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. 2015 Mar 17;5(3):e006989. doi: 10.1136/bmjopen-2014-006989

Table 1.

The baseline characteristics of included studies

Age (years)
Baseline Scr (mg/dL)
eGFR (mL/min/1.73 m²)
Study Cases (n) Bicarbonate Saline Male (%) DM (%) HT (%) Bicarbonate Saline Bicarbonate Saline
Merten et al19 119 66.7* 69.2* 73 vs 76 50 vs 46 NA 1.89* 1.71* 41.0* 45.0*
Ozcan et al 50 176 68.0* 70.0* 76 vs 75 42 vs 48 75 vs 81 1.36* 1.40* NA NA
Masuda et al 33 59 75.0±8.0 76.0±11.0 63 vs 59 27 vs 35 NA 1.31±0.52 1.32±0.65 40.2±15.4 38.7±15.4
REMEDIAL et al 20 219 70.0±9.0 71.0±9.0 88 vs 81 49 vs 55 92 vs 87 2.04* 1.95* 32.0±7.0 71.0±9.0
Adolph et al 7 145 70.1±8.4 72.7±6.6 75 vs 81 37 vs 28 83 vs 91 1.54±0.51 1.57±0.36 NA NA
Brar et al 8 323 71.0* 71.0* 62 vs 65 43 vs 46 NA 1.49† 1.49† 47.7† 48.3†
Maioli et al 9 502 74.0* 74.0* 57 vs 61 25 vs 23 59 vs 57 1.21±0.30 1.20±0.30 NA NA
Tamura et al 23 144 72.3±9.9 73.3±7.7 92 vs 83 60 vs 57 85 vs 83 1.36±0.18 1.38±0.19 40.0±7.5 38.2±0.2
Vasheghani et al 10 265 62.9±10.0 63.8±9.0 84 vs 82 22 vs 21 30 vs 41 1.63±0.32 1.66±0.50 46.4±12.0 45.4±12.0
Castini et al 12 103 70.0±8.3 72.7±8.2 85 vs 84 35 vs 20 71 vs 78 1.59±0.38 1.49±0.30 46.9±12.8 49.9±10.3
Vasheghani et al 11 72 61.4† 62.7† 78 vs 81 33 vs 38 66 vs 71 1.77† 1.71† 42.7† 44.2†
Motohiro et al 24 155 71.0±9.0 74.0±7.0 76 vs 64 56 vs 63 86 vs 83 1.54±0.43 1.55±0.44 45.7±12.9 42.8±13.8
PREVENT et al 13 382 65.8* 67.5* 71 vs 71 100 vs 100 77 vs 80 1.50* 1.50* 46.0* 46.0*
Ueda et al 18 59 77.0±9.0 75.0±10.0 77 vs 79 10 vs 10 NA 1.32±0.46 1.51±0.59 42.4±11.5 38.7±12.6
Klima et al 21 176 78.0* 75.0* 66 vs 62 39 vs 34 90 vs 81 1.60* 1.60* 43.1† 43.0†
Gomes et al 15 301 64.1±12.0 64.5±12.0 15 vs 75 29 vs 30 77 vs 74 1.50±0.40 1.49±0.50 50.5±13.0 51.9±13
Hafiz et al 14 320 74.0* 73.0* 57 vs 57 49 vs 45 95 vs 94 1.65* 1.60* 41.5* 40.5*
Kristeller et al 17 92 72.0±11.0 73.0±11.0 64 vs 52 52 vs 38 89 vs 92 NA NA 48.9† 49.4†
Boucek et al 16 120 63.0† 67.0† 75 vs 75 NA NA 1.92† 1.81† 43.6† 44.6†
Kooiman et al 22 548 71.6† 72.5† 60 vs 61 27 vs 27 NA NA NA 49.9† 50.9†
Contrast type and volume (mL)
Procedure Interventions  Bicarbonate Saline Hydration regimen Definition of CIN
Elective diagnostic/interventional procedures SB vs SC NA NA 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after the procedure of SB or SC Scr↑ ≥25% within 2 days
Iopamidol, non-ionic, low-osmolar
Elective CAG/PCI SB vs SC 100* 100* 1 mL/kg/h for 6 h before and after the procedure of SB or SC Scr↑ >0.5 mg/dL or 25% within 2 days
Ioxaglate, ionic, low-osmolar
Emergency CAG/PCI SB vs SC 112±89 120±61 3 mL/kg/h for 1 h before and 1 ml/kg/h for 6 h after the procedure of SB or SC Bolus 0.5 mg/mL SB before and SC 1 mL/kg/h for 6 h during and after in both groups Scr↑ ≥0.5 mg/dL or 25% within 2 days
Iopamidol, non-ionic, low-osmolar
Elective CAG/PCI/peripheral procedure SB+NAC vs NS+NAC 169±92 179±9 SB: 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after; NS: 1 mL/kg/h for 12 h before and 12 h after Scr↑ ≥25% within 2 days
Iodixanol, non-ionic, iso- osmolar
Elective CAG/PCI SB vs SC 141±50 138±52 2 mL/kg/h for 2 h before and 1 mL/kg/h for 6 h after the procedure of SB or SC Scr↑ >0.5 mg/dL or 25% within 2 days
Iodixanol, non-ionic, iso- osmolar
Elective CAG SB vs SC 126* 137* 3 mL/kg/h for 1 h before and 1.5 mL/kg/h for 4 h after the procedure of SB or SC eGFR↓ >25% within 4 days
Ioxilan, non-ionic, iso- osmolar
Elective CAG/PCI SB vs IS 160* 170* SB: 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after; IS: 1 mL kg/h for 12 h after Scr↑ ≥0.5 mg/dL within 5 days
Iodixanol, non-ionic, iso- osmolar
Elective CAG/PCI Bolus SB+SC vs SC 82±40 88±45 Single-bolus SB 20 mL for 5 min before and SC 1 mL/kg/h for 12 h before and after the procedure; 1 mL/kg/h for 12 h before and after the procedure of SC Scr↑ >0.5 mg/dL or 25% within 3 days
Iohexol, non-ionic, low-osmolar
Elective CAG SB+IS vs IS 115±41 113.2±36 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after in both groups Scr↑ ≥0.5 mg/dL or 25% within 2 days
Iohexol, non-ionic, low-osmolar
Elective CAG/PCI SB vs SC 179±125 196±128 SB: 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after; SC: 1 mL/kg/h for 12 h before and after Scr↑ ≥25% within 5 days
Iodixanol, non-ionic, low-osmolar
Elective CAG SB+half SC vs half SC 112† 123† 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after the procedure of 75 mL SB to 1 L of 0.45% SC; 1075 mL of 0.45% SC Scr↑ ≥0.5 mg/dL or 25% within 2 days
Iohexol, non-ionic, low-osmolar
Elective CAG/PCI SB+SC vs SC 140±50 130±40 1 mL/kg/h SC 12 h before and 1 mL/kg/h SB from 3 h before to 6 h after the procedure, then 1 mL/kg/h SC for 12 h; 1 mL/kg/h SC 12 h before and 12 h after the procedure Scr↑ ≥0.5 mg/dL or >25% within 2 days
Iopamidol, non-ionic, low-osmolar
Elective CAG/angioplasty/endovascular intervention SB vs SC 113* 120* SB: 3 mL/kg/h for 1 h before and 1 mL kg h for 6 h after; SC: 1 mL/kg/h for 12 h Scr↑ ≥0.5 mg/dL or >25% within 2 days
Iodixanol, non-ionic, low-osmolar
Emergency CAG/PCI SB vs SC 116±63 104±57 Bolus 0.5 mg/mL SB before and SC 1 mL/kg/h for 6 h during and after in both groups Scr↑ ≥0.5 mg/dL or >25% within 2 days
Iopamidol/iohexol, low-osmolar
Elective CAG/PCI/PTA/CT/PAG SB vs SC 100* 100* SB: 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after; SC: 1 m/kg/h for 24 h Scr↑ ≥0.5 mg/dL or 25% within 2 days
Iopromide/iohexol, etc., iso/low-osmolar
Elective CAG/PCI SB vs NS 124±65 125±87 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after the procedure of SB or NS Scr↑ ≥0.5 mg/dL within 2 days
Hexabrix/loxaglate, low-osmolar
Elective CAG/PAG/intervention SB w/o NAC
vs NS w/o NAC
110* 100* SB: 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after; NS: 1 mL/kg/h for 12 h before and 12 h after Scr↑ >0.5 mg/dL or 25% within 2 days
Iodixanol/iopamidol/ioversol, non-ionic, low-osmolar
Elective CPB SB vs IS 74† 83† 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after the procedure of SB or IS Scr↑ ≥0.3 mg/dL or 50% or urine output <0.5 mL/kg/h (>6 h) within 5 days
NA NA
Elective CAG/lower limb angiography and/or angioplasty SB vs NS 115† 104† 3 mL/kg/h for 1 h before and 1 mL/kg/h for 6 h after the procedure of SB or SC Scr↑ ≥0.5 mg/dL or 25% within 2 days
Iodinated, non-ionic, low-osmolar
Elective CECT SB vs IS 105.7† 104.7† 250 mL SB for 1 h before; 1000 mL IS before and 1000 mL IS after Scr↑0.5 mg/dL or 25% within 4 days
Iomeprol/iobitridol/iodixanol, low-osmolar

*Median value.

†Mean value.

DM, diabetes mellitus; CAG, coronary angiography; CECT, contrast-enhanced computerised tomography; CIN, contrast-induced nephropathy; CPB, cardiopulmonary bypass; eGFR, estimated glomerular filtration rate; HT, hypertension; IS, isotonic saline; NA, not applicable; NAC, N-acetylcysteine; NS, normal saline; PAG, peripheral angiography; PCI, percutaneous coronary intervention; PTA, percutaneous transluminal angioplasty; SB, sodium bicarbonate; SC, sodium chloride; Scr, serum creatinine; w/o, with/without.