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AKI Fillow-up

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10 papers 0 to 25 followers
By Isabel Acosta-Ochoa Nephrology senior staff. Valladolid. Spain
https://www.readbyqxmd.com/read/27875571/short-and-long-term-mortality-rates-of-elderly-acute-kidney-injury-patients-who-underwent-continuous-renal-replacement-therapy
#1
Harin Rhee, Keum Sook Jang, Jong Man Park, Jin Suk Kang, Na Kyoung Hwang, Il Young Kim, Sang Heon Song, Eun Young Seong, Dong Won Lee, Soo Bong Lee, Ihm Soo Kwak
BACKGROUND: The world's population is aging faster and the incidence of acute kidney injury (AKI) needing continuous renal replacement therapy (CRRT) is increasing in elderly population. The outcome of AKI needing CRRT in elderly patients is known to be poor. However, the definitions of elderly used in the previous literatures were diverse and, there were few data that compared the long-term mortality rates of these patients with middle aged patients. This study was aimed to evaluate this issue...
2016: PloS One
https://www.readbyqxmd.com/read/27751901/30-day-readmissions-after-an-acute-kidney-injury-hospitalization
#2
Samuel A Silver, Ziv Harel, Eric McArthur, Danielle M Nash, Rey Acedillo, Abhijat Kitchlu, Amit X Garg, Glenn M Chertow, Chaim M Bell, Ron Wald
BACKGROUND: The risk of hospital readmission in acute kidney injury survivors is not well understood. We estimated the proportion of acute kidney injury patients who were rehospitalized within 30 days and identified characteristics associated with hospital readmission. METHODS: We conducted a population-based study of patients who survived a hospitalization complicated by acute kidney injury from 2003-2013 in Ontario, Canada. The primary outcome was 30-day hospital readmission...
October 14, 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/27577888/hospital-discharge-communications-during-care-transitions-for-patients-with-acute-kidney-injury-a-cross-sectional-study
#3
Raquel C Greer, Yang Liu, Deidra C Crews, Bernard G Jaar, Hamid Rabb, L Ebony Boulware
BACKGROUND: High quality hospital discharge communications about acute kidney injury (AKI) could facilitate continuity of care after hospital transitions and reduce patients' post-hospitalization health risks. METHODS: We characterized the presence and quality (10 elements) of written hospital discharge communications (physician discharge summaries and patient instructions) for patients hospitalized with AKI at a single institution in 2012 through medical record review...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27565014/chronic-kidney-disease-after-acute-kidney-injury-requiring-continuous-renal-replacement-therapy-and-its-impact-on-long-term-outcomes-a-multicenter-retrospective-cohort-study-in-korea
#4
Jung Nam An, Jin Ho Hwang, Dong Ki Kim, Hajeong Lee, Shin Young Ahn, Sejoong Kim, Jung Tak Park, Shin-Wook Kang, Yun Kyu Oh, Yon Su Kim, Chun Soo Lim, Hyung Jung Oh, Jung Pyo Lee
OBJECTIVES: Severe acute kidney injury requiring continuous renal replacement therapy is associated with a high risk of early mortality. Our objectives were to identify a cohort of early survivors and to follow their renal progress and long-term mortality. DESIGN: Multicenter, observational, retrospective cohort study. SETTING: ICUs in tertiary academic hospitals in Korea. PATIENTS: From 2009 to 2013, we identified 1,764 severe acute kidney injury patients who were started on continuous renal replacement therapy at four hospitals...
August 25, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27555107/intermediate-and-long-term-outcomes-of-survivors-of-acute-kidney-injury-episodes-a-large-population-based-cohort-study
#5
Simon Sawhney, Angharad Marks, Nick Fluck, Adeera Levin, Gordon Prescott, Corri Black
BACKGROUND: The long-term prognosis after acute kidney injury (AKI) is variable. It is unclear how the prognosis of AKI and its relationship to prognostic factors (baseline kidney function, AKI severity, prior AKI episodes, and recovery of kidney function) change as follow-up progresses. STUDY DESIGN: Observational cohort study. SETTING & PARTICIPANTS: The Grampian Laboratory Outcomes Morbidity and Mortality Study II (GLOMMS-II) is a large regional population cohort with complete serial biochemistry and outcome data capture through data linkage...
August 20, 2016: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/27472700/outcome-in-noncritically-ill-patients-with-acute-kidney-injury-requiring-dialysis-effects-of-differing-medical-staffs-and-organizations
#6
Riccardo Maria Fagugli, Francesco Patera, Sara Battistoni, Giovanni Tripepi
Acute kidney injury requiring dialysis (AKI-D) treatment has significantly increased in incidence over the years, with more than 400 new cases per million population/y, 2/3 of which concern noncritically ill patients. In these patients, there are little data on mortality or on information of care organization and its impact on outcome. Specialty training and integrated teams, as well as a high volume of activity, seem to be linked to better hospital outcome. The study investigates mortality of patients admitted to and in-care of nephrology (NEPHROpts), a closed-staff organization, and to other medical wards (MEDpts), representing a model of open-staff organization...
July 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27297949/aki-and-long-term-risk-for-cardiovascular-events-and-mortality
#7
Ayodele Odutayo, Christopher X Wong, Michael Farkouh, Douglas G Altman, Sally Hopewell, Connor A Emdin, Benjamin H Hunn
AKI associates with increased long-term risk of mortality, but the prognostic significance of AKI in terms of long-term cardiovascular disease remains unconfirmed. We conducted a systematic review and meta-analysis to assess whether AKI associates with long-term cardiovascular disease. We included cohort studies that examined adults with and without AKI and reported a multivariable-adjusted relative risk (RR) for the association between AKI and cardiovascular mortality, major cardiovascular events, and disease-specific events: congestive heart failure, acute myocardial infarction, and stroke...
June 13, 2016: Journal of the American Society of Nephrology: JASN
https://www.readbyqxmd.com/read/27113695/delayed-consequences-of-acute-kidney-injury
#8
REVIEW
Sharidan K Parr, Edward D Siew
Acute kidney injury (AKI) is an increasingly common complication of hospitalization and acute illness. Experimental data indicate that AKI may cause permanent kidney damage through tubulointerstitial fibrosis and progressive nephron loss, while also lowering the threshold for subsequent injury. Furthermore, preclinical data suggest that AKI may also cause distant organ dysfunction. The extension of these findings to human studies suggests long-term consequences of AKI including, but not limited to recurrent AKI, progressive kidney disease, elevated blood pressure, cardiovascular events, and mortality...
May 2016: Advances in Chronic Kidney Disease
https://www.readbyqxmd.com/read/26636328/acute-kidney-injury-aki-outcome-a-predictor-of-long-term-major-adverse-cardiovascular-events-mace
#9
Bolanle A Omotoso, Emaad M Abdel-Rahman, Wenjun Xin, Jennie Z Ma, Kenneth W Scully, Fatiu A Arogundade, Rasheed A Balogun
BACKGROUND AND OBJECTIVES: The incidence of acute kidney injury (AKI) in hospitalized patients is increasing. Many of these patients survive the immediate post-AKI period and may be prone to developing long-term complications of AKI. This study aimed to determine whether complete recovery following an episode of AKI is associated with a lower risk of long-term major adverse cardiovascular events (MACE). DESIGN: Retrospective cohort study. SETTING AND PARTICIPANTS: Adults admitted to the University of Virginia Medical Center between January 1, 2002 and December 31, 2012 who developed hospital-acquired AKI...
January 2016: Clinical Nephrology
https://www.readbyqxmd.com/read/26539923/improving-outcomes-of-acute-kidney-injury-survivors
#10
REVIEW
Samuel A Silver, Ron Wald
PURPOSE OF REVIEW: Acute kidney injury (AKI) is a common problem in critically ill patients, with long-term health implications that extend beyond hospital discharge. Though they are at a high risk of adverse events, AKI survivors may not be receiving adequate postdischarge medical attention. This review discusses recently published data regarding health outcomes after AKI, the current state of post-AKI care, and potential opportunities to improve outpatient care after AKI. RECENT FINDINGS: In addition to predisposing to de-novo chronic kidney disease or an exacerbation of previously existing chronic kidney disease, a prior episode of AKI has been linked to subsequent cardiac events, cerebrovascular events, and the need for hospital readmission...
December 2015: Current Opinion in Critical Care
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