Acute kidney injury (AKI) is a common disease, but diagnosis is usually delayed or missed in hospitalized patients. The automated electronic alert for AKI may help to improve the outcomes of these patients through identifying all cases of AKI early. Therefore, the investigators conduct a randomly controlled study to test whether automated electronic alert for AKI could improve the outcomes of hospitalized patients.
Acute kidney injury (AKI) is a common disease, but diagnosis is usually delayed or missed in hospitalized patients. The automated electronic alert for AKI may help to improve the outcomes of these patients through identifying all cases of AKI early. Therefore, the investigators conduct a randomly controlled study to test whether automated electronic alert for AKI could improve the outcomes of hospitalized patients. The patients were randomly divided into two groups: Usual care : patients will receive standard clinical care by the primary physicians AKI alert : an AKI alert will be sent to the doctor in charge. The team of kidney experts would give a suggestion if the doctor in charge need a renal consultation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
DOUBLE
Enrollment
4,536
An AKI alert will send to the doctor in charge. The team of nephrologists would give suggestions if the doctor in charge need a renal consultation.
Patients will receive standard clinical care by the doctor in charge.
Jiangsu Province Hospital
Nanjing, Jiangsu, China
Estimated glomerular filtration rate changed within 7 days
Medical record
Time frame: within 7 days diagnosed with AKI
seven-day mortality
Medical record
Time frame: within 7 days diagnosed with AKI
30-day mortality
Medical record
Time frame: within 30 days diagnosed with AKI
1-year mortality
telephone follow-up
Time frame: within 1 year diagnosed with AKI
receiving renal replacement therapy at seventh day
Medical record
Time frame: 7 days
receiving renal replacement therapy at 30th day
telephone follow-up
Time frame: 30 days
receiving renal replacement therapy at 1 year
telephone follow-up
Time frame: 1 year
the rate of stage 2 AKI
Medical record
Time frame: within 7 days diagnosed with AKI
the rate of stage 3 AKI
Medical record
Time frame: within 7 days diagnosed with AKI
the rate of AKI recovery at 90 day
telephone follow-up
Time frame: 90 days
the rate of timely-recognition of AKI
Medical record
Time frame: 3 days
the interventions for AKI
Medical record
Time frame: within 7 days diagnosed with AKI
Follow-up rate after discharge
telephone follow-up
Time frame: 1 year
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