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Lance Cope on behalf of CRAC

This audit aims to assess the prevention and detection of acute kidney injury in adult patients receiving iodinated contrast media injections. Acute kidney injury is common, costly, and affects sicker patients more, highlighting the importance of adhering to clinical guidelines for its management. By participating in this audit through surveys and data collection, you can contribute to shaping current UK practices and informing discussions on this critical issue.

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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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