Evidence map›Paper›PMID 32616340›Full record

ArticleEuropean journal of internal medicine2020

Quality of care after AKI development in the hospital: Consensus from the 22nd Acute Disease Quality Initiative (ADQI) conference.

Etienne Macedo, Azra Bihorac, Edward D Siew, Paul M Palevsky, John A Kellum, Claudio Ronco, Ravindra L Mehta, Mitchell H Rosner, Michael Haase, Kianoush B Kashani and 1 more

Abstract readConsensus Statement
In one paragraph

Article in European journal of internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

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  3. Bridging Critically Ill Patients With Cirrhosis to Transplant With Renal Replacement Therapy: A Multicenter Cohort Study.Liver international : official journal of the International Association for the Study of the Liver · 2026
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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

11 authors.

Etienne MacedoDivision of Nephrology and Hypertension, Department of Medicine, University of California San Diego, San Diego, CA, United States. Electronic address: emmacedo@ucsd.edu.
Azra BihoracDivision of Nephrology, Hypertension & Renal Transplantation, Department of Medicine, University of Florida, Gainesville, FL, United States.
Edward D SiewTennessee Valley Healthcare System (TVHS), Veterans Administration (VA) Medical Center, Veteran's Health Administration; Division of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center; Vanderbilt Center for Kidney Disease (VCKD), Nashville, TN, United States.
Paul M PalevskyRenal Section, Medical Service, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, Pennsylvania; and Renal-Electrolyte Division, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
John A KellumDepartment of Critical Care Medicine, School of Medicine, University of Pittsburgh, PA, United States.
Claudio RoncoUniversity of Padova. Director Department of Nephrology Dialysis & Transplantation; AULSS8 Regione Veneto, Vicenza, Italy; Director International Renal Research Institute (IRRIV), San Bortolo Hospital, Vicenza, Italy.
Ravindra L MehtaDivision of Nephrology and Hypertension, Department of Medicine, University of California San Diego, San Diego, CA, United States.
Mitchell H RosnerDivision of Nephrology, University of Virginia Health System, Charlottesville, Virginia.
Michael HaaseMedical Faculty, Otto-von Guericke University Magdeburg, Magdeburg, Germany; MVZ Diaverum, Potsdam, Germany.
Kianoush B KashaniDivision of Nephrology and Hypertension, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, United States.
Erin F BarretoDepartment of Pharmacy; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, United States.

Funding

Beta-lactam individualization for critically ill patientsK23AI143882 · NIAID · MAYO CLINIC ROCHESTER · PI BARRETO, ERIN FRAZEE · 2020 to 2024
$986k
NIAID NIH HHS K23 AI143882
6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) is independently associated with increased morbidity and mortality. Quality improvement has been identified as an important goal in the care of patients with AKI. Different settings can be targeted to improve AKI care, broadly classified these include the inpatient and outpatient environments. In this paper, we will emphasize quality indicators associated with the management and secondary prevention of AKI in hospitalized patients to limit the severity, duration, and complications.

methodsDuring the 22nd Acute Disease Quality Initiative (ADQI) consensus conference, a multidisciplinary group of experts discussed the evidence and used a modified Delphi process to achieve consensus on recommendations for AKI-related quality indicators (QIs) and care processes to improve patient outcomes. The management and secondary prevention of AKI in hospitalized patients were discussed, and recommendations were summarized.

resultsThe first step in optimizing the quality of AKI management is the determination of baseline performance. Data regarding each institution's/center's performance can provide a reference point from which to benchmark quality efforts. Quality program initiatives should prioritize achievable goals likely to have the highest impact according to the setting and context. Key AKI quality metrics should include improvement in timely recognition, appropriate diagnostic workup, and implementation of known interventions that limit progression and severity, facilitating recovery, and mitigating AKI-associated complications. We propose the Recognition-Action-Results framework to plan, measure, and report the progress toward improving AKI management quality.

conclusionsThese recommendations identified and outlined an approach to define and evaluate the quality of AKI management in hospitalized patients.

Indexed as

Acute Kidney InjuryAcute DiseaseHospitalsHumansQuality ImprovementAcute kidney injuryOutcomesQuality improvement initiative

Identifiers

PMID32616340
PMCPMC7553709

What OpenQuestion holds

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Registered trials

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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.