Kidney International

TABLE 1

FROM:

Systematic review of the impact of N-acetylcysteine on contrast nephropathy

NEESH PANNU, BRADEN MANNS, HELEN LEE and MARCELLO TONELLI

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Table 1. Study characteristics

First authorPublication yearCountry of originNumber of patientsBlindingDiagnostic studyNAC regimenCointervention
Oldemeyer24 2003U.S.A.96DoubleCoronary angiography1500 mg po bid times 48 hours0.45% saline 1 mL/kg/hr 12 hours pre and 12 hours post
Loutrianakisa 2003U.S.A.47NoCoronary or peripheral angiography600 mg bid times 48 hours0.45% saline 1 mL/kg/hr (outpatients 4 h, inpatients 12 h)
Baker21 2003U.K.80NoCoronary angiography/angioplastyIV NAC 150 mg/kg over 30 minutes pre followed by 50 mg/kg over 4 hours0.9% saline 1 mL/kg/hr for 12 hours pre and 12 hours post (placebo)a
Le Feuvre2003France120NoCoronary angiography600 mg bid times 4 doses0.9% saline 1 mL/kg/hr for 12 hours pre and 12 hours post
Kay7 2003China200DoubleCoronary angiography/angioplasty600 mg po bid times 48 hours0.9% saline 1 mL/kg/hr 12 hours pre and 6 hours post
Durham8 2002U.S.A.79NSCoronary angiography/angioplasty1200 mg po 1 hr pre, 3 hrs post0.45% saline 1 mL/kg/hr 12 hours pre and 12 hours post
Briguori17 2002Italy183NoCoronary or peripheral angiography/angioplasty600 mg po bid, times 48 hours0.45% saline 1 mL/kg/hr 12 hours pre and 12 hours post
Diaz-Sandoval18 2002U.S.A.54DoubleCoronary angiography/angioplasty600 mg po bid, times 48 hours0.45% saline 1 mL/kg/hr 2–12 hours pre and 12 hours post
Shyu19 2002Taiwan121SingleCoronary angiography/angioplasty400 mg po bid, times 48 hours0.45% saline 1 mL/kg/hr 12 hours pre and 12 hours post
Vallero20 2002Italy100NoCoronary angiography600 mg po bid, times 48 hours0.45% saline 1 mL/kg/hr 2 hours pre for total of 24 hours
Allaqaband9 a 2002U.S.A.85NoCoronary or peripheral angiography600 mg po bid, times 48 hours0.45% saline 12 hours pre and 12 hours post
Kahlon2002U.S.A.51DoubleCoronary angiography600 mg po bid times 48 hours0.9% saline 1 mL/kg/hr 12 hours pre and 12 hours post‡
Ochoa23 2002U.S.A.80DoubleCoronary angiography/angioplasty1000 mg po 1 hour pre and 4 hours post0.45% saline, minimum volume 1000 mL
Azmus22 2002Brazil397DoubleCoronary angiography600 mg po bid times 2 doses pre and times 3 doses post cath2L 0.9% saline (1 L pre-, 1 L post-)
Tepel6 2000Germany83NoComputed tomography600 mg po bid, times 48 hours0.45% saline 12 hours pre and 12 hours post
Definition of CINVolume of contrast mL AgeFemale % Diabetic % Baseline serum creatinine mg/dL Non-ionic, low-molecular-weight contrast
25% increase in SCr or 0.5 mg/dL increase in serum SCr at 48 hours130.67645451.65Yes
25% increase in SCr1476731.9361.94Yes
25% increase in SCr at 48 hours230.26912.542.51.81Yes
25% increase in SCr at 48 hours176.56719301.91Yes
>25% increase in SCr within 48 hours after cath125.1 (median)6938.537.51.25Yes
0.5 mg/dL increase in SCr at 48 hours post cath 82.97134482.25Yes
25% increase in SCr at 48 hours or need for dialysis1976413.4361.53Yes
>25% increase in SCr or 0.5 mg/dL increase in SCr at 48 hours post cath1847320.2501.61Yes
0.5 mg/dL increase in serum SCr at 48 hours post cath117703263.52.8Yes
0.5 mg/dL or 33% increase in SCr at 48 hours post contrast203.96224230.91Yes
0.5 mg/dL increase in SCr at 48 hours121.57139482.12Yes
0.5 mg/dL increase in SCr at 96 hours post cath1246936632.06Yes
>25% increase in SCr or >0.5mg/dL at 48 hours post cath141.97156551.93Yes
25% increase in SCr or absolute increase in SCr 0.5 mg/dL at 24 to 48 hours post cath125.56641501.29No
0.5 mg/dL increase in SCr at 48 hours post cath 756643332.4Yes

 NAC recipients received 500 mL of intravenous saline during the procedure, and 500 mL over 4-hour post-procedure. Some participants received only a 70 mL/kg bolus of intravenous saline.

a These trials had three experimental arms: NAC, fenoldopam, and control. Table considers only the NAC and control arms.

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