Accuracy of clinicians' ability to predict the need for renal replacement therapy: a prospective multicenter study.

ABSTRACT:

Purpose

Identifying patients who will receive renal replacement therapy (RRT) during intensive care unit (ICU) stay is a major challenge for intensivists. The objective of this study was to evaluate the performance of physicians in predicting the need for RRT at ICU admission and at acute kidney injury (AKI) diagnosis.

Methods

Prospective, multicenter study including all adult patients hospitalized in 16 ICUs in October 2020. Physician prediction was estimated at ICU admission and at AKI diagnosis, according to a visual Likert scale. Discrimination, risk stratification and benefit of physician estimation were assessed. Mixed logistic regression models of variables associated with risk of receiving RRT, with and without physician estimation, were compared.

Results

Six

SUBMITTER: Sitbon A 

PROVIDER: S-EPMC9569012 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature