Details der Publikation - Perioperative intravenous contrast administration and the incidence of acute kidney injury after major gastrointestinal surgery

Perioperative intravenous contrast administration and the incidence of acute kidney injury after major gastrointestinal surgery : prospective, multicentre cohort study

© 2020 BJS Society Ltd Published by John Wiley & Sons Ltd..

BACKGROUND: This study aimed to determine the impact of preoperative exposure to intravenous contrast for CT and the risk of developing postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery.

METHODS: This prospective, multicentre cohort study included adults undergoing gastrointestinal resection, stoma reversal or liver resection. Both elective and emergency procedures were included. Preoperative exposure to intravenous contrast was defined as exposure to contrast administered for the purposes of CT up to 7 days before surgery. The primary endpoint was the rate of AKI within 7 days. Propensity score-matched models were adjusted for patient, disease and operative variables. In a sensitivity analysis, a propensity score-matched model explored the association between preoperative exposure to contrast and AKI in the first 48 h after surgery.

RESULTS: A total of 5378 patients were included across 173 centres. Overall, 1249 patients (23·2 per cent) received intravenous contrast. The overall rate of AKI within 7 days of surgery was 13·4 per cent (718 of 5378). In the propensity score-matched model, preoperative exposure to contrast was not associated with AKI within 7 days (odds ratio (OR) 0·95, 95 per cent c.i. 0·73 to 1·21; P = 0·669). The sensitivity analysis showed no association between preoperative contrast administration and AKI within 48 h after operation (OR 1·09, 0·84 to 1·41; P = 0·498).

CONCLUSION: There was no association between preoperative intravenous contrast administered for CT up to 7 days before surgery and postoperative AKI. Risk of contrast-induced nephropathy should not be used as a reason to avoid contrast-enhanced CT.

Errataetall:	CommentIn: Br J Surg. 2020 Jun;107(7):e233. - PMID 32379340
Medienart:	E-Artikel

Erscheinungsjahr:	2020
Erschienen:	2020

Enthalten in:	Zur Gesamtaufnahme - volume:107
Enthalten in:	The British journal of surgery - 107(2020), 8 vom: 07. Juli, Seite 1023-1032

Sprache:	Englisch

Beteiligte Personen:	STARSurg Collaborative [VerfasserIn] McLean, K A [Sonstige Person] Ahmed, Wur [Sonstige Person] Akhbari, M [Sonstige Person] Claireaux, H A [Sonstige Person] English, C [Sonstige Person] Frost, J [Sonstige Person] Henshall, D E [Sonstige Person] Khan, M [Sonstige Person] Kwek, I [Sonstige Person] Nicola, M [Sonstige Person] Rehman, S [Sonstige Person] Varghese, S [Sonstige Person] Drake, T M [Sonstige Person] Bell, S [Sonstige Person] Nepogodiev, D [Sonstige Person] McLean, K A [Sonstige Person] Drake, T M [Sonstige Person] Glasbey, J C [Sonstige Person] Borakati, A [Sonstige Person] Drake, T M [Sonstige Person] Kamarajah, S [Sonstige Person] McLean, K A [Sonstige Person] Bath, M F [Sonstige Person] Claireaux, H A [Sonstige Person] Gundogan, B [Sonstige Person] Mohan, M [Sonstige Person] Deekonda, P [Sonstige Person] Kong, C [Sonstige Person] Joyce, H [Sonstige Person] Mcnamee, L [Sonstige Person] Woin, E [Sonstige Person] Burke, J [Sonstige Person] Khatri, C [Sonstige Person] Fitzgerald, J E [Sonstige Person] Harrison, E M [Sonstige Person] Bhangu, A [Sonstige Person] Nepogodiev, D [Sonstige Person] Arulkumaran, N [Sonstige Person] Bell, S [Sonstige Person] Duthie, F [Sonstige Person] Hughes, J [Sonstige Person] Pinkney, T D [Sonstige Person] Prowle, J [Sonstige Person] Richards, T [Sonstige Person] Thomas, M [Sonstige Person] Dynes, K [Sonstige Person] Patel, M [Sonstige Person] Patel, P [Sonstige Person] Wigley, C [Sonstige Person] Suresh, R [Sonstige Person] Shaw, A [Sonstige Person] Klimach, S [Sonstige Person] Jull, P [Sonstige Person] Evans, D [Sonstige Person] Preece, R [Sonstige Person] Ibrahim, I [Sonstige Person] Manikavasagar, V [Sonstige Person] Smith, R [Sonstige Person] Brown, F S [Sonstige Person] Deekonda, P [Sonstige Person] Teo, R [Sonstige Person] Sim, D P Y [Sonstige Person] Borakati, A [Sonstige Person] Logan, A E [Sonstige Person] Barai, I [Sonstige Person] Amin, H [Sonstige Person] Suresh, S [Sonstige Person] Sethi, R [Sonstige Person] Bolton, W [Sonstige Person] Corbridge, O [Sonstige Person] Horne, L [Sonstige Person] Attalla, M [Sonstige Person] Morley, R [Sonstige Person] Robinson, C [Sonstige Person] Hoskins, T [Sonstige Person] McAllister, R [Sonstige Person] Lee, S [Sonstige Person] Dennis, Y [Sonstige Person] Nixon, G [Sonstige Person] Heywood, E [Sonstige Person] Wilson, H [Sonstige Person] Ng, L [Sonstige Person] Samaraweera, S [Sonstige Person] Mills, A [Sonstige Person] Doherty, C [Sonstige Person] Woin, E [Sonstige Person] Belchos, J [Sonstige Person] Phan, V [Sonstige Person] Chouari, T [Sonstige Person] Gardner, T [Sonstige Person] Goergen, N [Sonstige Person] Hayes, J D B [Sonstige Person] MacLeod, C S [Sonstige Person] McCormack, R [Sonstige Person] McKinley, A [Sonstige Person] McKinstry, S [Sonstige Person] Milligan, W [Sonstige Person] Ooi, L [Sonstige Person] Rafiq, N M [Sonstige Person] Sammut, T [Sonstige Person]

Links:	Volltext

Themen:	Contrast Media Journal Article Multicenter Study Observational Study

Anmerkungen:	Date Completed 25.01.2021 Date Revised 10.02.2024 published: Print-Electronic CommentIn: Br J Surg. 2020 Jun;107(7):e233. - PMID 32379340 Citation Status MEDLINE

doi:	10.1002/bjs.11453

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	NLM306212137

Internformat


LEADER	01000caa a22002652 4500
001	NLM306212137
003	DE-627
005	20240210232246.0
007	cr uuu---uuuuu
008	231225s2020 xx \|\|\|\|\|o 00\| \|\|eng c
024	7		\|a 10.1002/bjs.11453 \|2 doi
028	5	2	\|a pubmed24n1286.xml
035			\|a (DE-627)NLM306212137
035			\|a (NLM)32026470
040			\|a DE-627 \|b ger \|c DE-627 \|e rakwb
041			\|a eng
100	0		\|a STARSurg Collaborative \|e verfasserin \|4 aut
245	1	0	\|a Perioperative intravenous contrast administration and the incidence of acute kidney injury after major gastrointestinal surgery \|b prospective, multicentre cohort study
264		1	\|c 2020
336			\|a Text \|b txt \|2 rdacontent
337			\|a ƒaComputermedien \|b c \|2 rdamedia
338			\|a ƒa Online-Ressource \|b cr \|2 rdacarrier
500			\|a Date Completed 25.01.2021
500			\|a Date Revised 10.02.2024
500			\|a published: Print-Electronic
500			\|a CommentIn: Br J Surg. 2020 Jun;107(7):e233. - PMID 32379340
500			\|a Citation Status MEDLINE
520			\|a © 2020 BJS Society Ltd Published by John Wiley & Sons Ltd.
520			\|a BACKGROUND: This study aimed to determine the impact of preoperative exposure to intravenous contrast for CT and the risk of developing postoperative acute kidney injury (AKI) in patients undergoing major gastrointestinal surgery
520			\|a METHODS: This prospective, multicentre cohort study included adults undergoing gastrointestinal resection, stoma reversal or liver resection. Both elective and emergency procedures were included. Preoperative exposure to intravenous contrast was defined as exposure to contrast administered for the purposes of CT up to 7 days before surgery. The primary endpoint was the rate of AKI within 7 days. Propensity score-matched models were adjusted for patient, disease and operative variables. In a sensitivity analysis, a propensity score-matched model explored the association between preoperative exposure to contrast and AKI in the first 48 h after surgery
520			\|a RESULTS: A total of 5378 patients were included across 173 centres. Overall, 1249 patients (23·2 per cent) received intravenous contrast. The overall rate of AKI within 7 days of surgery was 13·4 per cent (718 of 5378). In the propensity score-matched model, preoperative exposure to contrast was not associated with AKI within 7 days (odds ratio (OR) 0·95, 95 per cent c.i. 0·73 to 1·21; P = 0·669). The sensitivity analysis showed no association between preoperative contrast administration and AKI within 48 h after operation (OR 1·09, 0·84 to 1·41; P = 0·498)
520			\|a CONCLUSION: There was no association between preoperative intravenous contrast administered for CT up to 7 days before surgery and postoperative AKI. Risk of contrast-induced nephropathy should not be used as a reason to avoid contrast-enhanced CT
650		4	\|a Journal Article
650		4	\|a Multicenter Study
650		4	\|a Observational Study
650		7	\|a Contrast Media \|2 NLM
700	1		\|a McLean, K A \|e investigator \|4 oth
700	1		\|a Ahmed, Wur \|e investigator \|4 oth
700	1		\|a Akhbari, M \|e investigator \|4 oth
700	1		\|a Claireaux, H A \|e investigator \|4 oth
700	1		\|a English, C \|e investigator \|4 oth
700	1		\|a Frost, J \|e investigator \|4 oth
700	1		\|a Henshall, D E \|e investigator \|4 oth
700	1		\|a Khan, M \|e investigator \|4 oth
700	1		\|a Kwek, I \|e investigator \|4 oth
700	1		\|a Nicola, M \|e investigator \|4 oth
700	1		\|a Rehman, S \|e investigator \|4 oth
700	1		\|a Varghese, S \|e investigator \|4 oth
700	1		\|a Drake, T M \|e investigator \|4 oth
700	1		\|a Bell, S \|e investigator \|4 oth
700	1		\|a Nepogodiev, D \|e investigator \|4 oth
700	1		\|a McLean, K A \|e investigator \|4 oth
700	1		\|a Drake, T M \|e investigator \|4 oth
700	1		\|a Glasbey, J C \|e investigator \|4 oth
700	1		\|a Borakati, A \|e investigator \|4 oth
700	1		\|a Drake, T M \|e investigator \|4 oth
700	1		\|a Kamarajah, S \|e investigator \|4 oth
700	1		\|a McLean, K A \|e investigator \|4 oth
700	1		\|a Bath, M F \|e investigator \|4 oth
700	1		\|a Claireaux, H A \|e investigator \|4 oth
700	1		\|a Gundogan, B \|e investigator \|4 oth
700	1		\|a Mohan, M \|e investigator \|4 oth
700	1		\|a Deekonda, P \|e investigator \|4 oth
700	1		\|a Kong, C \|e investigator \|4 oth
700	1		\|a Joyce, H \|e investigator \|4 oth
700	1		\|a Mcnamee, L \|e investigator \|4 oth
700	1		\|a Woin, E \|e investigator \|4 oth
700	1		\|a Burke, J \|e investigator \|4 oth
700	1		\|a Khatri, C \|e investigator \|4 oth
700	1		\|a Fitzgerald, J E \|e investigator \|4 oth
700	1		\|a Harrison, E M \|e investigator \|4 oth
700	1		\|a Bhangu, A \|e investigator \|4 oth
700	1		\|a Nepogodiev, D \|e investigator \|4 oth
700	1		\|a Arulkumaran, N \|e investigator \|4 oth
700	1		\|a Bell, S \|e investigator \|4 oth
700	1		\|a Duthie, F \|e investigator \|4 oth
700	1		\|a Hughes, J \|e investigator \|4 oth
700	1		\|a Pinkney, T D \|e investigator \|4 oth
700	1		\|a Prowle, J \|e investigator \|4 oth
700	1		\|a Richards, T \|e investigator \|4 oth
700	1		\|a Thomas, M \|e investigator \|4 oth
700	1		\|a Dynes, K \|e investigator \|4 oth
700	1		\|a Patel, M \|e investigator \|4 oth
700	1		\|a Patel, P \|e investigator \|4 oth
700	1		\|a Wigley, C \|e investigator \|4 oth
700	1		\|a Suresh, R \|e investigator \|4 oth
700	1		\|a Shaw, A \|e investigator \|4 oth
700	1		\|a Klimach, S \|e investigator \|4 oth
700	1		\|a Jull, P \|e investigator \|4 oth
700	1		\|a Evans, D \|e investigator \|4 oth
700	1		\|a Preece, R \|e investigator \|4 oth
700	1		\|a Ibrahim, I \|e investigator \|4 oth
700	1		\|a Manikavasagar, V \|e investigator \|4 oth
700	1		\|a Smith, R \|e investigator \|4 oth
700	1		\|a Brown, F S \|e investigator \|4 oth
700	1		\|a Deekonda, P \|e investigator \|4 oth
700	1		\|a Teo, R \|e investigator \|4 oth
700	1		\|a Sim, D P Y \|e investigator \|4 oth
700	1		\|a Borakati, A \|e investigator \|4 oth
700	1		\|a Logan, A E \|e investigator \|4 oth
700	1		\|a Barai, I \|e investigator \|4 oth
700	1		\|a Amin, H \|e investigator \|4 oth
700	1		\|a Suresh, S \|e investigator \|4 oth
700	1		\|a Sethi, R \|e investigator \|4 oth
700	1		\|a Bolton, W \|e investigator \|4 oth
700	1		\|a Corbridge, O \|e investigator \|4 oth
700	1		\|a Horne, L \|e investigator \|4 oth
700	1		\|a Attalla, M \|e investigator \|4 oth
700	1		\|a Morley, R \|e investigator \|4 oth
700	1		\|a Robinson, C \|e investigator \|4 oth
700	1		\|a Hoskins, T \|e investigator \|4 oth
700	1		\|a McAllister, R \|e investigator \|4 oth
700	1		\|a Lee, S \|e investigator \|4 oth
700	1		\|a Dennis, Y \|e investigator \|4 oth
700	1		\|a Nixon, G \|e investigator \|4 oth
700	1		\|a Heywood, E \|e investigator \|4 oth
700	1		\|a Wilson, H \|e investigator \|4 oth
700	1		\|a Ng, L \|e investigator \|4 oth
700	1		\|a Samaraweera, S \|e investigator \|4 oth
700	1		\|a Mills, A \|e investigator \|4 oth
700	1		\|a Doherty, C \|e investigator \|4 oth
700	1		\|a Woin, E \|e investigator \|4 oth
700	1		\|a Belchos, J \|e investigator \|4 oth
700	1		\|a Phan, V \|e investigator \|4 oth
700	1		\|a Chouari, T \|e investigator \|4 oth
700	1		\|a Gardner, T \|e investigator \|4 oth
700	1		\|a Goergen, N \|e investigator \|4 oth
700	1		\|a Hayes, J D B \|e investigator \|4 oth
700	1		\|a MacLeod, C S \|e investigator \|4 oth
700	1		\|a McCormack, R \|e investigator \|4 oth
700	1		\|a McKinley, A \|e investigator \|4 oth
700	1		\|a McKinstry, S \|e investigator \|4 oth
700	1		\|a Milligan, W \|e investigator \|4 oth
700	1		\|a Ooi, L \|e investigator \|4 oth
700	1		\|a Rafiq, N M \|e investigator \|4 oth
700	1		\|a Sammut, T \|e investigator \|4 oth
773	0	8	\|i Enthalten in \|t The British journal of surgery \|d 1945 \|g 107(2020), 8 vom: 07. Juli, Seite 1023-1032 \|w (DE-627)NLM000001465 \|x 1365-2168 \|7 nnns
773	1	8	\|g volume:107 \|g year:2020 \|g number:8 \|g day:07 \|g month:07 \|g pages:1023-1032
856	4	0	\|u http://dx.doi.org/10.1002/bjs.11453 \|3 Volltext
912			\|a GBV_USEFLAG_A
912			\|a GBV_NLM
951			\|a AR
952			\|d 107 \|j 2020 \|e 8 \|b 07 \|c 07 \|h 1023-1032

Perioperative intravenous contrast administration and the incidence of acute kidney injury after major gastrointestinal surgery : prospective, multicentre cohort study

Zugang & Verfügbarkeit

Zugehörige Publikationen/Bände