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. 2005 Feb;20(2):193–200. doi: 10.1111/j.1525-1497.2005.30323.x

Table 2.

Sensitivity Analysis for Primary Outcome, Mean Difference in Change in Creatinine

Subgroups of Studies Studies Included Estimated Mean Difference in ΔCr (mg/dl) 95% CI P Homogeneity*
Studies included in meta-analysis 1–4,6–9 −0.27 −0.43 to −0.11 <.01
High baseline Cr (Cr ≥2.0) 3,4,8,9 −0.36 −0.63 to −0.09 <.01
Low baseline Cr (Cr<2.0) 1,2,6,7 −0.18 −0.36 to 0.00 .02
High mean contrast volume (vol ≥150 ml) 2,6,7 −0.20 −0.45 to 0.06 .01
Low mean contrast volume (vol<150 ml) 1,3,4,9 −0.38 −0.62 to −0.14 <.01
High mean percentage with diabetes (≥50%) 3,6 −0.46 −0.59 to −0.33 .29
Low mean percentage with diabetes (<50%) 1,2,7–9 −0.20 −0.40 to 0.00 <.01
Studies using 0.9 NS for hydration 1,2 −0.15 −0.31 to 0.01 .96
Studies using 0.45 NS for hydration 3,4,6–9 −0.31 −0.51 to −0.10 <.01
All studies reporting mean difference 1–4,6–10,12,15 −0.28 −0.43 to −0.13 <.01
Randomized, placebo-controlled 1,3,4,6,9 −0.39 −0.56 to −0.22 .01
Studies using oral NAC formulation 1,3–9 −0.29 −0.46 to −0.11 <.01
Studies using intra-arterial contrast 1–8 −0.22 −0.38 to −0.06 <.01
*

Heterogeneity is present when P<.1.

Analysis includes excluded studies.

Cr, creatinine; NAC, N-acetylcysteine; NS, normal saline; CI, confidence interval.

Mean difference change in creatinine, NAC versus placebo. Calculations were done using a random effects model. Study numbers are referenced from Table 1. The quality of studies was not included in the sensitivity analysis because only 1 study fit criteria for high quality. Studies using high doses of oral NAC were not analyzed because only 1 study fit criteria for high-dose oral NAC.