Guideline adherence for identification and hydration of high-risk hospital patients for contrast-induced nephropathy.
Guideline adherence for identification and hydration of high-risk hospital patients for contrast-induced nephropathy.
复制标题
DOI：
10.1186/1471-2369-15-2
复制
发表时间：
2014-01-06
期刊：
影响因子：
2.3
通讯作者：
Wagner C
中科院分区：
文献类型：
--
作者：
Schilp J;de Blok C;Langelaan M;Spreeuwenberg P;Wagner C
Contrast-induced nephropathy (CIN) is a common cause of acute renal failure in hospital patients. To prevent CIN, identification and hydration of high-risk patients is important. Prevention of CIN by hydration of high-risk patients was one of the themes to be implemented in the Dutch Hospital Patient Safety Program. This study investigates to what extent high-risk patients are identified and hydrated before contrast administration. Hospital-related and admission-related factors associated with the hydration of high-risk patients are identified. The adherence to the guideline concerning identification and hydration of high-risk patients for CIN was evaluated retrospectively in 4297 patient records between November 2011 and December 2012. A multilevel logistic regression analysis was used to investigate the association between hospital-related and patient-related factors and hydration. The mean percentage patients with a known estimated Glomerular Filtration Rate before contrast administration was 96.4%. The mean percentage high-risk patients for CIN was 14.6%. The mean percentage high-risk patients hydrated before contrast administration was 68.5% and was constant over time. Differences between individual hospitals explained 19% of the variation in hydration. The estimated Glomerular Filtration Rate value and admission department were statistically significantly associated with the execution of hydration. The identification of high-risk patients was almost 100%, but the subsequent step in the prevention of CIN is less performed, as only two third of the high-risk patients were hydrated before contrast administration. Large variation between individual hospitals confirmed the difference in hospitals in correctly applying the guideline for preventing CIN.
登录
查看更多内容
影响因子：
3.5
作者：
Chen, Shao Liang;Zhang, Junjie;Kwan, Tak W.
通讯作者：
Kwan, Tak W.
影响因子：
19.7
作者：
Lasser, EC;Lyon, SG;Berry, CC
通讯作者：
Berry, CC
影响因子：
4.6
作者：
Calabro, Paolo;Bianchi, Renatomaria;Calabro, Raffaele
通讯作者：
Calabro, Raffaele
影响因子：
9.6
作者：
Taylor, AJ;Hotchkiss, D;McCabe, J
通讯作者：
McCabe, J
影响因子：
24
作者：
McCullough, Peter A.
通讯作者：
McCullough, Peter A.