RT Journal Article
SR Electronic
T1 Identification of risk factors associated with acute kidney injury in patients admitted to acute medical units
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 233
OP 238
DO 10.7861/clinmedicine.13-3-233
VO 13
IS 3
A1 S Finlay
A1 B Bray
A1 AJ Lewington
A1 CT Hunter-Rowe
A1 A Banerjee
A1 JM Atkinson
A1 MC Jones
YR 2013
UL http://www.rcpjournals.org/content/13/3/233.abstract
AB In 2009, the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report identified significant deficiencies in the management of acute kidney injury (AKI) in hospitals in the UK. Many errors arose from failure to recognise patients with AKI and those at risk of developing AKI. Currently, there is no universally accepted risk factor assessment for identifying such patients on admission to acute medical units (AMUs). A multicentre prospective observational study was performed in the AMUs of 10 hospitals in England and Scotland to define the risk factors associated with AKI and to assess quality of care. Data were collected on consecutive acute medical admissions over two separate 24-h periods. Acute kidney injury was present in 55/316 (17.7%) patients, with sepsis, hypovolaemia, chronic kidney disease (CKD) and diabetes mellitus identified as the major risk factors. Deficiencies in patient care were identified, reinforcing the continuing need to improve the management of AKI.