Renal Failure
Conditions
Keywords
contras-induced nephropathy
Brief summary
The purpose of this study is to determine whether hydration with sodium bicarbonate is superior to hydration with saline to prevent contrast-induced nephropathy.
Interventions
hydration with sodium bicarbonate 1ml/Kg/h for 6 hours
hydration with saline 1ml/Kg/h for 6 hours
Sponsors
Study design
Eligibility
Inclusion criteria
* serum creatinine \> 1.1 mg/dL * glomerular filtration rate (GFR) \< 50 mL/min
Exclusion criteria
* age \< 18 years * use of radiographic contrast media during the last 21 days * history of dialysis * cardiac insufficiency class III-IV * emergency procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Contrast-induced Nephropathy | 48 hours | rise in serum creatinine \>0,5mg/dl |
Secondary
| Measure | Time frame |
|---|---|
| Dialysis During Hospitalization | During hospitalization |
Countries
Brazil
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Sodium Bicarbonate hydration with sodium bicarbonate
sodium bicarbonate: hydration with sodium bicarbonate 1ml/Kg/h for 6 hours | 150 |
| Saline hydration with saline 1ml/Kg/h for 6 hours
saline: hydration with saline 1ml/Kg/h for 6 hours | 151 |
| Total | 301 |
Baseline characteristics
| Characteristic | Sodium Bicarbonate | Total | Saline |
|---|---|---|---|
| Age, Continuous | 64.1 years STANDARD_DEVIATION 12 | 64.3 years STANDARD_DEVIATION 12 | 64.5 years STANDARD_DEVIATION 12 |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 10 Participants | 21 Participants | 11 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 140 Participants | 280 Participants | 140 Participants |
| Region of Enrollment Brazil | 150 participants | 301 participants | 151 participants |
| Sex: Female, Male Female | 46 Participants | 84 Participants | 38 Participants |
| Sex: Female, Male Male | 104 Participants | 217 Participants | 113 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 0 / 150 | 0 / 151 |
| serious Total, serious adverse events | 0 / 150 | 0 / 151 |
Outcome results
Contrast-induced Nephropathy
rise in serum creatinine \>0,5mg/dl
Time frame: 48 hours
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sodium Bicarbonate | Contrast-induced Nephropathy | 6.1 percentage of contrast nephropaty |
| Saline | Contrast-induced Nephropathy | 6.0 percentage of contrast nephropaty |
Dialysis During Hospitalization
Time frame: During hospitalization
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Sodium Bicarbonate | Dialysis During Hospitalization | 0 participants |
| Saline | Dialysis During Hospitalization | 0 participants |