Jurnal Farmasi Klinik Indonesia
Vol 11, No 3 (2022)

The Effect of N-Acetylcysteine on Glomerulus Filtration Rate in Patients with Chronic Kidney Disease Post Percutaneous Coronary Intervention

Putu Rika Veryanti (Institut Sains dan Teknologi Nasional)
Gamaliel Agripa (Institut Sains dan Teknologi Nasional)
Ketut Agus Adrianta (Universitas Mahasaraswati Denpasar)



Article Info

Publish Date
03 Nov 2023

Abstract

The use of contrast for percutaneous coronary intervention (PCI) procedures in chronic kidney disease (CKD) patients can worsen kidney function. N-Acetylcysteine is widely used as a preventive therapy for contrast-induced nephropathy (CIN). However, previous studies have shown inconsistent results, so that further research regarding the effectiveness of N-Acetylcysteine to prevent CIN is needed. This study aimed to determine the effect of N-Acetylcysteine on glomerulus filtration rate (GFR) in patients with CKD who underwent PCI. This research was conducted at Jakarta's national central general hospitals from July to December 2019 with a retrospective study design. Through the purposive sampling method, we obtained 72 samples. The sample was selected from the patient's medical records in the period January-June 2019. Patients who underwent PCI and had a history of CKD were included in the study. The data were analyzed by t and chi-square tests to determine the effect of N-Acetylcysteine on the patient's GFR. The results showed that CKD patients underwent PCI were dominated by male (61.11% vs 38.89%) and 33.33% of patients aged 55-64 years. Most patients had GFR values between 30-59.99 ml/min/1.73m2 with 100 ml of contrast administration. The ratio of contrast amount to GFR > 3.7 was found in 47.22% of patients. The administration of N-Acetylcysteine as a preventive therapy for CIN post-PCI increased the GFR value of CKD patients by 2.69±5.72. N-Acetylcysteine had a significant effect on the GFR of post-PCI CKD patients (p=0.000).

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Journal Info

Abbrev

ijcp

Publisher

Subject

Description

Indonesian Journal of Clinical Pharmacy (IJCP) is a scientific publication on all aspect of clinical pharmacy. It published 4 times a year by Clinical Pharmacy Master Program Universitas Padjadjaran to provide a forum for clinicians, pharmacists, and other healthcare professionals to share best ...