Electronic Alerting Tool to Help Prevent Acute Kidney Injury
NCT03047382 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30298
Last updated 2017-02-09
Summary
Around a third of patients who develop acute kidney injury (AKI) do so after a hospital admission (hospital-acquired - HA-AKI).
The primary aim of the study is to prospectively test whether introducing a complex intervention (a 'care package' - comprising a clinical prediction rule incorporating an electronic alert which generates a checklist for patient management to relevant health professionals) can identify patients on admission to hospital who are at risk of developing HA-AKI, highlight the need for closer monitoring and allow putative preventative measures to be put in place.
The investigators will introduce the care package in one acute hospital and evaluate its effectiveness in reducing HA-AKI and its associated morbidity, over ten months, compared to a sister hospital within the same Trust (which will act as a control site). The investigators will extend evaluation for a further ten months to assess sustainability on the first site and introduce the package at the control hospital to assess generalisability. The primary aim is reducing HA-AKI, but secondary aims will include improved outcomes associated with HA-AKI, management of patients already with AKI on admission to hospital (whose care may also benefit from the checklist) and a cost-effectiveness analysis.
Conditions
Interventions
- OTHER
-
AKI Care Bundle
Patients identified as high risk of AKI by the electronic clinical prediction model will be managed with a care bundle of best practice.
Sponsors & Collaborators
-
University of Southampton
collaborator OTHER -
Western Sussex Hospitals NHS Trust
lead OTHER
Principal Investigators
-
Richard Venn, MBBS · Western Sussex Hospitals NHS FT
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-07-31
- Primary Completion
- 2016-04-30
- Completion
- 2016-10-31
Countries
- United Kingdom
Study Locations
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