Investigation of the relationship between contrast nephropathy development and body mass index in patients receiving contrast media in the emergency department

Authors : Mehmet Seyit Şerif DİLEK, Yeşim İŞLER, Halil KAYA, Melih YÜKSEL

Pages : 612-618

Doi:10.18621/eurj.982063

View : 36 | Download : 14

Publication Date : 2022-09-04

Article Type : Research Paper

Abstract :Objectives: This study aims to investigate the risk factors in patients presenting to the emergency department, undergoing contrast-enhanced computed tomography insert ignore into journalissuearticles values(CT);, and developing contrast-induced nephropathy insert ignore into journalissuearticles values(CIN); and whether there is a relationship between CIN and body mass index insert ignore into journalissuearticles values(BMI);. Methods: A total of 336 patients presenting to the emergency department between 15.3.2019 -31.12.2019 and underwent CT by administering intravenous insert ignore into journalissuearticles values(IV); contrast agent insert ignore into journalissuearticles values(CA); were prospectively analyzed. Patients` age, gender, chronic diseases, height, weight, BMI, and hospitalization or discharge information were recorded. Control creatinine was measured at 72nd and 120th hours. Patients who developed CIN were recorded. Results: The mean age of the patients was 57 years insert ignore into journalissuearticles values(min: 18-max: 96); and 56.5% were male. CIN developed in 6.5% of the patients. Congestive heart failure insert ignore into journalissuearticles values(CHF); was associated with the increased risk of CIN insert ignore into journalissuearticles values( p = 0.045);. There was a significant increase in CIN risk in patients aged 40-70 years insert ignore into journalissuearticles values( p = 0.008);. The risk of CIN development was increased with advanced age insert ignore into journalissuearticles values( p = 0.002);. Dialysis was required in 13% of patients who developed CIN. There was no significant relationship between BMI and CIN development insert ignore into journalissuearticles values( p = 0.740);. Conclusions: We did not find a significant relationship between BMI and CIN. However, the risk of CIN development was higher in patients over 40 and especially in patients with CHF.
Keywords : Contrast induced nephropathy, body mass index, emergency medicine, contrast enhanced computed tomography

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