Evidence map›Paper›PMID 36856244›Full record

Observational studyArquivos brasileiros de cardiologia2023

Effectiveness of Oral Hydration in Preventing Contrast-Induced Nephropathy in Individuals Undergoing Elective Coronary Interventions.

Mariana Rodrigues Pioli, Renata Muller Couto, José de Arimatéia Francisco, Diego Quilles Antoniassi, Célia Regina de Souza, Matheus Ynada de Olivio, Gabriel Forato Anhê, Silvio Giopatto, Andrei C Sposito, Wilson Nadruz and 2 more

Registry-linked trialOpen access · diamondAbstract readObservational Study
In one paragraph

Observational study in Arquivos brasileiros de cardiologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07761754 (The Effect of Hydration on the Prevention of Contrast Induced Acute Kidney Injury), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07761754 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Effect of Hydration on the Prevention of Contrast Induced Acute Kidney Injury (CI-AKI) in ST Segment Elevation Myocardial Infarction Undergoing Primary PCI (Hydro-AKI Trial)

TypeinterventionalSponsorAssiut UniversityRan2026 to 2029Enrolled384ConditionsContrast-Induced Acute Kidney Injury in ST-Segment Elevation Myocardial Infarction, Contrast Induced AKIArmsoral hydration protocol
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Mariana Rodrigues PioliUniversidade Estadual de Campinas Faculdade de Ciências Médicas - Departamento de Medicina Translacional, Programa de Farmacologia, Campinas, SP - Brasil.ORCID 0000-0002-8840-4805
Renata Muller CoutoUniversidade Estadual de Campinas Faculdade de Ciências Médicas - Departamento de Medicina Interna - Divisão de Cardiologia, Campinas, SP - Brasil.
José de Arimatéia FranciscoUniversidade Estadual de Campinas Faculdade de Ciências Médicas - Departamento de Medicina Interna - Divisão de Cardiologia, Campinas, SP - Brasil.
Diego Quilles AntoniassiUniversidade Estadual de Campinas Faculdade de Ciências Médicas - Departamento de Medicina Interna - Divisão de Cardiologia, Campinas, SP - Brasil.
Célia Regina de SouzaUniversidade Estadual de Campinas Faculdade de Ciências Médicas - Departamento de Medicina Interna - Divisão de Cardiologia, Campinas, SP - Brasil.
Matheus Ynada de OlivioUniversidade Estadual de Campinas Faculdade de Ciências Médicas - Departamento de Medicina Interna - Divisão de Cardiologia, Campinas, SP - Brasil.
Gabriel Forato AnhêUniversidade Estadual de Campinas Faculdade de Ciências Médicas - Departamento de Medicina Translacional, Programa de Farmacologia, Campinas, SP - Brasil.
Silvio GiopattoUniversidade Estadual de Campinas Faculdade de Ciências Médicas - Departamento de Medicina Interna - Divisão de Cardiologia, Campinas, SP - Brasil.ORCID 0000-0003-0996-9603
Andrei C SpositoUniversidade Estadual de Campinas (UNICAMP) - Laboratório de Aterosclerose e Biologia Vascular (Atherolab), Campinas, SP - Brasil.ORCID 0000-0001-7127-2052
Wilson NadruzUniversidade Estadual de Campinas Faculdade de Ciências Médicas - Departamento de Medicina Interna - Divisão de Cardiologia, Campinas, SP - Brasil.
Otavio Rizzi Coelho-FilhoUniversidade Estadual de Campinas (UNICAMP) - Disciplina de Cardiologia, Campinas, SP - Brasil.ORCID 0000-0003-4428-5186
Rodrigo ModoloUniversidade Estadual de Campinas Faculdade de Ciências Médicas - Departamento de Medicina Interna - Divisão de Cardiologia, Campinas, SP - Brasil.ORCID 0000-0002-0047-7859
Universidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContrast-induced nephropathy (CIN) is defined as worsening renal function, represented by an increase in serum creatinine of ≥ 25% or ≥ 0.5 mg/dL up to 72 h after exposure to iodinated contrast medium (ICM). The most effective preventive measure to date is intravenous hydration (IVH). Little is known about the effectiveness of outpatient oral hydration (OH). OBJETIVE: To investigate whether outpatient OH with water is as effective as IVH with 0.9% saline solution in preventing CIN in elective coronary procedures.

methodsIn this retrospective observational study, we analyzed the medical records and laboratory data of individuals undergoing percutaneous coronary procedures with ICM. Data collected between 2012 and 2015 refer to individuals who underwent IVH and those collected between 2016 and 2020 (after implementation of an OH protocol) correspond to individuals who underwent OH at home before and after coronary procedures as instructed by the nursing team. Statistical significance was established at α = 0.05.

resultsIn total, 116 patients were included in this study: 58 in the IVH group and 58 in the OH group. An incidence of CIN of 15% (9/58) was observed in the group that received IVH and an incidence of 12% (7/58) was seen in the group that received OH (p = 0.68).

conclusionThe OH protocol, performed by the patient, appears to be as effective as the in-hospital IVH protocol for the renal protection of individuals susceptible to CIN in elective coronary interventions. These findings should be put to test in larger trials.

Indexed as

KidneyOutpatientsContrast MediaHeartHospitalsHumansContrast Media

Identifiers

PMID36856244
PMCPMC9972663
OpenAlexW4320736169

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.