Publication Date
10-28-2021
Journal
Kidney360
DOI
10.34067/KID.0003312021
PMID
35372977
PMCID
PMC8785781
PubMedCentral® Posted Date
7-14-2021
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Acute Kidney Injury, Creatinine, Hospitalization, Humans, Outpatients
Abstract
BACKGROUND: AKI is an abrupt decrease in kidney function associated with significant morbidity and mortality. Electronic notifications of AKI have been utilized in patients who are hospitalized, but their efficacy in the outpatient setting is unclear.
METHODS: We evaluated the effect of two outpatient interventions: an automated comment on increasing creatinine results (intervention I; 6 months;
RESULTS: Providers were more likely to document AKI in interventions I (
CONCLUSIONS: An automated comment was associated with improved documented recognition of AKI and the additive intervention of an email alert was associated with increased discontinuation of nephrotoxins, but neither improved clinical outcomes. Translation of these findings into improved outcomes may require corresponding standardization of clinical practice protocols for managing AKI.
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