Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review
This systematic review with meta-analysis sought to determine comparison of efficacy and safety of hydration with sodium bicarbonate versus sodium chloride on contrast induced nephropathy and clinical outcomes. We searched major electronic databases for studies in randomized controlled trials. A val...
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| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2015/690308 |
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| author | Sadegh Ali-Hassan-Sayegh Seyed Jalil Mirhosseini Elham Rahimizadeh Zahra Ghodratipour Zahra Sarrafan-Chaharsoughi Ali Mohammad Dehghan Mohammad Reza Lotfaliani Mohammad Rezaeisadrabadi Elham Kayvanpour Farbod Sedaghat-Hamedani Mohamed Zeriouh Alexander Weymann Anton Sabashnikov Aron-Frederik Popov |
| author_facet | Sadegh Ali-Hassan-Sayegh Seyed Jalil Mirhosseini Elham Rahimizadeh Zahra Ghodratipour Zahra Sarrafan-Chaharsoughi Ali Mohammad Dehghan Mohammad Reza Lotfaliani Mohammad Rezaeisadrabadi Elham Kayvanpour Farbod Sedaghat-Hamedani Mohamed Zeriouh Alexander Weymann Anton Sabashnikov Aron-Frederik Popov |
| author_sort | Sadegh Ali-Hassan-Sayegh |
| collection | DOAJ |
| description | This systematic review with meta-analysis sought to determine comparison of efficacy and safety of hydration with sodium bicarbonate versus sodium chloride on contrast induced nephropathy and clinical outcomes. We searched major electronic databases for studies in randomized controlled trials. A value of P<0.1 for Q test or I2>50% indicated significant heterogeneity between the studies. Literature search of all databases retrieved 650 studies. 29 studies enrolled in meta-analysis. Pooled analysis indicated about the incidence of CIN (OR of 0.718; 95% CI: 0.60 to 0.85; P=0.000), requirement of hemodialysis (OR of 1.00; 95% CI: 0.49 to 2.01; P=0.9), mean changes of serum creatinine (WMD of 2.321; 95% CI: 1.995 to 2.648; P=0.000), length of hospital stays (WMD of −0.774; 95% CI: −1.65 to 0.10; P=0.08), major adverse cardiovascular events (OR = 1.075, 95% CI: 0.59 to 1.95; P=0.8), and mortality (OR of 0.73; 95% CI: 0.42 to 1.26; P=0.2). Overall, hydration with sodium bicarbonate could significantly reduce CIN and the length of hospital stay compared to sodium chloride. In addition NAC added as a supplement to sodium bicarbonate could increase prophylactic effects against nephropathy. |
| format | Article |
| id | doaj-art-2f5f356f5f234ef39a5028f978b8ccfb |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-2f5f356f5f234ef39a5028f978b8ccfb2025-08-20T03:55:16ZengWileyCardiology Research and Practice2090-80162090-05972015-01-01201510.1155/2015/690308690308Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic ReviewSadegh Ali-Hassan-Sayegh0Seyed Jalil Mirhosseini1Elham Rahimizadeh2Zahra Ghodratipour3Zahra Sarrafan-Chaharsoughi4Ali Mohammad Dehghan5Mohammad Reza Lotfaliani6Mohammad Rezaeisadrabadi7Elham Kayvanpour8Farbod Sedaghat-Hamedani9Mohamed Zeriouh10Alexander Weymann11Anton Sabashnikov12Aron-Frederik Popov13Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranCardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranCardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranCardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranCardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranCardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranCardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranCardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, IranDepartment of Medicine III, University of Heidelberg, Heidelberg, GermanyDepartment of Medicine III, University of Heidelberg, Heidelberg, GermanyDepartment of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust, London, UKDepartment of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust, London, UKDepartment of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust, London, UKDepartment of Cardiothoracic Transplantation and Mechanical Circulatory Support, Royal Brompton & Harefield NHS Foundation Trust, London, UKThis systematic review with meta-analysis sought to determine comparison of efficacy and safety of hydration with sodium bicarbonate versus sodium chloride on contrast induced nephropathy and clinical outcomes. We searched major electronic databases for studies in randomized controlled trials. A value of P<0.1 for Q test or I2>50% indicated significant heterogeneity between the studies. Literature search of all databases retrieved 650 studies. 29 studies enrolled in meta-analysis. Pooled analysis indicated about the incidence of CIN (OR of 0.718; 95% CI: 0.60 to 0.85; P=0.000), requirement of hemodialysis (OR of 1.00; 95% CI: 0.49 to 2.01; P=0.9), mean changes of serum creatinine (WMD of 2.321; 95% CI: 1.995 to 2.648; P=0.000), length of hospital stays (WMD of −0.774; 95% CI: −1.65 to 0.10; P=0.08), major adverse cardiovascular events (OR = 1.075, 95% CI: 0.59 to 1.95; P=0.8), and mortality (OR of 0.73; 95% CI: 0.42 to 1.26; P=0.2). Overall, hydration with sodium bicarbonate could significantly reduce CIN and the length of hospital stay compared to sodium chloride. In addition NAC added as a supplement to sodium bicarbonate could increase prophylactic effects against nephropathy.http://dx.doi.org/10.1155/2015/690308 |
| spellingShingle | Sadegh Ali-Hassan-Sayegh Seyed Jalil Mirhosseini Elham Rahimizadeh Zahra Ghodratipour Zahra Sarrafan-Chaharsoughi Ali Mohammad Dehghan Mohammad Reza Lotfaliani Mohammad Rezaeisadrabadi Elham Kayvanpour Farbod Sedaghat-Hamedani Mohamed Zeriouh Alexander Weymann Anton Sabashnikov Aron-Frederik Popov Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review Cardiology Research and Practice |
| title | Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review |
| title_full | Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review |
| title_fullStr | Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review |
| title_full_unstemmed | Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review |
| title_short | Current Status of Sodium Bicarbonate in Coronary Angiography: An Updated Comprehensive Meta-Analysis and Systematic Review |
| title_sort | current status of sodium bicarbonate in coronary angiography an updated comprehensive meta analysis and systematic review |
| url | http://dx.doi.org/10.1155/2015/690308 |
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