Referral Patterns for Hospital Acquired Acute Kidney Injury and Relevance to Renal Outcomes

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Study Classification

OBSERVATIONAL

Brief Summary

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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).

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Detailed Description

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Conditions

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Renal Replacement Therapy Mortality

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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nrHA-AKI patients

Patients with hospital-acquired acute kidney injury not referred to the nephrologists

Nephrologist referral

Intervention Type OTHER

Nephrologist specialty, renal replacement therapy

lrHA-AKI patients

Patients with hospital-acquired acute kidney injury whao are late referred to the nephrologists

Nephrologist referral

Intervention Type OTHER

Nephrologist specialty, renal replacement therapy

Interventions

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Nephrologist referral

Nephrologist specialty, renal replacement therapy

Intervention Type OTHER

Other Intervention Names

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Control group: early-referred patients with HA-AKI.

Eligibility Criteria

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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.

Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No