Prevalencia de injuria renal aguda en pacientes sometidos a cinecoronariografía, en Hospital Alcívar, enero 2018 - diciembre 2020.

Abstract

Introduction: The deterioration of renal function induced by contrast media has increased in recent years as a result of the increasing number of interventional, diagnostic and therapeutic procedures performed in patients with various cardiac pathologies, this pathology continues to be the third cause of acute kidney injury worldwide, which makes it essential to establish a preventive approach. Objective: To estimate the prevalence of acute kidney injury in patients who underwent coronary angiography at the Alcívar Hospital, January 2018 - December 2020. Materials and methods: This research is an observational, retrospective, cross-sectional study based on the collection and analysis of data where complete medical records of 147 patients operated on in the area of angiography, hospitalization and intensive care unit were reviewed in the period between January 2018 to December 2020 at the Alcívar Hospital who presented diagnoses of: Dolor precordial CIE-10: R07.2 , Angina Inestable CIE-10: I20.0 , Anuria y Oliguria CIE-10: R34 e Insuficiencia Renal Aguda CIE-10: N17. Results: One hundred and forty-eight patients were recovered, with a median age of 61 years (IQR 56-68), 61 being female (41.2%). Post-cinecoronary angiography renal injury was found in 27/148 patients, with a prevalence of 19.1% (CI 12.8% - 25.3%). An absolute difference in creatinine post vs. pre-cinecoronary angiography of 0.09 mg/dL (-0.12, 0.70) was observed. Conclusion: Postcinecoronary angiography acute kidney injury represents an important clinical problem that may be underestimated due to the limitations of currently available estimators and biomarkers. Although there are a number of recognized risk factors, the prediction of acute kidney injury after coronary angiography, particularly before contrast administration, remains a challenge.