Prevalence of Contrast-induced Acute Kidney Injury post Percutaneous Coronary Intervention in Al Makassed Hospital-Jerusalem رسالة ماجستير

Abstract

Background: Contrast-induced acute kidney injury (CI-AKI) is still a feared consequence for patients receiving intravascular contrast media. Within a few days of the contrast medium being administered, kidney function gradually declines, which is the hallmark of contrast-induced acute kidney injury. Objectives: The purpose of the study was to determine the prevalence and risk factors of developing contrast-induced nephropathy after injection of contrast media in percutaneous coronary intervention patients. Methods: In this retrospective study, the prevalence of contrast induced acute kidney injury in one hospital in East Jerusalem Al-Makassed was examined using data collected in October and November 2023, by reviewing the data on the electronic system in the hospital AV-Ceina. 300 patients were included in the analysis that underwent percutaneous coronary intervention and baseline and post intervention data were recorded. Results: The result of this study showed that about 30% of the sample developed acute kidney injury after exposure to contrast post percutaneous coronary intervention. It was found that female patients, patients with comorbidities, the amount of contrast infused into patients and older patients were at the highest risk for contrast-induced acute kidney injury (P < 0.01). Conclusion: The incidence of acute kidney injury caused by contrast was moderate following initial PCI for acute myocardial infarction in this study. The frequency of contrast-induced acute kidney injury in patients who undergo PCI procedure still need to be highlighted and improved and needs to be implanted in more precise way by VI healthcare providers, as contrast-induced kidney injury causes a burden on the health care system, patients and their caregivers.