NCT07670520招募中不适用
Acute Kidney Injury In Care Transitions (ACT): Pragmatic Clinical Trial
适应症
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Mayo Clinic
- 入组人数
- 2,260
- 试验地点
- 3
- 主要终点
- Hospital-Free Days
研究概览
简要总结
The purpose of this study is to determine the effect of a multidisciplinary intervention at care transitions for acute kidney injury survivors on patient-centered outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Clinician subjects
- •Hospital clinicians including physicians and advanced practice providers employed by Mayo Clinic and practicing at one of the four study sites
- •Provide care for hospitalized patients with stage 2 or stage 3 acute kidney injury (AKI) who are expected to be discharged home and are not receiving dialysis
- •Patient subjects:
- •Adults ≥18 years old
- •Meet KDIGO consensus criteria for stage 2 (moderate) or 3 (severe) AKI
- •Residence within the study catchment area (southern Minnesota, northern Iowa, or western Wisconsin)
排除标准
- •Clinician subjects: Physicians and advanced practice providers who:
- •Care exclusively for pediatric patients (<18 years)
- •Care exclusively for patients on palliative care
- •Patient subjects
- •Discharged to hospice care
- •Require outpatient dialysis at discharge
- •Are admitted from or expected to be discharged to a skilled nursing facility
- •Dementia Diagnosis
- •Have undergone solid organ transplant within the past 100 days
- •Decline authorization for use of their medical records for research
结局指标
主要结局
Hospital-Free Days
时间窗: 90 days, 180 days, 1 year
Hospital-free days is defined as the total number of days a patient is alive and out of the hospital within the specified time frame.
次要结局
- Unplanned hospital readmissions or acute care contact or death(90-days, 180-days, 1 year)
- Death(90-days, 180-days, 1-year)
- AKI recurrence(90 days, 180 days, 1 year)
- Major Adverse Kidney Event(90-, 180- days)
- Change in Estimated Glomerular Filtration Rate (eGFR) from preadmission baseline(90 days, 180 days, 1 year)
- Chronic kidney disease (CKD)(90 days, 180 days, 1 year)
- End-stage kidney disease (ESKD)(90 days, 180 days, 1 year)
- Kidney transplantation(90 days, 180 days, 1 year)
- Major adverse cardiovascular event(90-days, 180-days, 1 year)
- Provider and laboratory follow-up(30-days, 90-days, 180-days)
- Post-discharge serum creatinine evaluation(time to first, 30-days, 90-days, 180-days)
- Post-discharge urine protein evaluation(time to first, 30-days, 90-days, 180-days)
- Primary care follow-up(time to first, 30-days, 90-days, 180-days)
- Nephrology follow-up(time to first, 30-days, 90-days, 180-days)
- Pharmacist follow-up(time to first, 30-days, 90-days, 180-days)
- Guideline concordant care(90 days, 180 days, 1 year)
- Engaged in remote monitoring program (RPM) program(30 days, 90 days)
研究者
研究点 (3)
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