The Impact of Multidisciplinary Nursing and Radiology Teams on Prevention of Contrast-Induced Nephropathy

Gharawi, Ahmed Shoei Ali; Alamri, Mohammed Awad Ayid; Alsalem, Tahani Salem; Almutiri, Turki Ayesh; Al-Subaie, Mahdi Mutlaq Mahdi; Alruwaili, Mazen Aziz; Alanazi, Bader Mater; Albanagi, Naif Eid; A Lrasheedi, Ahmad Hamed Mojab; Alrasheedi, Majed Saad Sahman; Alkuwaykibi, Mazyad Alashhab; Aljamili, Majed Abdullah Saud; Alnasser, Abdulaziz Mohammed

doi:10.21608/jmals.2025.451347

The Impact of Multidisciplinary Nursing and Radiology Teams on Prevention of Contrast-Induced Nephropathy

Document Type : Original Article

Authors

¹ King Of Saudi Arabia, Ministry of Defence, Armed Forces Hospital, Southern Region

² King of Saudi Arabia, Ministry of Defence, Prince Sultan Military Medical City

³ King of Saudi Arabia, Ministry of Defence, Prince Sultan Military Medical City, Riyadh

⁴ King Of Saudi Arabia, Ministry of Defence, Prince Sultan Military Medical City In Riyadh

⁵ King Of Saudi Arabia, Ministry of Defence, Northern Armed Forces Hospital

10.21608/jmals.2025.451347

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