Nefropatía inducida por medios de contraste en pacientes con y sin factores de riesgo del Hospital Isidro Ayora
Contrast induced nephropathy (NIC) represents an important adverse effect derived from the administration of contrast media in hospitalized patients and results in higher hospital costs and an increase in patient morbidity and mortality than evolution. However, recent studies have failed to demonstr...
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| フォーマット: | bachelorThesis |
| 言語: | spa |
| 出版事項: |
2021
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| 主題: | |
| オンライン･アクセス: | https://dspace.unl.edu.ec/jspui/handle/123456789/24315 |
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タグ追加 | 要約: | Contrast induced nephropathy (NIC) represents an important adverse effect derived from the administration of contrast media in hospitalized patients and results in higher hospital costs and an increase in patient morbidity and mortality than evolution. However, recent studies have failed to demonstrate the relationship between contrast administration and IAS development. The prevalence of this condition is unknown in our environment, so the objective of this study is to determine the proportion of patients who develop NIC after a contrast tomographic study and identify the different risk factors for its development. A quantitative, descriptive study was conducted with prospective data collection in 41 patients with and without risk factors from Isidro Ayora Hospital, who sometimes went to computed axial tomography with contrast to determine the incidence of CIN In the actual study the predisposing factors known as definitive, which predominates in type 2 diabetes mellitus with 24%(n=10), with respect to the possible risk factors, which predominates in the age> 75 years with 32% (n=13) and with respect to the factors Probable risk is dehydration predominates with 5% (n=2), none of these patients raised creatinine greater than 0.3 mg / dL in their control study therefore no NIC development. Oral and intravenous hydration preventive therapies were effective in not developing NIC in patients with elevated creatinine before the procedure, according to the study by García. H., (2019) mentioned that the risk of developing NIC is associated with elevated creatinine and diabetes and that it is continually with Martín. P., (2016) mentioned that the incidence of CIN in low risk patients, that is, in no diabetic people or with normal renal function with intravenous contrast administration, is usually low or almost no existent, which is consistent with the present study. Key words: kidney disease, contrast media, cell hypoxia, disease prevention. |
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