Referral Patterns for Hospital Acquired Acute Kidney Injury and Relevance to Renal Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 试验地点
- 1
- 主要终点
- Referral patterns for hospital acquired acute kidney injury and relevance to renal outcomes
研究概览
简要总结
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).
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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).
排除标准
- •Patients with AKI at the time of the hospital admission and during the first
- •48 hours after admission.
- •Patients hospitalized in other wards.
- •Children under 18.
结局指标
主要结局
Referral patterns for hospital acquired acute kidney injury and relevance to renal outcomes
Recovery of renal function during hospital stay. Requirement for renal replacement therapy.
次要结局
- Referral patterns for hospital acquired acute kidney injury and relevance to renal outcomes