Comparative Study of the Efficacy of Oral Versus Intravenous Hydration as a Preventive Measure of Contrast-induced Nephropathy (CIN) in Patients
Overview
- Phase
- Phase 3
- Intervention
- Oral hydratation
- Conditions
- Renal Insufficiency
- Sponsor
- David Garcia Cinca
- Enrollment
- 264
- Locations
- 1
- Primary Endpoint
- Proportion of contrast induced nephropathy
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This study evaluates if oral hydratation is as effective as endovenous hydratation in the prophylaxis of contrast-induced nephropathy in patients renal insufficiency grade III under study conducting contrasted computed tomography.
Investigators
David Garcia Cinca
Clinical Research Manager
Hospital Clinic of Barcelona
Eligibility Criteria
Inclusion Criteria
- •Patients of both sexes over 18 years
- •Candidates for a study with computed tomography and intravenous contrast
- •A glomerular filtration rate between 30 and 45 mL / min including both determinations
- •They have signed the written informed consent after being informed of the objectives and the nature of the case or be unable to have the authorization or agreement of its
Exclusion Criteria
- •refuse to participate in the study
- •pregnancy or lactation
- •Other risk factors for Contrast Induced Nephropathy: diabetes mellitus type I, have an age of 75 years or above, heart failure (defined by a scale New York Heart Association 3 or 4), hypotension (defined as systolic blood pressure \<100), being treated with nephrotoxic medications.
- •Any disease or a history that, in the investigator's opinion, could confound the results of the study or pose an additional risk to patient treatment.
Arms & Interventions
Oral hydratation
Intervention: Oral hydratation
Endovenous hydratation
Intervention: Bicarbonate endovenous hydratation
Endovenous hydratation
Intervention: Saline endovenous hydratation
Outcomes
Primary Outcomes
Proportion of contrast induced nephropathy
Time Frame: 48-72 hours after the completion of the computed tomography
Contrast induced nephropathy defined as a creatinine increase\> 0.5 mg / dl comparing the initial blood test to the blood test performed after 48-72 hours to the completion of the computed tomography
Secondary Outcomes
- Need for hemodialysis(15 days)
- Reversibility of contrast induced nephropathy(15 days)
- Proportion of adverse events(15 days)