An Electronic Alert System for In-Hospital Acute Kidney Injury

University of Pennsylvania

Status: Completed

Conditions: Acute Kidney Injury

Treatments: Other: Alert

Study type: Interventional

Funder types: Other

Identifiers

NCT01862419

817822

Details and patient eligibility

About

This study will randomize hospitalized patients with acute kidney injury (AKI) to usual care, or an electronic alert intervention. The electronic alert will be in the form of a text page that will be sent to the covering clinician and unit pharmacist once per patient with AKI at the time lab results are uploaded. The investigators hypothesize that such an alert will improve outcomes in these patients.

Enrollment: 2,393 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults >=18 years
• Admitted to the Hospital of the University of Pennsylvania for greater than 24 hours.

Exclusion criteria

• Dialysis order within 24 hours of admission
• Dialysis order prior to AKI onset
• Initial creatinine >=4.0mg/dl
• Prior admission in which patient was randomized.
• Nephrectomy during the admission
• Admission to hospice service
• Admission to observation status

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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2,393 participants in 2 patient groups

Alert

Experimental group

Description:

Text page sent to patient's covering provider and unit pharmacist informing them of the presence of AKI as detected by changes in serum creatinine.

Treatment:

Other: Alert

Usual Care

No Intervention group

Description:

Usual care arm. No alert will be provided to the patient's covering provider or unit pharmacist.