Jin Ho Beom

Recently, with the publication of guidelines recommending active intervention for patients with acute ischemic stroke, the trend is changing with aggressive treatment in clinical practice. At this point, we wanted to predict contrast-induced acute kidney injury according to the baseline renal function, as well as present a reference value of the baseline of the estimated glomerular filtration rate that increases the likelihood of acute kidney injury to serve as a basis for decision-making in the emergency department.

Prior to this study, there was hesitation in choosing which examinations to take or to essential because of the risk of kidney injury, but now that problem has been solved to some extent. The study was helpful in predicting the likelihood of acute kidney injury with more evidence in determining aggressive intervention treatment. In addition, emergency department physicians in clinical practice have become more concerned with fluid therapy to prevent acute kidney injury before and after the intervention by checking the baseline kidney function.

As this publication is related to patient safety, many researchers expressed various interests. For one thing, we were asked about the prognosis of patients with kidney injury who received emergency dialysis. Only a small number of patients with acute kidney injury received emergency dialysis. In addition, all patients who had undergone dialysis had a full recovery shortly after. Therefore, we replied that the prognosis is not bad even if kidney injury occurs.

In situations where aggressive treatment of other diseases is required, research is being conducted on the prediction of kidney injury according to the baseline renal function. Animal experiments are also being planned for treatment after contrast-induced kidney injury, as there is currently no clear treatment for kidney injury.

Read this article at AJNR.org …