Acute kidney injury risk-based screening in pediatric inpatients: a pragmatic randomized trial.

ABSTRACT:

Background

Pediatric acute kidney injury (AKI) is common and associated with increased morbidity, mortality, and length of stay. We performed a pragmatic randomized trial testing the hypothesis that AKI risk alerts increase AKI screening.

Methods

All intensive care and ward admissions of children aged 28 days through 21 years without chronic kidney disease from 12/6/2016 to 11/1/2017 were included. The intervention alert displayed if calculated AKI risk was > 50% and no serum creatinine (SCr) was ordered within 24 h. The primary outcome was SCr testing within 48 h of AKI risk > 50%.

Results

Among intensive care admissions, 973/1909 (51%) were randomized to the intervention. Among those at risk, more SCr tests were ordered for the intervention group than for controls (

SUBMITTER: Van Driest SL 

PROVIDER: S-EPMC6962531 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature