Cardiometabolic & kidney

Simplified Rapid Hydration Prevents Contrast-Associated Acute Kidney Injury Among Chronic Kidney Disease (CKD) Patients Undergoing Coronary Angiography

JACC Cardiovasc IntervPublished Randomised controlled trial

Primary result · CA-AKIResult — go to the resultRelative risk 0.8 95% CI 0.5–1.2

Authors' conclusion

In CKD patients undergoing CAG, SH is noninferior to standard hydration in preventing CA-AKI with a shorter hydration duration.

Study context

Population
Patients with CKD undergoing coronary angiography
Participants
1,002 patients
Comparison
Simplified rapid hydration vs standard hydration
Primary endpoint
Contrast-associated acute kidney injury (CA-AKI): ≥25% or 0.5-mg/dL rise in serum creatinine from baseline
Follow-up
Within 48 to 72 hours
Methodological detailsmulticentre, open-label, non-inferiority, 21 teaching hospitals
  • Multicentre
  • Open-label
  • Non-inferiority
  • 21 teaching hospitals

Primary result

CA-AKI

Relative risk

0.8

95% CI 0.5–1.2

P = 0.216

Events by treatment group

SHvs Control
RR 0.8 (95% CI 0.5–1.2); P = 0.216

As reported in the abstract

Further findings

Hydration duration

P < 0.001

Acute HF and 1-year MACE

Did not differ significantly between groups

Original publication

Simplified Rapid Hydration Prevents Contrast-Associated Acute Kidney Injury Among CKD Patients Undergoing Coronary Angiography. JACC Cardiovasc Interv. Published 26 June 2023. doi:10.1016/j.jcin.2023.03.025

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