Assessment of knowledge of acute kidney injury among non-nephrology doctors in two government hospitals in Ondo City, Southwest, Nigeria

Adejumo, Oluseyi Ademola; Akinbodewa, Ayodeji; Alli, Oladimeji Emmanuel; Olufemi, Pirisola; Olatunji, Abolarin

doi:10.4314/ejhs.v27i2.7

Cited by 14 publications

(15 citation statements)

References 26 publications

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“…This finding is not unique to Rwanda, as the lack of adequate knowledge regarding clinical presentation, diagnosis, and management of patients with AKI has been previously documented in African countries. Studies in Malawi 30 and Nigeria 31 have reported knowledge gaps in both practicing doctors and nurses. Therefore, this emphasizes the need for ongoing training of clinicians to update their knowledge about diagnosis and management of AKI in developing countries.…”

Section: Discussionmentioning

confidence: 99%

Challenges in the Recognition and Management of Acute Kidney Injury by Hospitals in Resource-Limited Settings

Igiraneza

Dusabejambo

Finklestein

et al. 2020

Kidney International Reports

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Section: Discussionmentioning

confidence: 99%

Challenges in the Recognition and Management of Acute Kidney Injury by Hospitals in Resource-Limited Settings

Igiraneza

Dusabejambo

Finklestein

et al. 2020

Kidney International Reports

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“…Only 5% out of 169 physicians from Omdurman Military Hospital had so-called good AKI-related practice. Finally, Adejumo et al [ 23 ] found only 1.2% out of 82 physicians have good knowledge of AKI. In order to improve CKD-related health care at the Brandenburg University Hospital, a standardized educational program for physicians from all departments is indispensable.…”

Section: Discussionmentioning

confidence: 99%

Health Care Quality in CKD Subjects: A Cross-Sectional In-Hospital Evaluation

Rzayeva

Matyukhin

Ritter

et al. 2022

International Journal of Nephrology

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Background and Aim. Chronic kidney disease (CKD) is an emerging problem in both clinical and ambulatory medicine. Much effort in terms of managing CKD must be put into the control of so-called progression factors. In the current investigation, we evaluated the CKD-associated health care quality in all in-hospital subjects that were treated in a newly founded university hospital for a period of 1 year. Methods. The study was performed in a retrospective and observational manner. All adult (age 18 years or older) in-hospital subjects treated from January until December 2019 were included. CKD was diagnosed according to the KDIGO 2012 CKD Guideline. The following variables were assessed: CKD stage, quantification/analysis (yes/no) of blood pressure, proteinuria, serum phosphate, serum 25-OH-D3, ferritin and transferrin saturation, and blood gas analysis. In addition, recommendations of the following medicines were analyzed (given/not given): ACE inhibitor or sartan, phosphate binder, vitamin D3 (activated or native), iron, erythropoietin, and bicarbonate. It was also evaluated whether discharge letters contained CKD-related diagnoses or not. Results. In total, 581 individuals were included in the study. The majority of aspects related to the monitoring and therapeutic management of CKD were either considered in only a small proportion of affected individuals (e.g., quantification of PTH − 5.5%/25-OH-D3 − 6%/transferrin saturation − 13.6%) or avoided nearly at all (e.g., recommendation of erythropoietin—1%, documentation of CKD-MBD diagnosis—0.3%). A reasonable quality of care was identified concerning the blood pressure monitoring (performed in 100%) and blood gas analysis (55% of the patients received analysis). Serum phosphate was measured in 12.9%, particularly in subjects at higher CKD stages. Conclusions. The current investigation revealed poor quality of care in CKD patients treated at the Brandenburg University Hospital over the period of one year. Quality improvement must be achieved, most likely via a standardized educational program for physicians and a directer access to CKD management guidelines.

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“…In low income/resource limited countries, the knowledge of non-nephrologist has mostly been found to be modest. [ 15 , 16 ] Surprisingly, a study from the United Kingdom revealed that 37% of junior doctors were not able to name a single indication of AKI for nephrology referral. [ 17 ] From Saudi Arabia, variations were reported in the knowledge of risk factors and assessments for AKI among healthcare professionals.…”

Section: Discussionmentioning

confidence: 99%

Impact of Early Nephrology Referral on the Outcomes of Patients with Acute Kidney Injury

Alghamdi¹,

Alhozali²,

Bokhary³

et al. 2022

Saudi Journal of Medicine &Amp; Medical Sciences

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Background Acute kidney injury (AKI) is associated with an increase in patient mortality and high rates of renal/non-renal complications. Late detection of the disease has been associated with worse prognosis, but no such study has been conducted from Saudi Arabia. Objectives: To assess the impact of early nephrology referral on the outcomes of patients with AKI. Methods: This retrospective record review included all adult patients (≥18 years) with AKI who were referred to the Nephrology Department at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, between May 2019 and July 2020. AKI was defined according to the Kidney Disease Improving Global Outcomes criteria. AKI patients evaluated by nephrologists were stratified into early referral group (i.e., referral in <48 h from the first detection of AKI) and late referral group (referral ≥48 h after the first detection of AKI). Results: A total of 400 patients met the inclusion criteria, of which 264 (66%) were early referrals. A significant association was found between delayed referral and mortality rates and length of hospital stay (for both, P = 0.001). Late referral was also significantly associated with increased likeliness of the need for renal replacement therapy ( P = 0.037) and sepsis ( P = 0.005). Conclusions: The outcomes were worse for patients with AKI receiving late referrals to nephrologists. Raising the awareness of AKI among non-nephrologists would likely increase the proportion of earlier referrals.

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Assessment of knowledge of acute kidney injury among non-nephrology doctors in two government hospitals in Ondo City, Southwest, Nigeria

Cited by 14 publications

References 26 publications

Challenges in the Recognition and Management of Acute Kidney Injury by Hospitals in Resource-Limited Settings

Challenges in the Recognition and Management of Acute Kidney Injury by Hospitals in Resource-Limited Settings

Health Care Quality in CKD Subjects: A Cross-Sectional In-Hospital Evaluation

Impact of Early Nephrology Referral on the Outcomes of Patients with Acute Kidney Injury

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