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ACP Journal Club |16 January 2018

Review: In adults, contrast-enhanced CT is not linked to acute kidney injury or mortality vs noncontrast CT

Tejas Patel, MD, FASN; Vihas Patel, MD

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Aycock RD, Westafer LM, Boxen JL, et al. Acute kidney injury after computed tomography: a meta-analysis. Ann Emerg Med. 2017 Aug 12. [Epub ahead of print]. 28811122

Emergency Med:

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Nephrology:

In adults, is contrast-enhanced computed tomography (CT) associated with increased risk for acute kidney injury (AKI) compared with noncontrast CT?
Included studies compared contrast-enhanced CT with noncontrast CT in adults. Exclusion criteria included pediatric populations, intraarterial procedures, and studies focused on prevention strategies. Primary outcome was AKI as defined in individual studies. Other outcomes included need for renal replacement therapy (RRT) and all-cause mortality. PROSPERO registration number CRD42017056195.
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Patel T, Patel V. Review: In adults, contrast-enhanced CT is not linked to acute kidney injury or mortality vs noncontrast CT. Ann Intern Med. 2018;168:JC10. doi: https://doi.org/10.7326/ACPJC-2018-168-2-010

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Published: Ann Intern Med. 2018;168(2):JC10.

DOI: 10.7326/ACPJC-2018-168-2-010

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2018 American College of Physicians
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