Guidance
Update information
October 2024: We have reviewed the evidence and made new and updated recommendations, and a recommendation for research, on risk factors for acute kidney injury in adults having iodine-based contrast media. These recommendations are labelled [2024].
We have also made the following changes:
The eGFR for adults with chronic kidney disease in recommendation 1.2.9 was changed from less than 40 ml/min/1.73 m2 to less than 30 ml/min/1.73 m2 for consistency with the rest of the guideline. This is labelled [2013, amended 2024].
The term 'contrast-induced kidney injury' was updated to 'contrast-associated acute kidney injury' in recommendation 1.2.7 in line with current terminology.
A link to our guideline on decision making and mental capacity was added to recommendation 1.6.1.
December 2019: We have reviewed the evidence and made new recommendations on preventing acute kidney injury in adults having iodine-based contrast media. These recommendations are marked [2019].
Recommendations marked [2013] last had an evidence review in 2013. In some cases minor changes have been made to the wording to bring the language and style up to date, without changing the meaning.
Minor changes since publication
October 2021: We added a link to NICE's guideline on shared decision making, in recommendations 1.5.7, 1.5.10 and 1.6.1.
September 2021: In recommendation 1.3.1 we added a cross-reference to an algorithm endorsed by NHS England for early identification of acute kidney injury.
ISBN: 978-1-4731-6526-7