N17.9
Conditions
Interventions
Group 1: patients with acute kidney injury and usual care, Nephrology referral may be requested
Group 2: intensified care, all patients with acute kidney injury (AKI) receive Nephrology referral, for
Sponsors
Universitätsklinikum Magdeburg
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients treated at non-Nephrology normal wards with acute kidney injury, ability for health judgement
Exclusion criteria
Exclusion criteria: -chronic dialysis or Organ transplantation, patients on renal wards, patients on ICU, <18 years, infaust prognosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Renal recovery (Proportions of patients, mL/min) according to recommendations by the KDIGO Initiative (serum creatinine, proteinuria) at hospital discharge | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.) Patient-related: -proportions of patients with renal recovery at day 90 after AKI (Acute Kidney Injury), eGFR-loss(ml/min) at day 90 after AKI; AKI-severity and -duration, Proportion of patients with AKI-progression (Stage 1->2, 1->3, 2->3), de-novo or or progression of chronic kidney disease at Hospital discharge and at day 90 after AKI (Change of CKD stage, eGFR loss, novel proteinuria, increase of known proteinuria), proportions of patients with: renal acidosis, hyperkalemia, (lung)oedema, iv diuretics for Treatment of hypervolemia, length of stay ICU-/hospital, Proportion of patients with re-hospitalization (AKI as cause?), Proportion of patients with renal replacement therapy, renal replacement therapy-free days at 90 days after AKI, Letality (hospital/at day 90 after AKI), Patient-reported Quality of life (short form health questionnaire) 2.) Process-related: - diagnostic delay: from AKI-diagnosis until AKI-Documentation in Patient Chart or induction of Treatment, therapeutic delay: from AKI-Diagnosis until und induction of treatment, state of care, Proportion of diagnostic/therapeutic measures, documentation of AKI and other kidney-related diagnoses in patients Chart/discharge letter, frequency of kidney function measurement, e.g. Serum creatinine, estimation of treatment/documentation effort | — |
Countries
Germany
Contacts
Public ContactMichael Haase
KfH Nierenzentrum Magdeburg
Outcome results
None listed