Caracterización de la nefropatía inducida por medios de contraste en pacientes hospitalizados en la clínica general del norte de barranquilla, durante el periodo de enero a junio de 2017

. Contrast-induced acute renal injury (LRA-IC) or contrast-induced nephropathy (NIC) is defined as: acute renal injury, developed by the administration of an iodinated contrast medium, during diagnostic procedures and / or Therapeutic. Risk factors associated with the patient are considered: history of chronic kidney disease (CKD) and diabetes mellitus, advanced age, heart failure and nephrotoxic medication. Factors associated with the contrast medium, such as osmolality and viscosity. Objective. To characterize contrast-mediated nephropathy in hospitalized patients in the clinic of high complexity. Methods. Research of quantitative, descriptive, cross-sectional, retrospective type; Of patients with CIN hospitalized in an institution of high complexity. Population conformed by all the hospitalized patients to whom studies or procedures are required that require means of contrast. Inclusion and exclusion criteria will apply. The information will be obtained from a secondary source, from the clinical records documented in the medical record. Results. 955 patients with imaging or diagnostic and / or therapeutic procedures with iodinated contrast media. Discounting 421 patients by exclusion criteria, resulting in a sample of 534 patients, 2.8% (15 patients) presented CIN. The frequency of contrast media in patients with CIN, 100% used hyposmolic contrast media and <100 ml of amount. Patients with CKD with CIN do not present in their majority renal deterioration of their stage. Conclusions. The carrying out of studies and procedures that require means of contrasts can generate a safe diagnostic and / or therapeutic practice. Saline solution is the main nephroprotective measure in patients exposed to contrast media, with low concentrations of osmolality and low amounts of contrast media.