PRevention of Acute Kidney Injury Initiated With Electronic Surveillance Enhancement
NCT01621152 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 2266
Last updated 2022-06-22
Summary
Introduction: Acute kidney injury (AKI) increases mortality, hospital cost, and rate of progression toward end stage kidney disease 1-4. Early diagnosis and management of AKI is known to improve the above mentioned outcomes.
Hypothesis: the investigators will design and validate an electronic surveillance tool to screen all the ICU admissions for the earlier, more efficient diagnosis of AKI and as a result improve the outcome of AKI in ICU patients.
Methods: the investigators plan to use the patient database, and AKIN (AKI network) definition to design an electronic alert system to allow clinicians discover patients who develop AKI. Then a randomized clinical trial will be conducted to compare earlier intervention (based on Kidney Disease: Improving Global Outcomes \[KDIGO\] guidelines) initiated by AKI sniffer alert to the conventional management provided by primary physician in ICU.
Conditions
Interventions
- OTHER
-
Conventional management arm
Based on KDIGO guidelines and as per primary physician in the ICU
- OTHER
-
AKI sniffer instigated AKI management
After identification of patients with AKI by the sniffer, primary physicians will be notified about the development of the syndrome and will be given a copy of the KDIGO guidelines for management of AKI.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Kianoush Kashani, MD · Mayo Clinic
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SCREENING
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-06-30
- Primary Completion
- 2021-10-19
- Completion
- 2021-10-19
Countries
- United States
Study Locations
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