Since 2009, adult patients with acute kindney injury (AKI) at the department of Nephrology, Danderyd University Hospital and Karolinska Institutet, have been included in a prospective cohort. All patients were treated and evaluated according to a detailed clinical memorandum, and data collected prospectively. By 2020, 1861 patiens have been included of which 1519 fulfill current AKI criteria (as defined by KDIGO AKI guidelines) and will be evaluated regarding the following main research questions: 1. Descriptive study on patient characteristics, changes in biomarkers and in-hospital outcome. 2. One year outcome with focus on renal and cardiovascular outcomes. 3. Long-term outcome (up to 10 years) with focus on renal and cardiovascular outcomes.
Acure kidney injury (AKI) remains a complex clinical challenge associated with high risk for short-term and long-term adverse events. Since 2009 patients with AKI at the department of Nephrology, Danderyd University Hospital and Karolinska Institutet, have been included in a prospective cohort. Adult patients with either s-creatinine \>130 micromol/L and previously unknown level, or 30% increase from previous known level were included; patients on dialysis were not included. All patients were treated and evaluated according to a detailed clinical memorandum, and data collected prospectively. By 2020, 1861 patiens have been included of which 1519 fulfill current AKI criteria and will be evaluated regarding the following main research questions: 1. Descriptive study on in-hospital outcome (death, renal recovery), patient characteristics, hyperkalemia and changes in biomarkers reflecting inflammation, acidosis and malnutrition. 2. One year outcome with focus on renal and cardiovascular outcomes (death, new dialysis, worsened renal function, myocardial infarction, stroke, or heart failure; MARCE). 3. Long-term outcome (up to 10 years) with focus on renal and cardiovascular outcomes (MARCE).
Study Type
OBSERVATIONAL
Enrollment
1,861
Karolinska Institute at Danderyd University Hospital
Danderyd, Stockholm County, Sweden
Danderyd University Hospital
Stockholm, Sweden
In-hospital outcome
Death
Time frame: From admission until discharge or death, assessed for a period of up to 3 months
1-year outcome
Descriptive study on Major Adverse Renal or Cardiovascular Events (death, new dialysis, worsened renal function, myocardial infarction, stroke, or heart failure; MARCE)
Time frame: From admission until 1 year
Long-term outcome
Descriptive study on Major Adverse Renal or Cardiovascular Events (MARCE)
Time frame: From admission until 10 years
In-hospital partial renal recovery
Renal recovery by 30% at the time of discharge or death
Time frame: From admission until discharge or death, assessed for a period of up to 3 months
In-hospital renal recovery
Renal recovery by 50% at the time of discharge or death
Time frame: From admission until discharge or death, assessed for a period of up to 3 months
In-hospital biomarkers
Changes in biomarkers with focus on potassium, malnutrition, inflammation and acidosis
Time frame: From previous values or values at admission until discharge or death, assessed for a period of up to 3 months
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