Effect of Medical Care on Health Status in Acute Kidney Injury

NCT ID: NCT04929730

Last Updated: 2022-04-12

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

600 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-08

Study Completion Date

2023-11-30

Brief Summary

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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

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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.

Conditions

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Acute Renal Insufficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

alternating cluster-randomised allocation of investigation-periods alternierende Cluster-randomisierte Zuordnung der Untersuchungszeiträume
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Control group

Patients with an acute kidney injury in laborytory testing receive usual care. Nephrology co-supervision only on enquiry of the ward physician

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventional group

Patients with an acute kidney injury in laborytory testing receive nephrology co-supervision in hospital and information about the importance of ambulant follow-up care.

Group Type OTHER

Nephrology care bundle

Intervention Type OTHER

Nephrology care bundle

Interventions

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Nephrology care bundle

Nephrology care bundle

Intervention Type OTHER

Eligibility Criteria

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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)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ernst von Bergmann Hospital

OTHER

Sponsor Role collaborator

University of Magdeburg

OTHER

Sponsor Role collaborator

Medizinisches Versorgungszentrum Diaverum Potsdam

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Haase, Prof

Role: PRINCIPAL_INVESTIGATOR

Medizinische Fakultät d. Otto-v-Guericke-Universität Magdeburg, MVZ Diaverum Am Neuen Garten Potsdam

Locations

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Ernst von Bergmann Hospital

Potsdam, Brandenburg, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Michael Haase, Prof

Role: CONTACT

49331280 ext. 6911

Saban Elitok, Dr

Role: CONTACT

49331241 ext. 38502

Facility Contacts

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Saban Elitok, Dr. med.

Role: primary

0049331241 ext. 38502

Annemarie Albert, Dr. med.

Role: backup

0049331241 ext. 36341

References

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Haase M, Kribben A, Zidek W, Floege J, Albert C, Isermann B, Robra BP, Haase-Fielitz A. Electronic Alerts for Acute Kidney Injury. Dtsch Arztebl Int. 2017 Jan 9;114(1-02):1-8. doi: 10.3238/arztebl.2017.0001.

Reference Type BACKGROUND
PMID: 28143633 (View on PubMed)

Holmes J, Rainer T, Geen J, Roberts G, May K, Wilson N, Williams JD, Phillips AO; Welsh AKI Steering Group. Acute Kidney Injury in the Era of the AKI E-Alert. Clin J Am Soc Nephrol. 2016 Dec 7;11(12):2123-2131. doi: 10.2215/CJN.05170516. Epub 2016 Oct 28.

Reference Type BACKGROUND
PMID: 27793961 (View on PubMed)

Lachance P, Villeneuve PM, Rewa OG, Wilson FP, Selby NM, Featherstone RM, Bagshaw SM. Association between e-alert implementation for detection of acute kidney injury and outcomes: a systematic review. Nephrol Dial Transplant. 2017 Feb 1;32(2):265-272. doi: 10.1093/ndt/gfw424.

Reference Type BACKGROUND
PMID: 28088774 (View on PubMed)

Chawla LS, Amdur RL, Shaw AD, Faselis C, Palant CE, Kimmel PL. Association between AKI and long-term renal and cardiovascular outcomes in United States veterans. Clin J Am Soc Nephrol. 2014 Mar;9(3):448-56. doi: 10.2215/CJN.02440213. Epub 2013 Dec 5.

Reference Type BACKGROUND
PMID: 24311708 (View on PubMed)

Other Identifiers

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1.1

Identifier Type: -

Identifier Source: org_study_id

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