The Impact of Multidisciplinary Nursing and Radiology Teams on Prevention of Contrast-Induced Nephropathy | ||||
Journal of Medical and Life Science | ||||
Articles in Press, Corrected Proof, Available Online from 06 September 2025 | ||||
Document Type: Original Article | ||||
DOI: 10.21608/jmals.2025.451347 | ||||
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Authors | ||||
Ahmed Shoei Ali Gharawi* 1; Mohammed Awad Ayid Alamri2; Tahani Salem Alsalem3; Turki Ayesh Almutiri3; Mahdi Mutlaq Mahdi Al-Subaie4; Mazen Aziz Alruwaili5; Bader Mater Alanazi5; Naif Eid Albanagi5; Ahmad Alrasheedi5; Majed Saad Sahman Alrasheedi5; Mazyad Alashhab Alkuwaykibi5; Majed Abdullah Saud Aljamili5; Abdulaziz Mohammed Alnasser2 | ||||
1King Of Saudi Arabia, Ministry of Defence, Armed Forces Hospital, Southern Region | ||||
2King of Saudi Arabia, Ministry of Defence, Prince Sultan Military Medical City | ||||
3King of Saudi Arabia, Ministry of Defence, Prince Sultan Military Medical City, Riyadh | ||||
4King Of Saudi Arabia, Ministry of Defence, Prince Sultan Military Medical City In Riyadh | ||||
5King of Saudi Arabia, Ministry of Defence | ||||
Abstract | ||||
Background: Contrast-induced nephropathy (CIN) is an important cause of acute kidney injury acquired in the hospital, accountable for increased morbidity, mortality, and healthcare costs, particularly in those who undergo contrast-enhanced imaging. Multidisciplinary nursing and radiology teams offer an unexplored strategy for CIN prevention through the delivery of coordinated care. Aim: This review contrasts the impact of combined nursing and radiology teams on CIN prevention, emphasizing risk stratification, hydration protocols, and contrast optimization. Methods: A systematic review was conducted incorporating evidence of CIN pathophysiology, risk factors, and prevention. Team-based intervention information, specialty-specific protocols, and outcomes were compiled. Results: Integrated teams successfully reduced the rate of CIN by 10–20% across interventional radiology, diagnostic CT, and cardiology clinics. Nurse-initiated hydration and risk assessment, along with radiologist-initiated contrast dose reduction, improved outcomes in high-risk groups. Barriers include inconsistent protocol adherence and knowledge gaps. Conclusion: Multidisciplinary radiology and nursing teams enhance CIN prevention with standard protocols and cross-disciplinary skills. Standardization of protocols and emerging technologies will have to be the target of forthcoming research to further reduce CIN rates. | ||||
Keywords | ||||
Contrast-induced nephropathy; nursing; combined teams; prevention; radiology | ||||
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