Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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The Risk Factors for Developing Contrast-induced Nephropathy after the Evaluation of Trauma Patients at a Regional Trauma Center in Korea

  • An, Yoo Mi (Department of Emergency Medicine, Pusan National University Yangsan Hospital) ;
  • Park, Soon Chang (Department of Emergency Medicine, Pusan National University Yangsan Hospital) ;
  • Kim, Hyung Bin (Department of Emergency Medicine, Pusan National University Yangsan Hospital) ;
  • Cho, Young Mo (Department of Emergency Medicine, Pusan National University Yangsan Hospital) ;
  • Lee, Dae Seop (Department of Emergency Medicine, Pusan National University Yangsan Hospital) ;
  • Kim, Yong In (Department of Emergency Medicine, Pusan National University Yangsan Hospital) ;
  • Han, Sang Kyun (Department of Emergency Medicine, Pusan National University Yangsan Hospital)
  • Received : 2016.10.09
  • Accepted : 2016.11.07
  • Published : 2016.12.31
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Abstract

Purpose: Computed tomography (CT) with intravenous (IV) contrast is an important step in the evaluation of trauma patients; however, the risk factors for contrast-induced nephropathy (CIN) in these patients remain unclear. This study determined the rate of CIN in trauma patients at a regional trauma center in Korea and identified the risk factors for developing CIN. Methods: We retrospectively reviewed the medical records of 138 patients for the patient demographics, creatinine levels, and vital signs. CIN was defined as an increase in creatinine by 0.5 mg/dL from admission after undergoing CT with IV contrast. Results: Of the patients, 7.2% developed CIN during their admission after receiving IV contrast for CT. In the multivariate analysis, only the creatinine level at presentation (Adjusted odds ratio [aOR], 5.944; 95% confidence interval [CI], 1.486-23.733; p=0.012) and an injury severity score (ISS) greater than 22 (aOR, 1.096; 95% CI, 1.021-1.176; p=0.011) were independently associated with the risk of CIN. Conclusion: CIN is uncommon in trauma patients following CT with IV contrast. The creatinine level at presentation and ISS were independent risk factors for developing CIN in trauma patients.

Keywords

Acknowledgement

Supported by : Pusan National University

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