Correlation between Serum Creatinine Levels and Underlying Risk Factors for Renal Disorders in a Group of Patient Undergoing Computed Tomography using Intravenous Iodinated Radiographic Contrast Medium
Keywords:
Contrast media, creatinine, computed tomographic study, nephrotoxic side effectsAbstract
Intravenous administration of iodinated radiographic contrast media has been known to have nephrotoxic side effects especially patients with renal disorders. Ideally, each patient should have serum creatinine measured before administering the contrast media. This is costly in termed of time and finance and is not practical in our situation here at Siriraj Hospital. The aim of this study is to determine whether serum creatinine levels correlate with the patient's underlying risk factors. The data were collected from 81 patients who were sent for computed tomographic examination. 63 patients (77.78%) were found to have underlying risk factors. These included hypertension 21 cases (33.33%), diabetes mellitus 18 cases (28.57%), administration of chemotoxic drugs 13 cases (20.64%), renal disease 4 cases (6.35%), high serum uric acid 4 cases (6.35%), AIDS 2 cases (3.17%), and ACEI 1 case (1.59%). Of these, only 5 cases (6.17%) were found to have abnormally high serum creatinine levels (over 2 mg/dl), all had underlying risk factors and were over 60 years old.
Downloads
Published
How to Cite
Issue
Section
License
Users are free to share, copy, and redistribute all articles published in the Siriraj Medical Journal (SMJ) in any medium or format as long as you follow the following terms:
- Attribution — You must give appropriate credit, provide a link to the material, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the publisher endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.