Referral Patterns for Hospital Acquired Acute Kidney Injury and Relevance to Renal Outcomes
HA-AKI
1 other identifier
observational
N/A
1 country
1
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).
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 23, 2010
CompletedFirst Posted
Study publicly available on registry
June 28, 2010
CompletedJune 28, 2010
August 1, 2010
June 23, 2010
June 25, 2010
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
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 Outcomes (1)
Referral patterns for hospital acquired acute kidney injury and relevance to renal outcomes
Study Arms (2)
nrHA-AKI patients
Patients with hospital-acquired acute kidney injury not referred to the nephrologists
lrHA-AKI patients
Patients with hospital-acquired acute kidney injury whao are late referred to the nephrologists
Interventions
Nephrologist specialty, renal replacement therapy
Eligibility Criteria
This study population consisted of patients who were hospitalized in the medical and surgical departments as well as in the intensive care untis (ICU) of the University Hospital of Lausanne (Centre Hospitalier Universitaire Vaudois \[CHUV\]) that is a tertiary care academic medical center. Patients with AKI coming from ICU in the medicine or surgery wards, and patients from medicine or surgery wards, who required a transfer to ICU during the hospital stay, were also included whatever the cause of the transfer.
You may qualify if:
- 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).
You may not qualify if:
- Patients with AKI at the time of the hospital admission and during the first
- hours after admission.
- Patients hospitalized in other wards.
- Children under 18.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Nephrology - CHCVs
Sion, 1951, Switzerland
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
June 23, 2010
First Posted
June 28, 2010
Last Updated
June 28, 2010
Record last verified: 2010-08