Sodium Bicarbonate Therapy for the Prevention of Contrast-Induced Acute Kidney Injury
-
- Jang Jae-Sik
- Busan Paik Hospital, University of Inje College of Medicine
-
- Jin Han-Young
- Busan Paik Hospital, University of Inje College of Medicine
-
- Seo Jeong-Sook
- Busan Paik Hospital, University of Inje College of Medicine
-
- Yang Tae-Hyun
- Busan Paik Hospital, University of Inje College of Medicine
-
- Kim Dae-Kyeong
- Busan Paik Hospital, University of Inje College of Medicine
-
- Kim Tae Hee
- Busan Paik Hospital, University of Inje College of Medicine
-
- Urm Sang-Hwa
- Busan Paik Hospital, University of Inje College of Medicine
-
- Kim Dong-Soo
- Busan Paik Hospital, University of Inje College of Medicine
-
- Kim Dong-Kie
- Haeundae Paik Hospital
-
- Seol Sang-Hoon
- Haeundae Paik Hospital
-
- Kim Doo-Il
- Haeundae Paik Hospital
-
- Cho Kyoung-Im
- Maryknoll’s Hospital
-
- Kim Bo-Hyun
- Pusan National University Hospital
-
- Park Yong Hyun
- Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital
-
- Je Hyung-Gon
- Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital
-
- Ahn Jung-Min
- Asan Medical Center, University of Ulsan College of Medicine
-
- Kim Won-Jang
- Asan Medical Center, University of Ulsan College of Medicine
-
- Lee Jong-Young
- Asan Medical Center, University of Ulsan College of Medicine
-
- Lee Seung-Whan
- Asan Medical Center, University of Ulsan College of Medicine
書誌事項
- タイトル別名
-
- – A Systematic Review and Meta-Analysis –
この論文をさがす
抄録
Background: Sodium bicarbonate has been postulated to prevent contrast-induced acute kidney injury (CI-AKI) by various mechanisms, although the reports are conflicting. Methods and Results: We searched MEDLINE, EMBASE, and the Cochrane databases for randomized controlled trials that compared a sodium chloride with a sodium bicarbonate hydration regimen with regard to CI-AKI. Data across 19 clinical trials consisting of 3,609 patients were combined. Preprocedural hydration with sodium bicarbonate was associated with a significant decrease in the rate of CI-AKI (odds ratio [OR] 0.56; 95% confidence interval [CI] 0.36–0.86; P=0.008). Stratified analyses by the type of contrast medium suggested lower odds of CI-AKI with sodium bicarbonate in studies using low-osmolar contrast media (OR 0.40; 95% CI 0.23–0.71, P=0.002) compared with those using the iso-osmolar agents (OR 0.76; 95% CI 0.41–1.43; P=0.40). No significant difference in the rates of postprocedural death (OR 0.49; 95% CI 0.23–1.04; P=0.06) and the requirement for renal replacement therapy (OR 0.94; 95% CI 0.46–1.91; P=0.86) was observed. However, we found significant changes in serum bicarbonate and potassium levels after sodium bicarbonate infusion. Conclusions: This updated meta-analysis demonstrates that sodium bicarbonate-based hydration is superior to sodium chloride in preventing CI-AKI of patients undergoing exposure to iodinated contrast media. (Circ J 2012; 76: 2255–2265)<br>
収録刊行物
-
- Circulation Journal
-
Circulation Journal 76 (9), 2255-2265, 2012
一般社団法人 日本循環器学会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390001205103446016
-
- NII論文ID
- 10030697089
-
- NII書誌ID
- AA11591968
-
- COI
- 1:CAS:528:DC%2BC38XhtlOmsrjI
-
- ISSN
- 13474820
- 13469843
-
- PubMed
- 22975638
-
- 本文言語コード
- en
-
- データソース種別
-
- JaLC
- Crossref
- PubMed
- CiNii Articles
-
- 抄録ライセンスフラグ
- 使用不可