C-1655 - Royal College of Radiologists (RCR): National survey of compliance with guidelines for the prevention and detection of contrast-induced acute kidney injury (CI-AKI)
C-1655 - Royal College of Radiologists (RCR): National survey of compliance with guidelines for the prevention and detection of contrast-induced acute kidney injury (CI-AKI)L. H. Cope1, D. Howlett2, K. Drinkwater3; 1 Tyne and Wear/UK 2 Eastbourne/UK 3 London/UK Type: Scientific Exhibit
Area of Interests: Kidney, Contrast agents
Imaging Technique: CT
Procedures: Safety, Contrast agent-intravenous, Audit and standards
Special Focus: Toxicity
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Aims and objectives: The Renal Association, the Royal College of Radiologists (RCR) and the British Cardiovascular Intervention Society (1) and the National Institute for Health and Care Excellence (NICE) (2) published UK guidance in 2013 with the aim of providing safer care by managing CI-AKI appropriately. &nbs[...]
Methods and materials: Questionnaire to all 172 UK NHS Trusts responsible for managing all 212 acute hospitals. A compliance rate of 95% was set for each standard.
Results: A high response rate of 52% is representative of national practice. Standard Expected Compliance Hospital Protocol Compliance Define stage of chronic kidney disease - necessary to identify patients at high risk of CI-AKI requiring follow up kidney function tests (Fig. [...]
Conclusion: Compliance with guidance on CI-AKI is poor. Therefore, departments do not have assurance that the risk of CI-AKI in UK CT practice is minimized, or that CI-AKI is detected and managed appropriately in high risk patients. To inform the decision to prescribe IV contrast the radiologist r[...]
Personal information: The authors gratefully acknowledge the hard work and enthusiasm of the RCR audit leads who supplied data for this audit. The audit itself was undertaken on behalf of The Royal College of Radiologists (RCR) and the RCR Clinical Audit Committee.
References: Prevention of Contrast Induced Acute Kidney Injury (CI-AKI) In Adult Patients &[...]