Frequency of Contrast Induced Acute Kidney Injury in Patients Undergoing Cardiac Catheterization at Jinnah Hospital Lahore

Muhammad Umair Afzal; Arsalan Nawaz; Muhammad  Asad Saeed; Muhammad Mughees Butt; Faheem Usman Sulehri; Muhammad  Kashif

doi:10.51273/esc24.251320118

Authors

Muhammad Umair Afzal Senior Registrar Nephrology, Kidney Centre BVH, Bahawalpur
Arsalan Nawaz Assistant Professor , Department of Medicine, UCMD, The University of Lahore https://orcid.org/0009-0009-6123-9211
Muhammad Asad Saeed Senior Registrar Nephrology, AIMC, Jinnah Hospital Lahore
Muhammad Mughees Butt Senior Registrar Nephrology, SIMS, Services Hospital Lahore
Faheem Usman Sulehri Assistant Professor Nephrology, Central Park teaching hospital, Lahore.
Muhammad Kashif Assistant Professor , Department of Medicine, UCMD, The University of Lahore

DOI:

https://doi.org/10.51273/esc24.251320118

Keywords:

Contrast induced AKI, Cardiac catheterization

Abstract

Objective: To determine the frequency of contrast induced acute kidney injury in patients undergoing cardiac catheterization in Jinnah Hospital, Lahore.
Material & Methods: It was a cross sectional study conducted at the cardiology department of Jinnah Hospital. After taking ethical approval from Ethical Review Board (Ref No. ERB130/2/03-11-2022), the study was completed in six months i.e. from 04-11-2022 to 30-04-2023.Total of 217 patients of either sex who underwent cardiac catheterization were included in the study. CI-AKI was defined as increase of serum creatinine 0.5mg/dl or 25% increase from baseline creatinine within 48 hours after exposure to contrast material.
Results: Of total 217patients, 54.8% were male and 45.2% were female. 25 patients (11.5%) in study population developed CI-AKI . Risk of developing CI-AKI was clearly associated with old age, diabetes, hypertension, coronary artery disease and angioplasty.(p <0.05)
Conclusion: The conclusion of the study was that frequency of CI-AKI in subjects undergoing cardiac catheterization is 11.5% which is quite significant. Old age, history of diabetes mellitus, hypertension, ischemic heart disease and angioplasty were significantly related with higher risk of developing CI-AKI.