Hospitalized patients with acute kidney injury may not be receiving sufficient care after discharge

November 07, 2013

Atlanta, GA (November 7, 2013)--Acute kidney injury (AKI) is the most common in-hospital diagnosis seen by US nephrologists, but patients with the condition may not be receiving sufficient follow-up care. That's the conclusion of a study that will be presented at ASN Kidney Week 2013 November 5-10 at the Georgia World Congress Center in Atlanta, GA.

AKI, an abrupt decline in kidney function, is an increasingly prevalent and potentially serious condition in hospitalized patients. It sometimes arises after major surgery because the kidneys can be deprived of normal blood flow during such procedures. This year, World Kidney Day (March 14, 2013) focused on raising awareness of the short- and long-term consequences of AKI.

Researchers led Jay Koyner, MD (University of Chicago) sought to estimate the extent of in-hospital and outpatient nephrology care devoted to the care of patients with AKI. On World Kidney Day, they conducted an internet-based survey of all 4957 US-based physician members of the American Society of Nephrology.

The team received survey responses from 598 nephrologists. About half worked in a teaching hospital with a median of 398 beds. Among the The findings indicate that AKI is the most common in-hospital diagnosis seen by US nephrologists. Also, patients with AKI are often critically ill, but survivors of in-hospital AKI do not comprise a large part of nephrologists' outpatient clinic encounters. "These findings call for continued efforts to promote excellence in the delivery of renal replacement therapy to patients with AKI, and reliable transition of care services following hospital discharge from an AKI episode," the investigators wrote.
-end-
HighlightsStudy: "The Daily Burden of Acute Kidney Injury: A World Kidney Day Survey of U.S. Nephrologists" (Abstract 1444)

Disclosures: Jay L. Koyner is listed on a patent for Pi GST to detect severe AKI following cardiac surgery with Argutus Medical. Jorge Cerda is a consultant for Gambro, Cytopherex, and Reata Pharmaceuticals; and receives research funding from Alere Pharmaceuticals, Gambro, and Cytopherex; and honoraria from Gambro. Stuart Goldstein is a consultant for Gambro Renal Products, Baxter Healthcare, Hemametrics, Otsuka, and Ikaria; has an ownership interest in Hemametrics, Inc.; and receives research funding and honoraria from Gambro Renal Products and Baxter Healthcare. Kathleen D. Liu is a consultant for Astute, Complexa, Cytopheryx, Chemocentryx, Abbvie; holds in Amgen; and receives honoraria from ASN.

ASN Kidney Week 2013, the largest nephrology meeting of its kind, will provide a forum for 14,000 professionals to discuss the latest findings in renal research and engage in educational sessions related to advances in the care of patients with kidney and related disorders. Kidney Week 2011 will take place November 5 - 10, 2013 in Atlanta, GA.

The content of this article does not reflect the views or opinions of The American Society of Nephrology (ASN). Responsibility for the information and views expressed therein lies entirely with the author(s). ASN does not offer medical advice. All content in ASN publications is for informational purposes only, and is not intended to cover all possible uses, directions, precautions, drug interactions, or adverse effects. This content should not be used during a medical emergency or for the diagnosis or treatment of any medical condition. Please consult your doctor or other qualified health care provider if you have any questions about a medical condition, or before taking any drug, changing your diet or commencing or discontinuing any course of treatment. Do not ignore or delay obtaining professional medical advice because of information accessed through ASN. Call 911 or your doctor for all medical emergencies.

Founded in 1966, and with more than 14,000 members, the American Society of Nephrology (ASN) leads the fight against kidney disease by educating health professionals, sharing new knowledge, advancing research, and advocating the highest quality care for patients.

American Society of Nephrology

Related Kidney Failure Articles from Brightsurf:

UC research finds low rates of contraceptive use in women with kidney failure
New research from the University of Cincinnati finds that women with kidney failure have low rates of contraceptive use.

Why do minorities have higher rates of kidney failure?
A new study indicates that Blacks and Hispanics have experienced higher rates of kidney failure compared with whites due to more rapid kidney function decline.

The economic burden of kidney transplant failure in the United States
A recent analysis published in the American Journal of Transplantation estimates that for the average US patient who has undergone kidney transplantation, failure of the transplanted organ (graft failure) will impose additional medical costs of $78,079 and a loss of 1.66 quality-adjusted life years.

Heart disease linked to a higher risk of kidney failure
In adults followed for a median of 17.5 years, cardiovascular diseases--including heart failure, atrial fibrillation, coronary heart disease, and stroke--were each linked with a higher risk of developing kidney failure.

Compound offers prospects for preventing acute kidney failure
Russian researchers from the Moscow Institute of Physics and Technology, the Institute of Cell Biophysics, and elsewhere have shown an antioxidant compound known as peroxiredoxin to be effective in treating kidney injury in mice.

New study confirms protective effect of diabetes drugs against kidney failure
A new meta-analysis published in Lancet Diabetes and Endocrinology has found that SGLT2 inhibitors can reduce the risk of dialysis, transplantation, or death due to kidney disease in people with type 2 diabetes.

Is kidney failure a man's disease?
A new analysis of the ERA-EDTA Registry [1] reveals a striking gender difference in the incidence and prevalence of end-stage renal disease.

Kidney failure on the rise in Australians under 50 with type 2 diabetes
A study of more than 1.3 million Australians with diabetes has found that kidney failure is increasing in people with type 2 diabetes aged under 50 years, leading to reduced quality of life and placing growing demand on the country's kidney dialysis and transplantation services.

Frailty may lower kidney failure patients' likelihood of receiving a transplant
Frailty is associated with decreased access at multiple stages in the pathway to kidney transplantation.

Obesity surgery prevents severe chronic kidney disease and kidney failure
Patients that underwent weight-loss surgery ran a significantly lower risk of developing severe chronic kidney disease and kidney failure, when compared to conventionally treated patients, according to a study published in International Journal of Obesity.

Read More: Kidney Failure News and Kidney Failure Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.