Referral Patterns for Hospital Acquired Acute Kidney Injury and Relevance to Renal Outcomes

Mortality Clinical Trial

— HA-AKI  

Official title:

Referral Patterns for Hospital Acquired Acute Kidney Injury and Relevance to Renal Outcomes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01151514
• Other study ID #: HA-AKI referral
• Status: Completed
• Phase: N/A
• First received: June 23, 2010
• Last updated: June 25, 2010

Study information

• Verified date: August 2010
• Source: Centre Hospitalier Universitaire Vaudois
• Contact: n/a
• Is FDA regulated: No
• Health authority: Switzerland: Ethikkommission
• Study type: Observational

Clinical Trial Summary

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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 0
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 90 Years

Eligibility

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:

• 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.

Study Design

Observational Model: Cohort, Time Perspective: Retrospective

Related Conditions & MeSH terms

• Acute Kidney Injury
• Mortality
• Renal Replacement Therapy

Intervention

Other:
• Nephrologist referral
Nephrologist specialty, renal replacement therapy

Locations

Country	Name	City	State
Switzerland	Nephrology - CHCVs	Sion

Sponsors (1)

Lead Sponsor	Collaborator
Centre Hospitalier Universitaire Vaudois

Country where clinical trial is conducted

Switzerland, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.		No
Secondary	Referral patterns for hospital acquired acute kidney injury and relevance to renal outcomes	Length of hospital stay. In-hospital mortality.		No

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