Evidence map›Paper›PMID 27577888›Full record

ArticleBMC health services research2016

Hospital discharge communications during care transitions for patients with acute kidney injury: a cross-sectional study.

Raquel C Greer, Yang Liu, Deidra C Crews, Bernard G Jaar, Hamid Rabb, L Ebony Boulware

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07626268 (CONNECT-AKI), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07626268 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

CONNECT-AKI: COordiNated CommuNication, Education, and Care Transitions After Acute Kidney Injury - A Pilot Randomized Controlled Trial

TypeinterventionalSponsorNorthwell HealthRan2026 to 2027Enrolled160ConditionsAcute Kidney Injury, Acute Kidney Injury (AKI)ArmsAKI Discharge Summary Template, Chat-Based Educational Messaging Program
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Preventable Hospitalizations and Kidney Care.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Review
  6. Review
  7. Perspectives and Experiences of Patients with AKI: A Systematic Review.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. The Quality of Discharge Summaries After Acute Kidney Injury.Canadian journal of kidney health and disease · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Raquel C GreerDivision of General Internal Medicine, Johns Hopkins University School of Medicine, 2024 E. Monument Street, Room 2-626, Baltimore, MD, 21287, USA. rfcharle@jhmi.edu.
Yang LiuDivision of Nephrology, Johns Hopkins University School of Medicine, Baltimore, USA.
Deidra C CrewsWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, USA.
Bernard G JaarWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Medical Institutions, Baltimore, USA.
Hamid RabbDivision of Nephrology, Johns Hopkins University School of Medicine, Baltimore, USA.
L Ebony BoulwareDivision of General Internal Medicine, Duke University School of Medicine, Durham, NC, USA.

Funding

Institute for Clinical and Translational Research (KL2)KL2RR025006 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$12.9M
Improving Primary Care to Narrow Racial Disparities in Chronic Kidney DiseaseK23DK094975 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI GREER, RAQUEL CHARLES · 2012 to 2015
$722k
Race, Socioeconomic Status, Diet and Chronic Kidney DiseaseK23DK097184 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CREWS, DEIDRA CANDICE · 2013 to 2016
$684k
NCRR NIH HHS KL2 RR025006NIDDK NIH HHS K23 DK094975NIDDK NIH HHS K23 DK097184
6 · The paper itself

Abstract

backgroundHigh quality hospital discharge communications about acute kidney injury (AKI) could facilitate continuity of care after hospital transitions and reduce patients' post-hospitalization health risks.

methodsWe characterized the presence and quality (10 elements) of written hospital discharge communications (physician discharge summaries and patient instructions) for patients hospitalized with AKI at a single institution in 2012 through medical record review.

resultsIn 75 randomly selected hospitalized patients with AKI, fewer than half of physician discharge summaries and patient instructions documented the presence (n = 33, 44 % and n = 10, 13 %, respectively), cause (n = 32, 43 % and n = 1, 1 %, respectively), or course of AKI (n = 23, 31 %, discharge summary only) during hospitalization. Few provided recommendations for treatment and/or observation specific to AKI (n = 11, 15 and 6, 8 % respectively). In multivariable analyses, discharge communications containing information about AKI were most prevalent among patients with AKI Stage 3, followed by patients with Stage 2 and Stage 1 (adjusted percentages (AP) [95 % CI]: 84 % [39-98 %], 43 % [11-82 %], and 24 % [reference], respectively; p trend = 0.008). AKI discharge communications were also more prevalent among patients with known chronic kidney disease (CKD) versus those without (AP [95 % CI]: 92 % [51-99 %] versus 39 % [reference], respectively, p = 0.02) and among patients discharged from medical versus surgical services (AP [95 % CI]: 73 % [33-93 %] versus 23 % [reference], respectively, p = 0.01). Communications featured 4 median quality elements. Quality elements were greater in communications for patients with more severe AKI (Stage 3 (number of additional quality elements (β) [95 % CI]: 2.29 [0.87-3.72]), Stage 2 (β [95 % CI]: 0.62 [-0.65-1.90]) and Stage 1 (reference); p for trend = 0.002).

conclusionsFew hospital discharge communications in AKI patients described AKI or provided recommendations for AKI care. Improvements in the quality of hospital discharge communications to improve care transitions of patients with AKI are needed.

Indexed as

Acute Kidney InjuryCommunicationContinuity of Patient CarePatient DischargeAdultAgedCross-Sectional StudiesFemaleHospitalsHumansMaleMiddle AgedRenal Insufficiency, ChronicAcute kidney injuryHospitalizationsTransitions of care

Identifiers

PMID27577888
PMCPMC5006255

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.