Contrast induced acute kidney injury

Jon Griffin made this Freedom of Information request to West Suffolk NHS Foundation Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was successful.

Dear West Suffolk NHS Foundation Trust,

The following questions concern patients undergoing radiological investigations or procedures involving iodinated contrast media (this would involve the departments of radiology, vascular, MAU and renal):

1. Does your institution have specific guidelines/policy for the recognition and management of patients at risk of contrast induced acute kidney injury (CI-AKI) for the following procedures:
a. contrast enhanced CT scans
b. angiogram, angioplasty and stenting
c. endovascular aneurysm repair (EVAR)

2. If available please send the guidelines/policy by email.

3. When was this guideline last reviewed and/or revised?

4. What strategies does your institution use to manage patients at risk of CI-AKI?

5. Do you routinely involve a renal physician in the pre and post procedure management of patients at risk of CI-AKI who are having a contrast enhanced investigation or interventional procedure?

6. Do patients at risk of CI-AKI routinely have post procedure serum urea, creatinine, eGFR and electrolytes measured? If so, at what time post procedure does this happen?

Yours faithfully,

Jon Griffin

FOI, West Suffolk NHS Foundation Trust

Request under Freedom of Information Act 2000

Acknowledgement

Thank you for your correspondence which was received by the Trust on 3 December 2012

Under the Freedom of Information (FOI) Act 2000 we are required to provide a response within 20 working days. You should expect to receive a response by 3 January 2013. However your request will be processed as soon as possible. We will advise you if we do not hold the information requested or it falls within one of the exemptions laid down in the Act.

Your request has been given the reference number FOI 12-1432 Please use this reference in all future correspondence regarding this request.

We will contact you if we require clarification on your request.

FOI Team
West Suffolk Hospital NHS Trust

show quoted sections

FOI, West Suffolk NHS Foundation Trust

2 Attachments

Dear Jon Griffin,

 

I am writing to confirm that the West Suffolk NHS Foundation Trust has now
completed its search for the information which you requested on 3^rd
December 2012:

 

The following questions concern patients undergoing radiological
investigations or procedures involving iodinated contrast media (this
would involve the departments of radiology, vascular, MAU and renal):

    

1.         Does your institution have specific guidelines/policy for the
recognition and management of patients at risk of contrast induced acute
kidney injury (CI-AKI) for the following procedures:

a.    contrast enhanced CT scans - Yes

b.    angiogram, angioplasty and stenting - Yes

c.    endovascular aneurysm repair (EVAR) – Not applicable

    

2.      If available please send the guidelines/policy by email. - Please
see attachments. Please also note risk of CI-AKI in MRI scanning which is
covered by SOP8. The SOP was written by cross sectional imaging as they
are the greatest users of contrast but its implementation covers any use
of contrast within radiology, as you will see from the introductory
paragraph. It would also cover an IVU in the very rare instance that one
is required.  

    

3.         When was this guideline last reviewed and/or revised? - Please
see attachments.

    

4.         What strategies does your institution use to manage patients at
risk of CI-AKI? - Please see attachments.

    

5.         Do you routinely involve a renal physician in the pre and post
procedure management of patients at risk of CI-AKI who are having a
contrast enhanced investigation or interventional procedure? - Patient is
referred back to referring clinician for ongoing management

 

6.      Do patients at risk of CI-AKI routinely have post procedure serum
urea, creatinine, eGFR and electrolytes measured? If so, at what time post
procedure does this happen? - No, patients at risk are not scanned. If a
decision is taken to scan a patient at risk then the referring clinician
will be responsible for ongoing patient management post procedure, rather
than the radiology service.

 

The information supplied to you continues to be protected by the
Copyright, Designs and Patents Act 1988. You are free to use it for your
own purposes, including any noncommercial research you are doing and for
the purposes of news reporting. Any other reuse, for example commercial
publication, would require the permission of the copyright holder. Most
documents supplied by West Suffolk Hospital NHS Trust will have been
produced by government officials and will be Crown Copyright. You can find
details on the arrangements for re-using Crown Copyright on HMSOnline at:

 

[1]http://www.hmso.gov.uk/copyright/licence...

 

Information you receive which is not subject to Crown Copyright continues
to be protected by the copyright of the person, or organisation, from
which the information originated. You must ensure that you gain their
permission before reproducing any third party (non Crown Copyright)
information.

 

If you have any queries about this letter, please contact me. Please
remember to quote the reference number above in any future communications.

 

If you are unhappy with the service you have received in relation to your
request and wish to make a complaint or request a review of our decision,
you should write to. Chief Executive, West Suffolk NHS Foundation Trust,
Hardwick Lane, Bury St Edmunds, Suffolk, IP33 2QZ

 

If you are not content with the outcome your complaint, you may apply
directly to the Information Commissioner for a decision. Generally, the
ICO cannot make a decision unless you have exhausted the complaints
procedure provided by West Suffolk Hospital NHS Trust.

 

The Information Commissioner can be contacted at: The Information
Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9
5AF.

 

Yours sincerely,

 

Melanie

 

Melanie Johnson

Data Quality Manager

Information Governance

G3 to G5 corridor

West Suffolk Hospital NHS Foundation Trust

Hardwick Lane

BURY ST EDMUNDS

Suffolk

IP33 2QZ

 

Tel 01284 713043

If you intend to send patient identifiable information please email from
an nhs.net account to [2][email address]

PSavePaper - Do you really need to print this-mail?

show quoted sections

References

Visible links
1. http://www.hmso.gov.uk/copyright/licence...
2. mailto:[email address]