Acute Kidney Injury
Conditions
Interventions
experimental group:Application of CRRT decision aid based on usual treatment decision procedure in ICU
control group:usual treatment decision procedure in ICU
Sponsors
Southwest Hospital, Army Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 120 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria for surrogate decision makers 1) aged 18 years or older; 2) identified by the healthcare team as the patient's next of kin or legal representative for healthcare decision making; 3) able to speak, understand, read and write Chinese; 4) able to access web page by using phone or other internet devices and able to view images on them. Inclusion criteria for patients 1) aged 18 years or older; 2) ICU stay for greater than 48 hours; 3) not expected to death or transferred out of the ICU within 24 hours; 4) AKI diagnosis meets the 2012 KDIGO diagnostic criteria; 5) required CRRT by patient's attending physician and meets the CRRT indications; 6) lacks cognitive capacity, as determined by a Glasgow Coma Scale eye score of less than 3 or the motor score less than 6 and verifying the status by asking the patients's attending physician or advanced practice nurse whether he or she would obtain consent from the patient or a family member 7)has an identified SDM (next-of-kin or legal representative for healthcare decision making). Inclusion criteria for intensivists 1) engage in critical care medicine in ICU; 2) tailor the consultations for CRRT decision making.
Exclusion criteria
Exclusion criteria: Exclusion criteria for surrogate decision makers 1) unable to understand the purpose of this study after interpretations; 2) diagnosed with cognitive impairment or mental disease. Exclusion criteria for patients 1) brain death; 2) already treated by CRRT before ICU admission; 3) officially forgo life-sustaining treatments. Exclusion criteria for intensivists 1) unable to understand the purpose of this study after interpretations; 2) refuse to consult with surrogate decision makers for treatment decision.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the consistence of shared decision making between doctors and patients; | — |
Secondary
| Measure | Time frame |
|---|---|
| Surrogate Decision Making Self-Efficacy;decision conflict;decision fatigue;anxiety and depression; | — |
Countries
China
Contacts
Public ContactZheng Miao
Southwest Hospital, Army Medical University
Outcome results
None listed