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editorial
. 2017 Jun;9(6):1440–1442. doi: 10.21037/jtd.2017.05.59

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.