Acute Renal Insufficiency
Conditions
Keywords
Nephrologists, Health Services, Outpatient, Patient Care Bundles
Brief summary
Various forms of organisation in the care of patients with akute kidney injury are investigated. In this prospective study the investigators compare the effect of usual care with the effect of intensive care. Primary endpoint is the development of cardiovascular events (major adverse cardiovascular events MACE).
Detailed description
The investigators plan to investigate the use of various organisation forms in the care of patients with the diagnosis of acute kidney injury in the hospital. This prospective study compares the effect of usual care with the effect of intensive care in the hospital and outpatient health care center. Primary endpoint is the development of cardiovascular events (major adverse cardiovascular events MACE). Patients with intensive care receive a nephrology consulting report and extensive information about acute kidney injury and the importance of ambulant follow-up care. The investigators hypothesise a better in-hospital treatment and an improvement of clinical course in the interventional group.
Interventions
OTHERNephrology care bundle
Nephrology care bundle
Sponsors
Ernst von Bergmann Hospital
University of Magdeburg
Medizinisches Versorgungszentrum Diaverum Potsdam
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Intervention model description
alternating cluster-randomised allocation of investigation-periods alternierende Cluster-randomisierte Zuordnung der Untersuchungszeiträume
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* men and women at the age of 18 or older * acute kidney injury according to KDIGO-guidelines * The patient (or his/ her authorised representative) is in the position and willing to give informed consent.
Exclusion criteria
* Patients, who received kidney transplantation * Patients on chronic dialysis at the time of enrolment * Patients who are placed in an institution by judicial or governmental order * Pregnancy * Infection with HI- or Infektionen mit HI- oder Hepatitis virus infektion * Participation in a clinical study with testing on drugs or medical devices (according to German Medicines Law or Medicinal Devices Act)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MACE | 12 months | major adverse cardiovascular event |
Countries
Germany
Contacts
Primary ContactMichael Haase, Prof
Backup ContactSaban Elitok, Dr
Outcome results
None listed