Dialyzing Wisely - Improving the Delivery of Acute Renal Replacement Therapy to Albertans
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 9,348
- 试验地点
- 15
- 主要终点
- Health system costs
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- 未提供
研究组 & 干预措施
ICU patients receiving renal replacement therapy
All patients in participating ICU's receiving CRRT or IRRT during the study period
干预措施: KPI reports (Other)
ICU patients receiving renal replacement therapy
All patients in participating ICU's receiving CRRT or IRRT during the study period
干预措施: Prescriber reports (Other)
结局指标
主要结局
Health system costs
时间窗: 3 years
Acute RRT and healthcare systems costs
Key performance indicators (KPI)
时间窗: Throughout intervention period up to 3 years
Changes in acute KPIs
次要结局
- ICU and 90 day mortality(3 years)
- Length of renal replacement therapy(3 years)
- Rates of RRT dependence at 90 days(3 years)
- ICU and hospital lengths of stay(3 years)