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Lance Cope on behalf of CRAC

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. Overview. Background to audit Why do the audit? What it involves for you. Background. Acute Kidney Injury: Common

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Lance Cope on behalf of CRAC

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  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&PublicationID=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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