The usefulness of rapid point-of-care creatinine testing for the prevention of contrast-induced nephropathy in the emergency department

You, Je Sung; Chung, Yong Eun; Park, Jong Woo; Park, Sung Sup; Lee, Hye Jeong; Chung, Tae Nyoung; Chung, Sung Phil; Park, In-Cheol; Kim, Seung‐Ho

doi:10.1136/emermed-2012-201285

Cited by 21 publications

(15 citation statements)

References 14 publications

(25 reference statements)

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“…118 Although POCT is a particularly attractive option in remote and low resource environments, it requires the implementation of a quality assurance program that ensures accurate and reliable results. Several POCTs for Scr are available in the market across the world 116,118–124 and can be classified into blood gas analyzers and nonblood gas analyzers. They also vary with respect to the types of samples that can be processed—whole blood, plasma, or serum.…”

Section: Point-of-care Testingmentioning

confidence: 99%

Acute Kidney Injury Recognition in Low- and Middle-Income Countries

Cerdá

Mohan

Garcia-Garcia

et al. 2017

Kidney International Reports

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Acute kidney injury (AKI) is increasingly common around the world. Because of the low availability of effective therapies and resource limitations, early preventive and therapeutic measures are essential to decrease morbidity, mortality, and cost. Timely recognition and diagnosis of AKI requires a heightened degree of suspicion in the appropriate clinical and environmental context. In low- and middle-income countries (LMICs), early detection is impaired by limited resources and low awareness. In this article, we report the consensus recommendations of the 18th Acute Dialysis Quality Initiative meeting in Hyderabad, India, on how to improve recognition of AKI. We expect these recommendations will lead to an earlier and more accurate diagnosis of AKI, and improved research to promote a better understanding of the epidemiology, etiology, and histopathology of AKI in LMICs.

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Section: Point-of-care Testingmentioning

confidence: 99%

Acute Kidney Injury Recognition in Low- and Middle-Income Countries

Cerdá

Mohan

Garcia-Garcia

et al. 2017

Kidney International Reports

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“…You et al performed a retrospective analysis of patients with suspected stroke over a 1-year interval from November 2009 to November 2010 and found that the blood urea nitrogen and creatinine determined in their emergency department correlated well with determination by the hospital central laboratory of the same blood chemistries. 17 These authors emphasized the possible importance of the rapid point-of-care determination for predicting the risk of CI-AKI.…”

Section: General Prevention Of Contrast Damage To the Kidneysmentioning

confidence: 99%

Renal Iodine Dye Risk, Age, and the Acute Coronary Syndrome

Whayne

2015

Angiology

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“…Contrast-induced nephropathy (CIN) is a known complication of procedures in which intravascular iodinated contrast media are administrated [1,2]. Patients with preexisting renal impairment have an increased risk of developing CIN.…”

Section: Introduction/backgroundmentioning

confidence: 99%

The Accuracy of Point-of-Care Creatinine Testing in the Emergency Department

Moreno

Schwartz

Dvorkin³

2015

Advances in Emergency Medicine

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Objective. To determine the accuracy of Point-Of-Care testing (PoCT) creatinine values when compared to standard central laboratory testing (IDMS) and to demonstrate if and how a discrepancy could lead to improper risk stratification for contrast induced nephropathy (CIN). Methods. We conducted a descriptive retrospective chart review of patients seen in the Emergency Department of a single suburban, community, and academic medical center. We included patients who presented to the department between March 2013 and September 2014 who had blood samples analyzed by both PoCT and IDMS. Results. Mean IDMS creatinine values were 0.23 mg/dL higher when compared with i-Stat values. 95% of the time, the IDMS creatinine value was variable and ranged from −0.45 mg/dL to +0.91 mg/dL when compared to the i-Stat creatinine. When using i-Stat creatinine values to calculate GFR, 47 out of 156 patients had risk category variations compared to using the IDMS value. This affected 30.1% of the total eligible sample population (22.9% to 37.3% with 95% CI). Conclusion. We found a significant discrepancy between PoCT and IDMS creatinine values and found that this discrepancy could lead to improper risk stratification for CIN.

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The usefulness of rapid point-of-care creatinine testing for the prevention of contrast-induced nephropathy in the emergency department

Abstract: This study suggests that POCT-BUN/Cr results correlate well with those of serum reference tests in terms of BUN and Cr levels and, in turn, predicting CIN. POCT-BUN/Cr is easily performed with a rapid turnaround time, suggesting its use in the ED may have substantial clinical benefit.

Cited by 21 publications

References 14 publications

Acute Kidney Injury Recognition in Low- and Middle-Income Countries

Acute Kidney Injury Recognition in Low- and Middle-Income Countries

Renal Iodine Dye Risk, Age, and the Acute Coronary Syndrome

The Accuracy of Point-of-Care Creatinine Testing in the Emergency Department

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