The Association of Acute Kidney Injury in the Critically Ill and Postdischarge Outcomes

Horkan, Clare; Purtle, Steven W.; Mendu, Mallika L.; Moromizato, Takuhiro; Gibbons, Fiona K.; Christopher, Kenneth B.

doi:10.1097/ccm.0000000000000706

Cited by 86 publications

(71 citation statements)

References 73 publications

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“…One element that has been examined is which physicians care for patients with AKI following hospital discharge. Studies indicate that most survivors of AKI are not cared for by nephrologists [89][90][91][92] . Although data derived largely from observational cohort studies suggest that referral to nephrology care is associated with improved survival 93 , causality remains to be proven and the elements of care that drive this potential benefit have not been identified.…”

Section: Follow-up Carementioning

confidence: 99%

Acute kidney disease and renal recovery: consensus report of the Acute Disease Quality Initiative (ADQI) 16 Workgroup

et al. 2017

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Section: Follow-up Carementioning

confidence: 99%

Acute kidney disease and renal recovery: consensus report of the Acute Disease Quality Initiative (ADQI) 16 Workgroup

et al. 2017

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“…Reason dictates, however, that one time per month physician assessment, which often occurs for patients with ESRD, would be inadequate for patients with AKI. Notably, this population is highly vulnerable for complications, including an increased risk for hospital readmissions (29). Even in the ESRD setting, more frequent provider (physician or extender) visits have been associated with improved clinical outcomes (30,31).…”

Section: Develop Specific Protocols For Patients With Aki-dmentioning

confidence: 99%

Outpatient Dialysis for Patients with AKI

Heung¹,

Faubel²,

Watnick³

et al. 2015

Clinical Journal of the American Society of Nephrology

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The rate of AKI requiring dialysis has increased significantly over the past decade in the United States. At the same time, survival from AKI seems to be improving, and thus, more patients with AKI are surviving to discharge while still requiring dialysis. Currently, the options for providing outpatient dialysis in patients with AKI are limited, particularly after a 2012 revised interpretation of the Centers for Medicare and Medicaid Services guidelines, which prohibited Medicare reimbursement for acute dialysis at ESRD facilities. This article provides a historical perspective on outpatient dialysis management of patients with AKI, reviews the current clinical landscape of care for these patients, and highlights key areas of knowledge deficit. Lastly, policy changes that have the opportunity to significantly improve the care of this at-risk population are suggested.

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“…Two studies [31,35] only included readmissions to emergency departments within 30 days of discharge because emergency department visits are not scheduled in advance. Three studies [28,30,36] Predictor variables found to be significant in more than one countries or regions Predictor variables studied in more than one countries or regions * Predictor variables with low generalizability studies [27,34] excluded admissions to the specialties of obstetrics, gynaecology, dentistry, otolaryngology, ophthalmology, orthopaedic surgery, general surgery, or psychiatry. One study [29] excluded admissions with a principal diagnosis of cancer because cancer patients may have planned stays for cancer treatments.…”

Section: Data Extractionmentioning

confidence: 99%

“…The studies are highly heterogeneous in data type and data sources. Two studies [28,29] used claims data only and five studies [24,[30][31][32][33]] used clinical and/or administrative data from electronic health records (EHR) only. Four studies [26,[34][35][36] combined data from various sources, including proprietary EHR, validated questionnaires, hospital information systems, veterans affairs database, and Medicare dataset.…”

Section: Generalizability Assessmentmentioning

confidence: 99%

A Systematic Review of Highly Generalizable Risk Factors for Unplanned 30-Day All-Cause Hospital Readmissions

Zhao¹,

Yoo²

2017

J Health Med Inform

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Background: Hospital readmissions are common and expensive. Numerous global efforts have been devoted to predicting readmissions. However, for many reasons including the variations in the studied populations and inconsistent definitions of readmissions, the outcomes of some studies can hardly be generalized to other studies inside or outside the same country or region. Objective:The objective was to identify highly generalizable risk factors for unplanned 30-day all-cause hospital readmissions to guide the selection of baseline predictor variables in different readmission studies.Methods: In July 2017, PubMed was searched to identify articles pertaining to the risk factors for unplanned 30-day all-cause hospital readmissions. To identify potentially eligible risk factors, characteristics of the selected studies were manually extracted. The generalizability of the risk factors was assessed with predefined criteria.Results: 13 articles were eligible for the review. A total of 42 risk factors were identified and 34 of them were found to be highly generalizable. Conclusions:The 34 risk factors are not specific to any populations or places, and the corresponding predictor variables can serve as baseline variables in readmission prediction studies. No major difference has been observed between the risk factors identified inside and outside the United States except that US studies appeared to prefer composite comorbidity measures. All the reviewed studies have used traditional statistical regression-based methods to identify risk factors and more applications of data mining techniques are expected in this field.

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The Association of Acute Kidney Injury in the Critically Ill and Postdischarge Outcomes

Cited by 86 publications

References 73 publications

Acute kidney disease and renal recovery: consensus report of the Acute Disease Quality Initiative (ADQI) 16 Workgroup

Acute kidney disease and renal recovery: consensus report of the Acute Disease Quality Initiative (ADQI) 16 Workgroup

Outpatient Dialysis for Patients with AKI

A Systematic Review of Highly Generalizable Risk Factors for Unplanned 30-Day All-Cause Hospital Readmissions

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