This study examines the clinical relevance of early biomarkers to detect and prevent acute kidney injury. High-risk patients for developing acute kidney injury will be screened at initial presentation (emergency department and intensive care unit) for TIMP2xIGFBP7. In case of elevated readings patients will be randomized in two arms: The control group will be treated with standard care, the intervention group will receive an early nephrologic consultation.
This study examines the impact of an early biomarker-guided intervention on the development of acute kidney injury (AKI). New biomarkers indicate kidney damage in an early stage before developing acute kidney injury according to AKI Kidney Disease Improving Global Outcomes (KDIGO) Definition is detectable. The investigators want to test if it's possible to prevent AKI based on elevated urinary biomarkers. Eligible patients will be randomly assigned to two groups, a control and an intervention Group by an early nephrologic consultation. The interventional group will receive an early preventive nephrologist consultation additionally to standard care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
100
Robert-Bosch Hospital
Stuttgart, Germany
Incidence of AKI in both groups according to AKI KDIGO definition
Time frame: within 24 hours
Need for renal replacement therapy
Time frame: within 24 hours
Need for renal replacement therapy
Time frame: within 72 hours
Need for renal replacement therapy
Time frame: within 30 days
Need for renal replacement therapy
Time frame: within 60 days
Length of hospital stay
Time frame: within 30 days
Length of hospital stay
Time frame: within 60 days
Death
Time frame: within 30 days
Death
Time frame: within 60 days
Incidence of AKI in both groups according to AKI KDIGO definition
Time frame: within 72 hours
Severety of AKI in both groups according to AKI KDIGO definition
Time frame: within 72 hours
Incidence of AKI in both groups according to AKI KDIGO definition
Time frame: within 30 days
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Severity of AKI in both groups according to AKI KDIGO definition
Time frame: within 30 days
Incidence of AKI in both groups according to AKI KDIGO definition
Time frame: within 60 days
Severity of AKI in both groups according to AKI KDIGO definition
Time frame: within 60 days