UK Renal Registry

ILD60

Rates of hospital-acquired Acute Kidney Injury (AKI) vary depending on the clinical speciality under which a patient was admitted to hospital, with higher rates observed in areas such as general surgery and cardiology. Although there has been a rapid increase in studies examining AKI across many different clinical settings, none have looked at how outcomes for hospitalized patients with an AKI vary across specialties. Thus, the current study aims to establish whether the 30-day mortality differs by admitting specialty. While previous research suggests that a significant proportion of deaths for patients with an AKI acquired in hospital cannot be avoided, we hope that this research may provide an insight into the deficiencies in management that have been highlighted as contributory factors in the death of many patients with AKI. The study will include a large cohort of adult patients (18 and over) who acquired an AKI following an admission to a hospital in England. We will look at which specialty the patient was being treated under when they were admitted to hospital, and we will look at whether there are any differences in rates of death within 30 days of the AKI between patients admitted under different specialties. The quality of care for patients with an AKI is fairly low (roughly 50% classed as ‘good’) and the associated mortality for these patients is quite high. By investigating how outcomes differ across specialties, we may be able to understand the role of hospital factors in predicting outcomes, leading to better management of patients and driving improvements in patient care.

10/03/2020