Clinical Knowledge Supported Acute Kidney Injury (AKI) Risk Assessment Model for Elderly Patients

From the clinical viewpoint, the statistical approach is still the cornerstone for exploring many diseases. This study was conducted to explore the risk factors related to acute kidney injury (AKI) for elderly patients using the multiple criteria decision-making (MCDM) approach. Ten nephrologists fr...

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Bibliographic Details
Published in:International journal of environmental research and public health 2021-02, Vol.18 (4), p.1607
Main Authors: Shen, Kao-Yi, Chuang, Yen-Ching, Tung, Tao-Hsin
Format: Article
Language:English
Subjects:
Acute Kidney Injury - epidemiology
Aged
Comorbidity
Decision making
Decision theory
Frailty
Geriatric Assessment
Health risks
Humans
Influence
Kidneys
Knowledge
Knowledge based systems
Medical research
Meta-analysis
Multiple criterion
Nutrition
Older people
Patients
Physicians
Research methodology
Risk analysis
Risk Assessment
Risk Factors
Subject specialists
Variables
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Summary:From the clinical viewpoint, the statistical approach is still the cornerstone for exploring many diseases. This study was conducted to explore the risk factors related to acute kidney injury (AKI) for elderly patients using the multiple criteria decision-making (MCDM) approach. Ten nephrologists from a teaching hospital in Taipei took part in forming the AKI risk assessment model. The key findings are: (1) Comorbidity and Laboratory Values would influence Comprehensive Geriatric Assessment; (2) Frailty is the highest influential AKI risk factor for elderly patients; and (3) Elderly patients could enhance their daily activities and nutrition to improve frailty and lower AKI risk. Furthermore, we illustrate how to apply MCDM methods to retrieve clinical experience from seasoned doctors, which may serve as a knowledge-based system to support clinical prognoses. In conclusion, this study has shed light on integrating multiple research approaches to assist medical decision-making in clinical practice.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph18041607