Development of a Decision-making Aid for Referring Severe Kidney Injury Patients for Nephrology Consultations (IRA Cible)

Centre Hospitalier Universitaire de Nīmes

Status: Completed

Conditions: Chronic Kidney Diseases; Acute Kidney Injury

Treatments: Other: monitoring for progression to chronic kidney disease

Study type: Observational

Funder types: Other

Identifiers

NCT03192189

LOCAL/2016/OM-01

Details and patient eligibility

About

Acute kidney injury is a frequent and growing complication associated with a risk of progressing into a chronic kidney disease. Recent guidelines have recommended systematic consultations with a nephrologist 3-6 months following hospitalization. Risk factors of developing chronic kidney disease between hospital visits are understudied.

Enrollment: 319 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age >18 years
• Suffering from acute kidney injury treated with dialysis
• hospitalized in a university center from August 2016 to December 2017 with severe AKI defined according to 2 of the 3 criterion definitions of KDIGO stage AKI: an increase in SCr above 354 μmol/Lor renal replacement therapy (RRT) indication, but not the 3-fold increase in SCr increase within 7 days with SCr below 354 μmol/L.
• The patient has been informed and does not oppose the study
• The patient is insured or the beneficiary of a health insurance policy

Exclusion criteria

• The patients is under judicial protection or state guardianship
• Patient has chronic kidney disease(CKD) KDIGO stage 5
• It proves impossible to give the patient clear information
• patients living with kidney transplant
• plan dialysis for bilateral surgery nephrectomy
• patient refuse to participate and patients with no health insurance

Trial design

319 participants in 1 patient group

Patients with acute kidney injury

Description:

Requiring treatment with dialysis

Treatment:

Other: monitoring for progression to chronic kidney disease