Predictors for nephrology outpatient care and recurrence of acute kidney injury (AKI) after an in-hospital AKI episode

Acute kidney injury (AKI) is associated with increased long‐term risk of end‐stage kidney disease (ESKD) and mortality. Nephrology care following discharge from hospital may improve survival through prevention of recurrent AKI events. In this study, we examined the factors that were associated with...

Full description

Saved in:
Bibliographic Details
Published in:Hemodialysis international 2014-10, Vol.18 (S1), p.S7-S12
Main Authors: Xie, Mingyang, Iqbal, Sameena
Format: Article
Language:English
Subjects:
Acute kidney injury
Acute Kidney Injury - therapy
Adult
Aged
Aged, 80 and over
Ambulatory Care
Cohort Studies
Disease-Free Survival
Female
Humans
Male
Middle Aged
Nephrology - methods
nephrology care
patient survival
Prognosis
recurrence
Renal Dialysis - methods
Retrospective Studies
Risk Factors
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Acute kidney injury (AKI) is associated with increased long‐term risk of end‐stage kidney disease (ESKD) and mortality. Nephrology care following discharge from hospital may improve survival through prevention of recurrent AKI events. In this study, we examined the factors that were associated with outpatient nephrology follow‐up after the development of AKI on patients who had a nephrology in‐hospital consultation and were discharged from McGill University Health Centre between January 1, 2006 and December 31, 2010. The associated factors for AKI‐free survival postdischarge were assessed applying multivariate Cox hazard proportional models. Of 170 patients, only 22% of the AKI admissions studied were booked with nephrology follow‐up after discharge. The unadjusted hazard ratio (HR) of outpatient nephrology care postdischarge was 1.82 (95% confidence interval [CI] 0.93–3.56) for AKI‐free survival postdischarge. The adjusted HR was 2.04 (95% CI 1.01–4.12) when we adjusted for follow‐up with other medical clinics, significant stage 4 and stage 5 chronic kidney disease and diabetes status. Patients with less comorbidities and higher serum creatinine on discharge received outpatient nephrology care. Nephrology outpatient care is associated with decreased risk of recurrence of AKI after discharge from hospital.
ISSN:1492-7535
1542-4758
DOI:10.1111/hdi.12217