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RCR Audit of prevention and detection of Acute Kidney Injury in Adult Patients undergoing iodinated contrast media injections (CI-AKI) Lance Cope on behalf.

Published byGriselda Dean Modified over 8 years ago

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Presentation on theme: "RCR Audit of prevention and detection of Acute Kidney Injury in Adult Patients undergoing iodinated contrast media injections (CI-AKI) Lance Cope on behalf."— Presentation transcript:

1 RCR Audit of prevention and detection of Acute Kidney Injury in Adult Patients undergoing iodinated contrast media injections (CI-AKI) Lance Cope on behalf of CRAC

2 Overview Background to audit Why do the audit? What it involves for you

3 Background Acute Kidney Injury: Common High Morbidity Expensive Scanning more patients Scanning sicker patients

4 Guidance Acute kidney injury: Prevention, detection and management of acute kidney injury up to the point of renal replacement therapy Clinical guidelines, CG169 - Issued: August 2013 http://guidance.nice.org.uk/cg169 Prevention of Contrast Induced Acute Kidney Injury (CI-AKI) In Adult Patients The Renal Association, the British Cardiovascular Intervention Society and the Royal College of Radiologists http://www.rcr.ac.uk/publications.aspx?PageID=310&Public ationID=391 http://www.rcr.ac.uk/publications.aspx?PageID=310&Public ationID=391

5 Problems Logistics Cost and Time Scepticism

6 Summary Important - High Risk -High Cost of non compliance -Common Changing practice

7 Audit 1 Survey Do you have a protocol for CI-AKI? Does Protocol conform to guidance? Quick and easy to complete

8 Audit 2 Process Is guidance followed in all patients? How many patients develop CI-AKI? How significant is the risk in modern UK practice? Retrospective data collection: - 40 outpatient - 40 inpatients/ acutely unwell patients

9 Summary Important audit – controversial area Easy and quick to take part Please contribute to provide a picture of current UK practice and inform debate

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