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Abstract: FR-PO101

Patient Education to Improve AKI Outcomes and Awareness: A Scoping Review

Session Information

Category: Acute Kidney Injury

  • 101 AKI: Epidemiology‚ Risk Factors‚ and Prevention

Authors

  • Heung, Michael, University of Michigan, Ann Arbor, Michigan, United States
  • Capellari, Emily C., University of Michigan, Ann Arbor, Michigan, United States
  • Tolwani, Ashita J., The University of Alabama at Birmingham College of Arts and Sciences, Birmingham, Alabama, United States
  • Murphy, Daniel P., University of Minnesota Academic Health Center, Minneapolis, Minnesota, United States
  • Awdishu, Linda, University of California San Diego, La Jolla, California, United States
  • Ostermann, Marlies, Guy's and St Thomas' NHS Foundation Trust, London, London, United Kingdom
  • Cerda, Jorge, Albany Medical College, Albany, New York, United States
  • Kao, Patricia F., Washington University in St Louis, St Louis, Missouri, United States

Group or Team Name

  • AKI!Now Initiative
Background

Survivors of acute kidney injury (AKI) have limited knowledge of AKI and many are unaware of their diagnosis. In order to optimize outcomes, increased AKI education and awareness are needed. The goal of the AKI!Now Initiative Education Subcommittee is to increase patient awareness and establish best practices in educating patients about AKI. As part of our needs assessment, we sought to characterize the current state of AKI patient education by reviewing the available literature on this topic.

Methods

Ovid Medline and CINAHL were searched to identify literature on patient-focused education and awareness around AKI. The search strategy included keywords and Medical Subject Headings related to AKI, education, information, specific educational materials (e.g., pamphlet, video, etc.), and purpose for information sharing (e.g., discharge and self-care). To increase sensitivity, adjacency searching was used in lieu of phrases for the patient education and information concepts. No limits were applied to the results. After screening for relevance based on inclusion criteria of 1) AKI population and 2) patient-focused education, the characteristics of included abstracts were summarized.

Results

Of the 419 abstracts identified with our search criteria, 371 were excluded (145 non-AKI focus, 213 without patient education, 13 other) leaving 48. Of these, 23/48 (48%) were published since 2019; 36/48 (75%) were in biomedical journals, compared to 5/48 (10%) in nursing and 5/48 (10%) in allied health journals. 23/48 (48%) abstracts were observational (including survey) studies, while 17/48 (35%) were review or editorial-type publications; no randomized trials were identified. Of the observational studies, 16/23 (70%) reported a patient education intervention, and 14/23 (61%) specified an outcome measure (6 clinical, 7 knowledge/awareness, 1 process). Of these 14 studies, 10 reported a statistically significant improvement in post-intervention outcomes.

Conclusion

In recent years there has been increasing interest in patient education around AKI, as reflected in the literature by more published research and calls for action. However, there remains a paucity of high-level evidence exploring effectiveness of various approaches to AKI education, especially regarding patient-centered clinical outcomes.