Mortality, Renal Replacement Therapy
Conditions
Keywords
No referral, Late referral, Acute kidney injury, Intensive care unit, In-hospital mortality, Renal outcome, Requirement for renal replacement therapy, Length of hospital stay, Impact, Incidence
Brief summary
Few studies analyzed the referral time to nephrologists and its impact on the patient outcome in a large cohort. The investigators described the incidence and determined the outcome with respect to renal function recovery, renal replacement therapy (RRT) requirement and in-hospital mortality of Hospital Acquired Acute Kidney Injury (HA-AKI) without nephrology referral (nrHA-AKI) and late referred HA-AKI patients to nephrologists (lrHA-AKI) compared with early referral patients (erHA-AKI). The patients included were admitted to the tertiary care academic center of Lausanne (Switzerland) between 2004 and 2008, in the medical and surgical services and in the intensive care unit (ICU).
Interventions
OTHERNephrologist referral
Nephrologist specialty, renal replacement therapy
Sponsors
Centre Hospitalier Universitaire Vaudois
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Adult patients. * Hospitalization in the medicine and surgery wards and in the intensive care unit. * Hospitalized patients with acquired acute kidney injury according to the * Acute Kidney Injury Network (AKIN)criteria. * HA-AKI patients with no referral to the nephrologist (nrHA-AKI). * HA-AKI patients referred late (more than five days \[\> 5 days\]) to the nephrologist (lrHA-AKI). * HA-AKI patients early referred (within five days after sCr increase) to the nephrologist (erHA-AKI).
Exclusion criteria
* Patients with AKI at the time of the hospital admission and during the first * 48 hours after admission. * Patients hospitalized in other wards. * Children under 18.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Referral patterns for hospital acquired acute kidney injury and relevance to renal outcomes | — | Recovery of renal function during hospital stay. Requirement for renal replacement therapy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Referral patterns for hospital acquired acute kidney injury and relevance to renal outcomes | — | Length of hospital stay. In-hospital mortality. |
Countries
Switzerland
Outcome results
None listed