TABLE 1
FROM:
Systematic review of the impact of N-acetylcysteine on contrast nephropathy
NEESH PANNU, BRADEN MANNS, HELEN LEE and MARCELLO TONELLI
BACK TO ARTICLETable 1. Study characteristics
| First author | Publication year | Country of origin | Number of patients | Blinding | Diagnostic study | NAC regimen | Cointervention |
|---|---|---|---|---|---|---|---|
| Oldemeyer24 | 2003 | U.S.A. | 96 | Double | Coronary angiography | 1500 mg po bid 48 hours | 0.45% saline 1 mL/kg/hr 12 hours pre and 12 hours post |
| Loutrianakisa | 2003 | U.S.A. | 47 | No | Coronary or peripheral angiography | 600 mg bid 48 hours | 0.45% saline 1 mL/kg/hr (outpatients 4 h, inpatients 12 h) |
| Baker21 | 2003 | U.K. | 80 | No | Coronary angiography/angioplasty | IV NAC 150 mg/kg over 30 minutes pre followed by 50 mg/kg over 4 hours | 0.9% saline 1 mL/kg/hr for 12 hours pre and 12 hours post (placebo)a |
| Le Feuvre | 2003 | France | 120 | No | Coronary angiography | 600 mg bid 4 doses | 0.9% saline 1 mL/kg/hr for 12 hours pre and 12 hours post |
| Kay7 | 2003 | China | 200 | Double | Coronary angiography/angioplasty | 600 mg po bid 48 hours | 0.9% saline 1 mL/kg/hr 12 hours pre and 6 hours post |
| Durham8 | 2002 | U.S.A. | 79 | NS | Coronary angiography/angioplasty | 1200 mg po 1 hr pre, 3 hrs post | 0.45% saline 1 mL/kg/hr 12 hours pre and 12 hours post |
| Briguori17 | 2002 | Italy | 183 | No | Coronary or peripheral angiography/angioplasty | 600 mg po bid, 48 hours | 0.45% saline 1 mL/kg/hr 12 hours pre and 12 hours post |
| Diaz-Sandoval18 | 2002 | U.S.A. | 54 | Double | Coronary angiography/angioplasty | 600 mg po bid, 48 hours | 0.45% saline 1 mL/kg/hr 2–12 hours pre and 12 hours post |
| Shyu19 | 2002 | Taiwan | 121 | Single | Coronary angiography/angioplasty | 400 mg po bid, 48 hours | 0.45% saline 1 mL/kg/hr 12 hours pre and 12 hours post |
| Vallero20 | 2002 | Italy | 100 | No | Coronary angiography | 600 mg po bid, 48 hours | 0.45% saline 1 mL/kg/hr 2 hours pre for total of 24 hours |
| Allaqaband9 a | 2002 | U.S.A. | 85 | No | Coronary or peripheral angiography | 600 mg po bid, 48 hours | 0.45% saline 12 hours pre and 12 hours post |
| Kahlon | 2002 | U.S.A. | 51 | Double | Coronary angiography | 600 mg po bid 48 hours | 0.9% saline 1 mL/kg/hr 12 hours pre and 12 hours post‡ |
| Ochoa23 | 2002 | U.S.A. | 80 | Double | Coronary angiography/angioplasty | 1000 mg po 1 hour pre and 4 hours post | 0.45% saline, minimum volume 1000 mL |
| Azmus22 | 2002 | Brazil | 397 | Double | Coronary angiography | 600 mg po bid 2 doses pre and 3 doses post cath | 2L 0.9% saline (1 L pre-, 1 L post-) |
| Tepel6 | 2000 | Germany | 83 | No | Computed tomography | 600 mg po bid, 48 hours | 0.45% saline 12 hours pre and 12 hours post |
| Definition of CIN | Volume of contrast mL | Age | Female % | 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 hours | 130.6 | 76 | 45 | 45 | 1.65 | Yes |
25% increase in SCr | 147 | 67 | 31.9 | 36 | 1.94 | Yes |
25% increase in SCr at 48 hours | 230.2 | 69 | 12.5 | 42.5 | 1.81 | Yes |
25% increase in SCr at 48 hours | 176.5 | 67 | 19 | 30 | 1.91 | Yes |
| >25% increase in SCr within 48 hours after cath | 125.1 (median) | 69 | 38.5 | 37.5 | 1.25 | Yes |
0.5 mg/dL increase in SCr at 48 hours post cath | 82.9 | 71 | 34 | 48 | 2.25 | Yes |
25% increase in SCr at 48 hours or need for dialysis | 197 | 64 | 13.4 | 36 | 1.53 | Yes |
>25% increase in SCr or 0.5 mg/dL increase in SCr at 48 hours post cath | 184 | 73 | 20.2 | 50 | 1.61 | Yes |
0.5 mg/dL increase in serum SCr at 48 hours post cath | 117 | 70 | 32 | 63.5 | 2.8 | Yes |
0.5 mg/dL or 33% increase in SCr at 48 hours post contrast | 203.9 | 62 | 24 | 23 | 0.91 | Yes |
0.5 mg/dL increase in SCr at 48 hours | 121.5 | 71 | 39 | 48 | 2.12 | Yes |
0.5 mg/dL increase in SCr at 96 hours post cath | 124 | 69 | 36 | 63 | 2.06 | Yes |
| >25% increase in SCr or >0.5mg/dL at 48 hours post cath | 141.9 | 71 | 56 | 55 | 1.93 | Yes |
25% increase in SCr or absolute increase in SCr 0.5 mg/dL at 24 to 48 hours post cath | 125.5 | 66 | 41 | 50 | 1.29 | No |
0.5 mg/dL increase in SCr at 48 hours post cath | 75 | 66 | 43 | 33 | 2.4 | Yes |
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.

48 hours
25% increase in SCr or