ArticleClinical journal of the American Society of Nephrology : CJASN2017
Characteristics and Outcomes of Patients Discharged Home from an Emergency Department with AKI.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Plasma Biomarkers of Kidney Tubule Health during Ambulatory AKI and Kidney Function Recovery in SPRINT.Clinical journal of the American Society of Nephrology : CJASN · 2026Trial
- 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
- Prediction of contrast-associated acute kidney injury with machine-learning in patients undergoing contrast-enhanced computed tomography in emergency department.Scientific reports · 2025Article
- Outcomes of Community-Acquired Acute Kidney Injury: A Cohort Study of US Veterans.Medical care · 2025Article
- Poisoning-Induced Acute Kidney Injury: A Review.Medicina (Kaunas, Lithuania) · 2024Review
- Aurantio-obtusin exerts an anti-inflammatory effect on acute kidney injury by inhibiting NF-κB pathway.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2024Article
- Assessing Discharge Communication and Follow-up of Acute Kidney Injury in British Columbia: A Retrospective Chart Review.Canadian journal of kidney health and disease · 2024Article
- Epidemiology of Community-Acquired Acute Kidney Injury Among US Veterans.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023Article
- Renal outcomes following intravenous contrast administration in patients with acute kidney injury: a multi-site retrospective propensity-adjusted analysis.Intensive care medicine · 2023Article
- Cardiac Arrest during Interventional Radiology Procedures: A 7-Year Single-Center Retrospective Study.Journal of clinical medicine · 2022Article
- The effects of acute kidney injury in a multicenter cohort of high-risk surgical patients.Renal failure · 2021Article
- Passive acute kidney injury alerts: less is not more.Pediatric research · 2021Article
- Impact of Angiotensin-Converting Enzyme Inhibitors or Angiotensin Receptor Blockers on Acute Kidney Injury in Emergency Medical Admissions.Journal of clinical medicine · 2021Article
- Cyclophilin A Promotes Inflammation in Acute Kidney Injury but Not in Renal Fibrosis.International journal of molecular sciences · 2020Article
- Community Health Care Quality Standards to Prevent Acute Kidney Injury and Its Consequences.The American journal of medicine · 2020Review
- Lactate measurements accurately predicts 1-week mortality in emergency department patients with acute kidney injury.Turkish journal of emergency medicine · 2019Article
- Ethanol Extract ofNutrients · 2019Article
- Incidence and Prognosis of Acute Kidney Diseases and Disorders Using an Integrated Approach to Laboratory Measurements in a Universal Health Care System.JAMA network open · 2019Article
- Profile and outcome of patients with emergency complications of renal failure presenting to an urban emergency department of a tertiary hospital in Tanzania.BMC emergency medicine · 2019Article
- CIDEC Is Involved in LPS-Induced Inflammation and Apoptosis in Renal Tubular Epithelial Cells.Inflammation · 2018Article
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11 authors.
Funding
Abstract
BACKGROUND AND
objectivesPatients discharged home from an emergency department with AKI are not well described. This study describes their characteristics and outcomes and compares these outcomes to two referent groups. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted a population-based retrospective cohort study in Ontario, Canada from 2003 to 2012 of 6346 patients aged ≥40 years who were discharged from the emergency department with AKI (defined using serum creatinine values). We analyzed the risk of all-cause mortality, receipt of acute dialysis, and hospitalization within 30 days after discharge. We used propensity score methods to compare all-cause mortality to two referent groups. We matched 4379 discharged patients to 4379 patients who were hospitalized from the emergency department with similar AKI stage. We also matched 6188 discharged patients to 6188 patients who were discharged home from the emergency department with no AKI.
resultsThere were 6346 emergency department discharges with AKI. The mean age was 69 years and 6012 (95%) had stage 1, 290 (5%) had stage 2, and 44 (0.7%) had stage 3 AKI. Within 30 days, 149 (2%) (AKI stage 1: 127 [2%]; stage 2: 15 [5%]; stage 3: seven [16%]) died, 22 (0.3%) received acute dialysis, and 1032 (16%) were hospitalized. An emergency department discharge versus hospitalization with AKI was associated with lower mortality (3% versus 12%; relative risk, 0.3; 95% confidence interval, 0.2 to 0.3). An emergency department discharge with AKI versus no AKI was associated with higher mortality (2% versus 1%; relative risk, 1.6; 95% confidence interval, 1.2 to 2.0).
conclusionsPatients discharged home from the emergency department with AKI are at risk of poor 30-day outcomes. A better understanding of care in this at-risk population is warranted, as are testing strategies to improve care.
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