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

Centre Hospitalier Universitaire Vaudois

Overview

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).

Study Type

OBSERVATIONAL

Conditions

Renal Replacement Therapy Mortality

Interventions

Nephrologist referralOTHER

Nephrologist specialty, renal replacement therapy

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

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.

Locations (1)

Nephrology - CHCVs

Sion, Switzerland

Outcomes

Primary Outcomes

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

Referral patterns for hospital acquired acute kidney injury and relevance to renal outcomes

Length of hospital stay. In-hospital mortality.

Data from ClinicalTrials.gov

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