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 auditWhy do the audit?What it involves for you

Background

• Acute Kidney Injury:• Common• High Morbidity• Expensive• Scanning more patients• Scanning sicker patients

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&Publi

cationID=391

Problems

• Logistics• Cost and Time• Scepticism

Summary

• Important- High Risk- High Cost of non compliance- Common• Changing practice

Audit 1 Survey

• Do you have a protocol for CI-AKI?• Does Protocol conform to guidance?• Quick and easy to complete

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

Summary

• Important audit – controversial area• Easy and quick to take part• Please contribute to provide a picture of

current UK practice and inform debate