Date on Paper
Dr. Kimberly Meyer
Dr. Elizabeth Burckardt
acute kidney injury; contrast medium; cardiac catheterization; serum creatinine; contrast-induced nephropathy
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.
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