Value of electronic alerts for acute kidney injury in high-risk wards: a pilot randomized controlled trial.

ABSTRACT: PURPOSE:To investigate the application value of "electronic alerts" ("e-alerts") for acute kidney injury (AKI) among high-risk wards of hospitals. METHODS:A prospective, randomized, controlled study was conducted. We developed an e-alert system for AKI and ran the system in intensive care units and divisions focusing on cardiovascular disease. The e-alert system diagnosed AKI automatically based on serum creatinine levels. Patients were assigned randomly to an e-alert group (467 patients) or non-e-alert group (408 patients). Only the e-alert group could receive pop-up messages. RESULTS:The sensitivity, specificity, Youden Index and accuracy of the AKI e-alert system were 99.8, 97.7, 97.5 and 98.1%, respectively. The prevalence of the diagnosis for AKI and expanded-AKI (AKI or multiple-orga

SUBMITTER: Wu Y 

PROVIDER: S-EPMC6096658 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature