• Profile
Close

Controlled study of decision-making algorithms for kidney replacement therapy initiation in acute kidney injury

Clinical Journal of the American Society of Nephrology Dec 22, 2021

Kelly Y, Mistry K, Ahmed S, et al. - Findings revealed that use of AKI (acute kidney injury)-Standardized Clinical Assessment and Management Plan (SCAMP) for AKI-KRT (AKI requiring kidney replacement therapy) was not significantly related to inpatient mortality but was found to be linked with decreased ICU and hospital length of stay and use of KRT in cases of physician-perceived treatment futility.

  • A 12-month controlled study was performed in the ICUs of a large academic tertiary medical center, and use of the AKI-SCAMP was alternated with use of a "sham" control form in 4-6-week blocks.

  • A total of 122 patients were in the AKI-SCAMP group and 102 patients were in the control group.

  • Experts found no significant difference in inpatient mortality linked with AKI-SCAMP use (41% vs 47% control).

  • Significantly decreased ICU length of stay (mean 8 (95% CI 8-9) vs 12 (95% CI 10-13) days) and hospital length of stay (mean 25 (95% CI 22-29) vs 30 (95% CI 27-34) days) were reported in relation to AKI-SCAMP use.

  • There were less chances of receiving KRT, in the context of physician-perceived treatment futility, among patients in the AKI-SCAMP group vs controls (2% vs 7%).

Go to Original
Only Doctors with an M3 India account can read this article. Sign up for free or login with your existing account.
4 reasons why Doctors love M3 India
  • Exclusive Write-ups & Webinars by KOLs

  • Nonloggedininfinity icon
    Daily Quiz by specialty
  • Nonloggedinlock icon
    Paid Market Research Surveys
  • Case discussions, News & Journals' summaries
Sign-up / Log In
x
M3 app logo
Choose easy access to M3 India from your mobile!


M3 instruc arrow
Add M3 India to your Home screen
Tap  Chrome menu  and select "Add to Home screen" to pin the M3 India App to your Home screen
Okay