Stepped-Wedge Trial of Decision Support for Acute Kidney Injury on Surgical Units.

ABSTRACT:

Introduction

Acute kidney injury (AKI) is common in the perioperative setting and associated with poor outcomes. Whether clinical decision support improves early management and outcomes of AKI on surgical units is uncertain.

Methods

In this cluster-randomized, stepped-wedge trial, 8 surgical units in Alberta, Canada were randomized to various start dates to receive an education and clinical decision support intervention for recognition and early management of AKI. Eligible patients were aged ≥18 years, receiving care on a surgical unit, not already receiving dialysis, and with AKI.

Results

There were 2135 admissions of 2038 patients who met the inclusion criteria; mean (SD) age was 64.3 (16.2) years, and 885 (41.4%) were females. The proportion of patients who experie

SUBMITTER: James MT 

PROVIDER: S-EPMC11489824 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature