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Completed

NCT Number: NCT01151514

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

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).

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Key information

Conditions

Renal Replacement Therapy Acute Kidney Injury Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Kidney Diseases Male Urogenital Diseases Mortality Renal Insufficiency Stomatognathic Diseases Tooth Diseases Tooth, Impacted Urogenital Diseases Urologic Diseases

Age range

18 year–90 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Nephrology - CHCVs

Sion, 1951, Switzerland

Who can participate

Healthy volunteers accepted: No

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

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.

Treatment and study plan

Nephrologist referral

Other

Nephrologist specialty, renal replacement therapy

Other names: Control group: early-referred patients with HA-AKI.

Primary outcomes

  1. 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.

Secondary outcomes

  1. Referral patterns for hospital acquired acute kidney injury and relevance to renal outcomes

    Length of hospital stay. In-hospital mortality.

Sponsors and collaborators

Lead sponsor

Centre Hospitalier Universitaire Vaudois

Other

Registry information

Acronym: HA-AKI

Important dates

First posted
Jun 28, 2010
Registry last updated
Jun 28, 2010

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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