Table 1. Three clinical trials on the prevention of CIN including a randomly assigned group between receiving intravenous hydration and not receiving prophylaxis.
Authors | Patients | Criteria for CIN | Incidence of CIN, H− group | Incidence of CIN, H+ group | Significant difference |
---|---|---|---|---|---|
Luo et al. (6) | 216 consecutive STEMI patients who underwent PCI | An increase in SCr level >0.5 mg/dL or ≥25% within 3 days |
CIN: 35.2% (38/108), dialysis: 2.78% (3/108), hospital mortality: 9.25% (10/108) |
CIN: 20.4% (22/108), dialysis: 0% (0/108), hospital mortality: 2.78% (3/108) |
P<0.05, P=0.081, P=0.045 |
Jurado-Román et al. (7) | 408 consecutive STEMI patients who underwent PCI | An increase in SCr level >0.5 mg/dL or ≥25% within 3 days |
CIN: 21% (43/204) | CIN: 11% (22/204) | P=0.016 |
Kooiman et al. (10) | 138 CKD patients who underwent CTPA | An increase in SCr level >0.5 mg/dL or ≥25% within 4 days |
CIN: 9.0% (6/67) | CIN: 7.0% (5/71)* | Not significant |
*, 1-h 250 mL 1.4% sodium bicarbonate hydration before CTPA. CIN, contrast-induced nephropathy; CKD, chronic kidney disease; CTPA, computed tomography pulmonary angiography; STEMI, ST-segment elevation myocardial infarction; PCI, percutaneous coronary intervention; SCr, serum creatinine; H+ group = received standard 0.9% NaCl prophylactic intravenous hydration; H− group = received no prophylaxis.