Reducing rates of contrast-induced nephropathy in the cardiac catheterization laboratory: a program evaluation.

Author

Sarah Schaefer, University of LouisvilleFollow

Date on Paper

7-2022

Document Type

Doctoral Paper

Degree Name

D.N.P.

Department

Nursing

Committee Chair

Dr. Kimberly Meyer

Committee Member

Dr. Elizabeth Burckardt

Author's Keywords

acute kidney injury; contrast medium; cardiac catheterization; serum creatinine; contrast-induced nephropathy

Abstract

Background: Cardiac catheterizations use intra-arterial contrast media to view the coronary arteries. The use of contrast media can cause contrast-induced nephropathy (CIN). CIN is an abrupt deterioration in renal function that can occur up to 72 hours post-procedure. This diagnosis is associated with increased morbidity and mortality, increased hospital costs, and increased length of stay.

Setting: The project took place in a 432-bed urban facility located in the Midwest region of the United States.

Purpose: The purpose of this QI project was to evaluate if the implementation of an intravenous hydration protocol pre-, intra-, and post-cardiac catheterization decreases the occurrence of CIN.

Procedures: Incidence of CIN at this facility was evaluated via data collection. Rates of CIN were collected 12 months pre-fluid protocol implementation and 11-months post-implementation.

Measures: Serum creatinine levels were measured pre- and post-cardiac catheterization. An elevation in serum creatinine of 25% or more within 48 hours post-procedure constituted a CIN diagnosis.

Results: The rate of CIN for Cohort A was 12.23%. Cohort B was 9.89%. The P value is 0.48. The fluid protocol had no impact on the rates of CIN post-cardiac catheterization.

Recommended Citation

Schaefer, Sarah, "Reducing rates of contrast-induced nephropathy in the cardiac catheterization laboratory: a program evaluation." (2022). Doctor of Nursing Practice Papers. Paper 50.
Retrieved from https://ir.library.louisville.edu/dnp/50