients who have radiological imaging with contrast material are at risk for contrast medium-induced nephropathy, reduced renal function, longer hospitalizations, and renal failure requiring dialysis. OBJECTIVE: To determine whether the Mehran risk scoring tool can be used to predict changes in hospitalized patients who had percutaneous angiography. METHODS: Data on 196 patients admitted for cardiac angiography who had Mehran risk scores higher than 6 were analyzed retrospectively. Creatinine levels, used as predictors of contrast medium-induced nephropathy, were evaluated at day 2, day 3, and day 4 through day 7. RESULTS: Creatinine levels were significantly higher in patients with a Mehran risk score of 11 or higher than in patients with a risk score of 6 to 10 at all times. CONCLUSIONS: The Mehran risk scoring tool provides reliable data before patients have percutaneous angiography.


Subject(s)
Angiography/adverse effects , Contrast Media/adverse effects , Nephrosis/chemically induced , Risk Assessment/methods , Adult , Aged , Aged, 80 and over , Angiography/methods , Biomarkers/blood , Creatinine/blood , Female , Humans , Male , Middle Aged , Preoperative Care , Reproducibility of Results , Retrospective Studies , Young Adult
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