老年人造影增强检查后急性肾损伤
Acute kidney injury after contrast-enhanced examination among elderly.
作者信息
Aoki Beatriz Bonadio, Fram Dayana, Taminato Mônica, Batista Ruth Ester Sayad, Belasco Angélica, Barbosa Dulce Aparecida
机构信息
Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
出版信息
Rev Lat Am Enfermagem. 2014 Jul-Aug;22(4):637-44. doi: 10.1590/0104-1169.3440.2462.
OBJECTIVES
to assess renal function in elderly patients undergoing contrast-enhanced computed tomography and identify the preventive measures of acute kidney injury in the period before and after the examination.
METHOD
longitudinal cohort study conducted at the Federal University of São Paulo Hospital, from March 2011 to March 2013. All hospitalized elderly, of both sexes, aged 60 years and above, who performed the examination, were included (n=93). We collected sociodemographic data, data related to the examination and to the care provided, and creatinine values prior and post exam.
RESULTS
an alteration in renal function was observed in 51 patients (54%) with a statistically significant increase of creatinine values (p<0.04), and two patients (4.0%) required hemodialysis.
CONCLUSION
There is an urgent need for protocols prior to and post contrast-enhanced examination in the elderly, and other studies to verify the prognosis of this population.
目的
评估接受增强计算机断层扫描的老年患者的肾功能，并确定检查前后期间急性肾损伤的预防措施。
方法
2011年3月至2013年3月在圣保罗联邦大学医院进行的纵向队列研究。纳入所有接受该检查的60岁及以上住院老年患者，不分性别（n = 93）。我们收集了社会人口统计学数据、与检查及所提供护理相关的数据，以及检查前后的肌酐值。
结果
51例患者（54%）出现肾功能改变，肌酐值有统计学意义的升高（p < 0.04），2例患者（4.0%）需要血液透析。
结论
迫切需要针对老年人增强检查前后制定方案，以及开展其他研究以验证该人群的预后情况。
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