Chronic kidney disease
Conditions
Interventions
intervention:clinical decision support system
control:Usual Care practice
Sponsors
Peking University First Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Age> 18 years old 2. Community visits meet the diagnostic criteria for CKD, including: Estimated glomerular filtration rate based on serum creatinine-based CKD-EPI 30 mg/g 3. High-risk groups for CKD, including the following groups Diabetes, hypertension, cardiovascular disease, previous history of AKI, family history of kidney disease, kidney stones, obesity, advanced age (> 60 years); 4. The number of community medical visits is more than 2 times per year
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. Maintenance renal replacement therapy population 3. People who have less than 2 community medical visits per year and cannot regularly visit the community 4. Non-resident social security groups in Beijing
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiovascular disease event rate (coronary atherosclerotic heart disease, arrhythmia, non-fatal myocardial infarction, non-fatal stroke, heart failure, coronary heart disease-related surgical procedures, death from cardiovascular disease);Hospitalization rates for renal events in people at high risk of chronic kidney disease; | — |
Secondary
| Measure | Time frame |
|---|---|
| Kidney disease screening rate among high-risk groups of kidney disease visiting community medical clinics;underdiagnostic of chronic kidney disease;Referral rates for patients with high-risk renal disease who are indicated for referral to a nephrology specialist;Changes in the use of RAASi and diabetic nephropathy SGLT2i in patients with CKD with proteinuria;Blood pressure attainment rate (blood pressure less than 130/80mmHg) in patients with CKD;Blood glucose target rate of diabetic kidney disease (HbA1c<7%);Low-density cholesterol compliance rate (LDL-C<2.6mmol/L) in patients with CKD; | — |
Countries
China
Contacts
Public ContactJicheng Lv
Peking University First Hospital
Outcome results
None listed