About My Health Careers Internship MedBlogs Contact us

Hospitalized Patients With Acute Kidney Injury May Not Be Receiving Sufficient Care After Discharge

by Dr. Enozia Vakil on November 8, 2013 at 7:24 PM
Font : A-A+

 Hospitalized Patients With Acute Kidney Injury May Not Be Receiving Sufficient Care After Discharge

Patients with acute kidney injury are not receiving sufficient follow-up care after getting discharged from hospital. That's the conclusion of a study that will be presented at ASN Kidney Week 2013 November 5-10 at the Georgia World Congress Center in Atlanta, GA.

AKI, an abrupt decline in kidney function, is an increasingly prevalent and potentially serious condition in hospitalized patients. It sometimes arises after major surgery because the kidneys can be deprived of normal blood flow during such procedures. This year, World Kidney Day (March 14, 2013) focused on raising awareness of the short- and long-term consequences of AKI.


Researchers led Jay Koyner, MD (University of Chicago) sought to estimate the extent of in-hospital and outpatient nephrology care devoted to the care of patients with AKI. On World Kidney Day, they conducted an internet-based survey of all 4957 US-based physician members of the American Society of Nephrology.

The team received survey responses from 598 nephrologists. About half worked in a teaching hospital with a median of 398 beds. Among the survey's major findings:
- Respondents saw a median of 12 patients in the hospital compared with eight patients seen in clinics.
- A median of four patients seen in the hospital had pre-existing kidney failure while five patients had AKI.
- Most patients seen in the hospital had AKI, comprising 46% (1500 patients) of the sample, followed by kidney failure (38%, or 1233 patients).
- Among patients seen in the hospital for AKI, a median of two were critically ill, and one required renal replacement therapy, which includes dialysis or a kidney transplant.
- Among patients seen in clinics, a median of one patient was seen for follow-up of in-hospital AKI; 55% of physicians reported that in the prior year, less than10% of patients seen in the clinic were for follow-up of in-hospital AKI.

The findings indicate that AKI is the most common in-hospital diagnosis seen by US nephrologists. Also, patients with AKI are often critically ill, but survivors of in-hospital AKI do not comprise a large part of nephrologists' outpatient clinic encounters. "These findings call for continued efforts to promote excellence in the delivery of renal replacement therapy to patients with AKI, and reliable transition of care services following hospital discharge from an AKI episode," the investigators wrote.

Study: "The Daily Burden of Acute Kidney Injury: A World Kidney Day Survey of U.S. Nephrologists" (Abstract 1444)
Disclosures: Jay L. Koyner is listed on a patent for Pi GST to detect severe AKI following cardiac surgery with Argutus Medical. Jorge Cerda is a consultant for Gambro, Cytopherex, and Reata Pharmaceuticals; and receives research funding from Alere Pharmaceuticals, Gambro, and Cytopherex; and honoraria from Gambro. Stuart Goldstein is a consultant for Gambro Renal Products, Baxter Healthcare, Hemametrics, Otsuka, and Ikaria; has an ownership interest in Hemametrics, Inc.; and receives research funding and honoraria from Gambro Renal Products and Baxter Healthcare. Kathleen D. Liu is a consultant for Astute, Complexa, Cytopheryx, Chemocentryx, Abbvie; holds in Amgen; and receives honoraria from ASN.

Source: Newswise

News A-Z
News Category
What's New on Medindia
First-Ever Successful Pig-To-Human Kidney Transplantation
World Osteoporosis Day 2021 -
Spirituality and Mental Health
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Athletes Foot Urinary Stones In Children Vesico-Ureteric Reflux Causing UTI in Children Hydronephrosis / Antenatal Counseling Urology Paediatric Emergencies Cysts and Tumours Kidney Disease Kidney Kidney Health Stones in Urinary Tract 

Recommended Reading
Over $16 Billion Spent in Hospital Care for Firearm Injuries in the Last Decade
More than $16 billion was spent in hospital care for treating firearm injuries between 2000 and ......
Pre-Hospital Administration of Bivalirudin More Effective Than Heparin in Reducing Mortality Risk Among Heart Attack Patients
Blood thinner bivalirudin is more effective than heparin with optional use of glycoprotein IIb/IIIa ...
Opportunities for Improvement Can be Identified By Evaluation of Hospital Infection Prevention Policies
A survey reveals that identifying gaps in infection prevention practices may yield opportunities ......
Athletes Foot
Athlete’s foot (tinea pedis/ringworm of the foot) is a fungal infection of the feet....
Cysts and Tumours
Ultrasound scan reveals multiple cysts and there is no function on that kidney when tested on DMSA s...
Hydronephrosis / Antenatal Counseling
Currently most pregnant women undergo one or two ultrasound scans during their pregnancy....
Stones in Urinary Tract
Ask people who have suffered from urinary stones and they will tell you how excruciating the pain ca...
Urinary Stones In Children
There is a wide misconception that only adults develop stones. On the contrary kidney stones are ver...
Urology Paediatric Emergencies
The testis can go for a twist inside the sac it is held. This results in loss of blood supply. If le...
Vesico-Ureteric Reflux Causing UTI in Children
Bacterial infection of urinary bladder can cause pain and burning sensation while passing urine. Abn...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use