ArticleCanadian journal of kidney health and disease2017
The Clinical Epidemiology and 30-Day Outcomes of Emergency Department Patients With Acute Kidney Injury.
Article in Canadian journal of kidney health and disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Development and Validation of Machine Learning Models to Identify Emergency Department Patients at Increased Risk of New or Progressive Acute Kidney Injury.Journal of the American College of Emergency Physicians open · 2026Article
- Outcomes of community-acquired acute kidney injury: a prospective comparative cohort study.BMC nephrology · 2025Article
- Prediction of contrast-associated acute kidney injury with machine-learning in patients undergoing contrast-enhanced computed tomography in emergency department.Scientific reports · 2025Article
- Article
- Poisoning-Induced Acute Kidney Injury: A Review.Medicina (Kaunas, Lithuania) · 2024Review
- Observational
- Follow-up of perfusion index and inferior vena cava collapsibility index in fluid therapy in prerenal acute renal failure.Heliyon · 2023Article
- Assessing the Diagnostic Performance of CT in Suspected Urinary Stones: A Retrospective Analysis.Cureus · 2023Article
- Renal outcomes following intravenous contrast administration in patients with acute kidney injury: a multi-site retrospective propensity-adjusted analysis.Intensive care medicine · 2023Article
- Ambiguous definitions for baseline serum creatinine affect acute kidney diagnosis at the emergency department.BMC nephrology · 2021Article
- Impact of Angiotensin-Converting Enzyme Inhibitors or Angiotensin Receptor Blockers on Acute Kidney Injury in Emergency Medical Admissions.Journal of clinical medicine · 2021Article
- The incidence, mortality and renal outcomes of acute kidney injury in patients with suspected infection at the emergency department.PloS one · 2021Article
- Observational
- Correlation of Hyperchloremic Metabolic Acidosis and Renal Function in Critically ill Patients of Emergency Department: an Observational Study.Emergency (Tehran, Iran) · 2018Article
- Neuroimmune Interactions in Inflammation and Acute Kidney Injury.Frontiers in immunology · 2017Review
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute kidney injury (AKI) is associated with increased mortality and dialysis in hospitalized patients but has been little explored in the emergency department (ED) setting.
objectiveThe objective of this study was to describe the risk factors, prevalence, management, and outcomes in the ED population, and to identify the proportion of AKI patients who were discharged home with no renal-specific follow-up.
designThis is a retrospective cohort study using administrative and laboratory databases.
settingTwo urban EDs in Vancouver, British Columbia, Canada. PATIENTS: We included all unique ED patients over a 1-week period.
methodsAll patients had their described demographics, comorbidities, medications, laboratory values, and ED treatments collected. AKI was defined pragmatically, based upon accepted guidelines. The cohort was then probabilistically linked to the provincial renal database to ascertain renal replacement (transplant or dialysis) and the provincial vital statistics database to obtain mortality. The primary outcome was the prevalence of AKI; secondary outcomes included (1) the proportion of AKI patients who were discharged home with no renal-specific follow-up and (2) the combined 30-day rate of death or renal replacement among AKI patients.
resultsThere were 1651 ED unique patients, and 840 had at least one serum creatinine (SCr) obtained. Overall, 90 patients had AKI (10.7% of ED patients with at least one SCr, 95% confidence interval [CI], 8.7%-13.1%; 5.5% of all ED patients, 95% CI, 4.4%-6.7%) with a median age of 74 and 70% male. Of the 31 (34.4%) AKI patients discharged home, 4 (12.9%) had renal-specific follow-up arranged in the ED. Among the 90 AKI patients, 11 died and none required renal replacement at 30 days, for a combined outcome of 12.2% (95% CI, 6.5%-21.2%). LIMITATIONS: Sample sizes may be small. Nearly half of ED patients did not obtain an SCr. Many patients did not have sequential SCr testing, and a modified definition of AKI was used.
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