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Completed

NCT Number: NCT01862419

An Electronic Alert System for In-Hospital Acute Kidney Injury

This study will randomize hospitalized patients with acute kidney injury (AKI) to usual care, or an electronic alert intervention. The electronic alert will be in the form of a text page that will be sent to the covering clinician and unit pharmacist once per patient with AKI at the time lab results are uploaded. The investigators hypothesize that such an alert will improve outcomes in these patients.

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Key information

Conditions

Acute Kidney Injury Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Kidney Diseases Male Urogenital Diseases Renal Insufficiency Urogenital Diseases Urologic Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hospital of the University of Pennsylvania

Phiadelphia, Pennsylvania, 19104, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adults >=18 years
  • Admitted to the Hospital of the University of Pennsylvania for greater than 24 hours.

Exclusion criteria

  • Dialysis order within 24 hours of admission
  • Dialysis order prior to AKI onset
  • Initial creatinine >=4.0mg/dl
  • Prior admission in which patient was randomized.
  • Nephrectomy during the admission
  • Admission to hospice service
  • Admission to observation status

Treatment and study plan

Alert

Other

Other names: Text page sent to patient's covering provider and unit pharmacist informing them of the presence of AKI as detected by changes in serum creatinine.

Primary outcomes

  1. Dialysis Within 7 Days

    Time frame: From start of AKI to 7 days later

    This metric will be sequentially ranked. The provision of acute dialysis therapy will be ranked as a more severe outcome than the worst relative change in creatinine and death will be ranked as a more severe outcome than dialysis.

  2. Death

    Time frame: 7 days of randomization

  3. Relative Maximum Change in Creatinine

    Time frame: 7 days of randomization

Sponsors and collaborators

Lead sponsor

University of Pennsylvania

Other

Registry information

Official study title

An Electronic Alert System for In-Hospital Acute Kidney Injury: A Randomized, Controlled Trial

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
May 24, 2013
Registry last updated
Mar 25, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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