Referral Patterns for Hospital Acquired Acute Kidney Injury and Relevance to Renal Outcomes (HA-AKI)

Vaud University Hospital Center

Status

Completed

Conditions

Mortality

Renal Replacement Therapy

Treatments

Other: Nephrologist referral

Study type

Observational

Funder types

Other

Identifiers

NCT01151514

HA-AKI referral

Details and patient eligibility

About

Few studies analyzed the referral time to nephrologists and its impact on the patient outcome in a large cohort. The investigators described the incidence and determined the outcome with respect to renal function recovery, renal replacement therapy (RRT) requirement and in-hospital mortality of Hospital Acquired Acute Kidney Injury (HA-AKI) without nephrology referral (nrHA-AKI) and late referred HA-AKI patients to nephrologists (lrHA-AKI) compared with early referral patients (erHA-AKI). The patients included were admitted to the tertiary care academic center of Lausanne (Switzerland) between 2004 and 2008, in the medical and surgical services and in the intensive care unit (ICU).

Sex

All

Ages

18 to 90 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Adult patients.
Hospitalization in the medicine and surgery wards and in the intensive care unit.
Hospitalized patients with acquired acute kidney injury according to the
Acute Kidney Injury Network (AKIN)criteria.
HA-AKI patients with no referral to the nephrologist (nrHA-AKI).
HA-AKI patients referred late (more than five days [> 5 days]) to the nephrologist (lrHA-AKI).
HA-AKI patients early referred (within five days after sCr increase) to the nephrologist (erHA-AKI).

Exclusion criteria