Computed Tomography with Intravenous Contrast is Not Associated with Development of Acute Kidney Injury in Severely Injured Pediatric Patients

Data for the incidence of acute kidney injury (AKI) related to intravenous contrast administration in the pediatric trauma population are limited. Obtaining a creatinine value before elective CT scans is a relatively accepted standard of care. We sought to determine whether there was any significant...

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Bibliographic Details
Published in:The American surgeon 2019-01, Vol.85 (1), p.1-5
Main Authors: McGaha, Paul K., Johnson, Jeremy, Garwe, Tabitha, Sarwar, Zoona, Motghare, Prasenjeet, Daly, William, Letton, Robert
Format: Article
Language:English
Subjects:
Acute Kidney Injury - epidemiology
Administration, Intravenous
Cancer
Child
Child, Preschool
Children
Coma
Computed tomography
Contrast Media - administration & dosage
Contrast Media - adverse effects
Creatinine
Emergency services
Female
Humans
Incidence
Injuries
Injury prevention
Injury Severity Score
Intravenous administration
Kidneys
Male
Medical imaging
Mortality
Nephrology
Patients
Pediatrics
Retrospective Studies
Subgroups
Tomography
Tomography, X-Ray Computed - adverse effects
Trauma
Trauma Centers
Urine
Wounds and Injuries - diagnostic imaging
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Summary:Data for the incidence of acute kidney injury (AKI) related to intravenous contrast administration in the pediatric trauma population are limited. Obtaining a creatinine value before elective CT scans is a relatively accepted standard of care. We sought to determine whether there was any significant difference in the incidence of AKI between severely injured patients who received IV contrast and those who did not. We reviewed data from the trauma registry at our Level I pediatric trauma center. We limited the patients to severely injured pediatric traumas (
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481908500101