Dialyzing Wisely - Improving the Delivery of Acute Renal Replacement Therapy to Albertans

University of Alberta

Status: Enrolling

Conditions: Acute Renal Injury

Treatments: Other: KPI reports; Other: Prescriber reports

Study type: Observational

Funder types: Other

Identifiers

NCT05186636

Pro00112499

Details and patient eligibility

About

Implementation of an evidence-based and best practices acute RRT pathway aiming to decrease acute RRT program and healthcare systems costs while improving important patient-reported outcomes.

Full description

Providing acute dialysis to critically ill patients in ICU settings is resource and cost intensive. The daily costs of acute dialysis can range from $528/day for intermittent hemodialysis to $865/day for continuous renal replacement therapy. Providing acute dialysis in ICU settings requires a specialized team of nurses, educators, physicians and stakeholders to ensure its safe and effective prescription and delivery. Acute dialysis is typically delivered to some of the most acutely ill patients admitted to the ICU to support organ function and sustain life.

At present, there is not a standardized approach to the prescription and delivery of acute dialysis therapy in ICUs across Alberta. The DIALYZING WISELY program will implement a standardized approach to the delivery of best practices for acute dialysis therapy to all patients who receive treatment across ICUs in Alberta.

Enrollment: 4,500 estimated patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

Patient in one of 15 adult and 3 pediatric intensive care units in Alberta Receive acute RRT as part of their usual clinical care during the intervention period

Exclusion criteria

• none

Trial design

4,500 participants in 1 patient group

ICU patients receiving renal replacement therapy

Description:

All patients in participating ICU's receiving CRRT or IRRT during the study period

Treatment:

Other: Prescriber reports

Other: KPI reports