Use of Care Bundle in Acute Kidney Injury

NCT02534584 | Completed

• 1 other identifier: 1.0
• Study Type: observational
• Target: 944
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a service evaluation to assess the impact of compliance of Acute Kidney Injury care bundle (AKI-CB) on clinical and renal outcomes. The AKI care bundle is coupled with an interruptive electronic alert, which is triggered by the first attempt to order blood tests or medications on patients who have been identified as having AKI by the electronic recognition from serum creatinine results. The interruptive alert will warn the clinician about AKI and request them to complete the AKI care bundle. Once the AKI care bundle is completed, the clinician is able to request blood tests or medication. The clinician will be able to override the alert only after stating the reason. Education with respect to importance of AKI and the AKI-CB is provided every four months when junior doctors rotated through different specialities and also at clinical governance days. The investigators will compare AKI episodes, which have the AKI-CB completed early (defined as within 24 hours of availability of the blood results) with those who either had the AKI-CB completed late (defined as after 24 hours of availability of the blood results) or not completed at all. The AKI patients who either had the AKI-CB completed late or not completed will be considered as not having the AKI-CB completed for this analysis.

Conditions

Acute Kidney Injury

Keywords

acute kidney injury; outcome; mortality; care-bundle

Outcome Measures

Primary Outcomes (1)

• Mortality

  This is the average follow up

  1 year

Secondary Outcomes (2)

• Length of stay

  10 days

• Severity of AKI as measured by AKI stages

  10 days

Eligibility Criteria

• Age: 17 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

All adults patients with acute kidney injury

You may qualify if:

• All episodes of acute kidney injury in adults patients

You may not qualify if:

• Age less than 17 years
• Patients without acute kidney injury

Sponsors & Collaborators

• University Hospitals of Derby and Burton NHS Foundation Trust: lead

Study Sites (1)

Derby Hospital NHS Foundation Trust

Derby, Derbyshire, DE22 3NE, United Kingdom

Location

MeSH Terms

Conditions

Acute Kidney Injury

Condition Hierarchy (Ancestors)

Renal Insufficiency; Kidney Diseases; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases

Study Officials

• Nitin V Kolhe, MD, DM

  Derby Teaching Hospital NHS Trust

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Consultant Nephrologist

Study Record Dates

• First Submitted: August 23, 2015
• First Posted: August 27, 2015
• Study Start: August 1, 2013
• Primary Completion: January 1, 2015
• Study Completion: July 1, 2015
• Last Updated: August 27, 2015

Record last verified: 2015-08

Locations

GB (1)