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Sodium bicarbonate versus isotonic saline solution to prevent contrast-induced nephropathy: a systematic review and meta-analysis / Lina Maria Serna Higuita ; John Fredy Nieto Ríos ; Jorge Hernando Donado Gómez
Título : Sodium bicarbonate versus isotonic saline solution to prevent contrast-induced nephropathy: a systematic review and meta-analysis Otros títulos : El bicarbonato de sodio en comparación con solución salina isotónica para prevenir la nefropatía inducida por contraste: Una revisión sistemática y meta-análisis Tipo de documento : documento electrónico Autores : Lina Maria Serna Higuita, ; John Fredy Nieto Ríos, ; Jorge Hernando Donado Gómez, Fecha de publicación : 2015 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Contrast induced nephropathy acute kidney injury sodium bicarbonate sodium chloride Resumen : Introduction: Contrast-induced nephropathy is one of the main causes of acute kidney injury and increased hospital-acquired morbidity and mortality. The use of sodium bicarbonate for nephroprotection has emerged as a preventative strategy; however, its efficacy is controversial compared to other strategies, such as hydration using 0.9% saline solution. Objective: To compare the effectiveness of sodium bicarbonate vs. hydration using 0.9% saline solution to prevent contrast-induced acute kidney injury. Methods: A systematic review of studies registered in the COCHRANE, PUBMED, MEDLINE, LILACS, SCIELO and EMBASE databases was conducted. Randomized controlled studies that evaluated the use of 0.9% saline solution vs. sodium bicarbonate to prevent contrast-induced nephropathy were included. Results: A total of 22 studies (5,686 patients) were included. Sodium bicarbonate did not decrease the risk of contrast-induced nephropathy (RD= 0.00; 95% CI= -0.02 to 0.03; p= 0.83; I2= 0%). No significant differences were found in the demand for renal replacement therapy (RD= 0.00; 95% CI= -0.01 to 0-01; I2 = 0%; p= 0.99) or in mortality (RD= -0.00; 95% CI= -0.001 to 0.001; I2 = 0%; p= 0.51). Conclusions: Sodium bicarbonate administration is not superior to the use of 0.9% saline solution for preventing contrast-induced nephropathy in patients with risk factors, nor is it better at reducing mortality or the need for renal replacement therapy. Mención de responsabilidad : Carlos Andres Zapata-Chica, Diana Bello Marquez, Lina Maria Serna-Higuita, John Fredy Nieto-Ríos, Fabian David Casas-Arroyave, Jorge Hernando Donado-Gómez Referencia : Colomb Med (Cali). 2015 Sep 30;46(3):90-103. DOI (Digital Object Identifier) : 10.25100/cm.v46i3.1925 PMID : 26600623 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1925 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3913 Sodium bicarbonate versus isotonic saline solution to prevent contrast-induced nephropathy: a systematic review and meta-analysis = El bicarbonato de sodio en comparación con solución salina isotónica para prevenir la nefropatía inducida por contraste: Una revisión sistemática y meta-análisis [documento electrónico] / Lina Maria Serna Higuita, ; John Fredy Nieto Ríos, ; Jorge Hernando Donado Gómez, . - 2015.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : Contrast induced nephropathy acute kidney injury sodium bicarbonate sodium chloride Resumen : Introduction: Contrast-induced nephropathy is one of the main causes of acute kidney injury and increased hospital-acquired morbidity and mortality. The use of sodium bicarbonate for nephroprotection has emerged as a preventative strategy; however, its efficacy is controversial compared to other strategies, such as hydration using 0.9% saline solution. Objective: To compare the effectiveness of sodium bicarbonate vs. hydration using 0.9% saline solution to prevent contrast-induced acute kidney injury. Methods: A systematic review of studies registered in the COCHRANE, PUBMED, MEDLINE, LILACS, SCIELO and EMBASE databases was conducted. Randomized controlled studies that evaluated the use of 0.9% saline solution vs. sodium bicarbonate to prevent contrast-induced nephropathy were included. Results: A total of 22 studies (5,686 patients) were included. Sodium bicarbonate did not decrease the risk of contrast-induced nephropathy (RD= 0.00; 95% CI= -0.02 to 0.03; p= 0.83; I2= 0%). No significant differences were found in the demand for renal replacement therapy (RD= 0.00; 95% CI= -0.01 to 0-01; I2 = 0%; p= 0.99) or in mortality (RD= -0.00; 95% CI= -0.001 to 0.001; I2 = 0%; p= 0.51). Conclusions: Sodium bicarbonate administration is not superior to the use of 0.9% saline solution for preventing contrast-induced nephropathy in patients with risk factors, nor is it better at reducing mortality or the need for renal replacement therapy. Mención de responsabilidad : Carlos Andres Zapata-Chica, Diana Bello Marquez, Lina Maria Serna-Higuita, John Fredy Nieto-Ríos, Fabian David Casas-Arroyave, Jorge Hernando Donado-Gómez Referencia : Colomb Med (Cali). 2015 Sep 30;46(3):90-103. DOI (Digital Object Identifier) : 10.25100/cm.v46i3.1925 PMID : 26600623 Derechos de uso : CC BY En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/1925 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3913 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000494 AC-2015-047 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2015-047.pdfAdobe Acrobat PDF Prevention of contrast induced nephropathy with sodium bicarbonate (the PROMEC study) / John Fredy Nieto Ríos ; Lina Maria Serna Higuita ; Fabián Alberto Jaimes Barragán
Título : Prevention of contrast induced nephropathy with sodium bicarbonate (the PROMEC study) Tipo de documento : documento electrónico Autores : John Fredy Nieto Ríos, ; Lina Maria Serna Higuita, ; Fabián Alberto Jaimes Barragán, Fecha de publicación : 2014 Títulos uniformes : Brazilian Journal of Nephrology Idioma : Inglés (eng) Palabras clave : Acute kidney injury contrast media saline waters sodium bicarbonate Resumen : Introduction: Contrast-induced nephropathy is a common complication of radiographic procedures. Different measures have been used to avoid this damage, but the evidence is controversial. New investigations are required to clarify it. We investigated the efficacy and safety of sodium bicarbonate solution compared with sodium chloride solution to prevent contrast induced nephropathy in patients with or at risk of renal dysfunction. Methods: A prospective, single-center, randomized clinical trial conducted from May 1, 2007 to February 8, 2008. Inpatients in a tertiary center, scheduled to undergo a procedure with the nonionic radiographic contrast agent iohexol. There were 220 patients with serum creatinine levels of at least 1.2 mg/dL (106.1 µmol/L) and/or type 2 diabetics, who were randomized to receive an infusion of sodium chloride (n = 113) or sodium bicarbonate (n = 107) before and after contrast dye administration. The intervention were "A" group received 1 ml/kg/hour of normal saline solution, starting 12 hours before and continuing 12 hours after iohexol contrast. "B" group received 3 ml/kg of sodium bicarbonate solution (150 mEq/L) one hour prior to procedure and then drip rate was decreased to 1 ml/kg/hour until 6 hours post procedure. Our main outcome measure was change in serum creatinine. Results: The mean creatinine value after the procedure was 1.26 mg/dL in the saline group and 1.22 mg/dL in the bicarbonate group (mean difference: 0.036; CI 95%: -0.16 to 0.23, p = 0.865). The diagnosis of contrast-induced nephropathy, defined by increase in serum creatinine on 25% or more within 2 days after administration of radiographic contrast, was done in twelve patients (12%) in the bicarbonate group and eighth patients (7.1%) in the saline group (RR: 1.68, CI 95%: 0.72 to 3.94). Conclusion: Our investigation showed that there were no differences between normal saline solution (extended infusion) vs. bicarbonate solution for nephroprotection. Mención de responsabilidad : John Fredy Nieto-Ríos, Wílmar Arley Maya Salazar, Oscar Mauricio Santos Sánchez, Janeth Liliana Jaramillo Ortega, Jorge Ignacio García Caro, Julián Miguel Aristizabal Aristizabal, Lina Maria Serna Higuita, Álvaro García García, Fabián Alberto Jaimes Barragán Referencia : J Bras Nefrol. 2014 Jul-Sep;36(3):360-6. DOI (Digital Object Identifier) : 10.5935/0101-2800.20140051 PMID : 25317619 Derechos de uso : CC BY En línea : http://www.bjn.org.br/details/1674/en-US/prevention-of-contrast-induced-nephropa [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3833 Prevention of contrast induced nephropathy with sodium bicarbonate (the PROMEC study) [documento electrónico] / John Fredy Nieto Ríos, ; Lina Maria Serna Higuita, ; Fabián Alberto Jaimes Barragán, . - 2014.
Obra : Brazilian Journal of Nephrology
Idioma : Inglés (eng)
Palabras clave : Acute kidney injury contrast media saline waters sodium bicarbonate Resumen : Introduction: Contrast-induced nephropathy is a common complication of radiographic procedures. Different measures have been used to avoid this damage, but the evidence is controversial. New investigations are required to clarify it. We investigated the efficacy and safety of sodium bicarbonate solution compared with sodium chloride solution to prevent contrast induced nephropathy in patients with or at risk of renal dysfunction. Methods: A prospective, single-center, randomized clinical trial conducted from May 1, 2007 to February 8, 2008. Inpatients in a tertiary center, scheduled to undergo a procedure with the nonionic radiographic contrast agent iohexol. There were 220 patients with serum creatinine levels of at least 1.2 mg/dL (106.1 µmol/L) and/or type 2 diabetics, who were randomized to receive an infusion of sodium chloride (n = 113) or sodium bicarbonate (n = 107) before and after contrast dye administration. The intervention were "A" group received 1 ml/kg/hour of normal saline solution, starting 12 hours before and continuing 12 hours after iohexol contrast. "B" group received 3 ml/kg of sodium bicarbonate solution (150 mEq/L) one hour prior to procedure and then drip rate was decreased to 1 ml/kg/hour until 6 hours post procedure. Our main outcome measure was change in serum creatinine. Results: The mean creatinine value after the procedure was 1.26 mg/dL in the saline group and 1.22 mg/dL in the bicarbonate group (mean difference: 0.036; CI 95%: -0.16 to 0.23, p = 0.865). The diagnosis of contrast-induced nephropathy, defined by increase in serum creatinine on 25% or more within 2 days after administration of radiographic contrast, was done in twelve patients (12%) in the bicarbonate group and eighth patients (7.1%) in the saline group (RR: 1.68, CI 95%: 0.72 to 3.94). Conclusion: Our investigation showed that there were no differences between normal saline solution (extended infusion) vs. bicarbonate solution for nephroprotection. Mención de responsabilidad : John Fredy Nieto-Ríos, Wílmar Arley Maya Salazar, Oscar Mauricio Santos Sánchez, Janeth Liliana Jaramillo Ortega, Jorge Ignacio García Caro, Julián Miguel Aristizabal Aristizabal, Lina Maria Serna Higuita, Álvaro García García, Fabián Alberto Jaimes Barragán Referencia : J Bras Nefrol. 2014 Jul-Sep;36(3):360-6. DOI (Digital Object Identifier) : 10.5935/0101-2800.20140051 PMID : 25317619 Derechos de uso : CC BY En línea : http://www.bjn.org.br/details/1674/en-US/prevention-of-contrast-induced-nephropa [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3833 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000411 AC-2014-077 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2014-077.pdfAdobe Acrobat PDF