title: Nephropathy induced by contrast medium in an hispanic population after coronary angiography.
abstract: Contrast medium-induced nephropathy (CIN) is regarded as one of the most important complications after intravascular administration of radiographic contrast media and the third most common cause of hospital-acquired acute kidney injury. Contrast-induced nephropathy may develop in up to10% of patient with normal renal function but may be as high 25% in patient with risk factors.
  
  
  METHODS
  A total of 192 medical records were obtained, in which 55 patient were eligible by our inclusion and exclusion criteria.
  
  
  RESULTS
  A total four cases of CIN (7%) was identified and all were considered high-risk patients. In the patients that developed CIN only 50% received preventive IV hydration therapy in accordance to guidelines of the Contrast-Induced Nephropathy Consensus Panel. In 51 cases CIN was absent (93%). In the absent CIN group 22 were considered high-risk patients (43%) and 29 patients were low risk (57%). In the high-risk group with absent CIN, 77% received preventive IV hydration.
  
  
  CONCLUSIONS
  Study didn't show diabetes as a direct contributory factor for CIN development, but glycemia was not properly stratified. Screening and preventive strategies were not diligently complied in our institution, so there is a great need to incorporate a protocol in our institution in accordance to published guidelines.
authors.affiliation: Department of Internal Medicine of the Ponce School of Medicine and Damas Hospital, Ponce, Puerto Rico. J3g76@yahoo.com
authors.forename: José
authors.initials: J
authors.lastname: González Moreno
authors.forename: Leon
authors.initials: L
authors.lastname: Ferder
authors.forename: José
authors.initials: J
authors.lastname: Gómez
authors.forename: Rafael
authors.initials: R
authors.lastname: Bredy Domínguez
authors.forename: Rebeca
authors.initials: R
authors.lastname: Juarbe
authors.forename: Carlos
authors.initials: C
authors.lastname: Calisto
authors.forename: Jesse
authors.initials: J
authors.lastname: Alemán Ortiz
mesh_terms: D000368:Aged; D003287:Contrast Media / Q000009:adverse effects*; D017023:Coronary Angiography / Q000009:adverse effects*; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D007674:Kidney Diseases / Q000139:chemically induced*; D008297:Male
chemical_list: D003287:Contrast Media