ASN's Mission

To create a world without kidney diseases, the ASN Alliance for Kidney Health elevates care by educating and informing, driving breakthroughs and innovation, and advocating for policies that create transformative changes in kidney medicine throughout the world.

learn more

Contact ASN

1401 H St, NW, Ste 900, Washington, DC 20005

email@asn-online.org

202-640-4660

The Latest on X

Kidney Week

ASN / Education & Meetings / Kidney Week /

Please note that you are viewing an archived section from 2022 and some content may be unavailable. To unlock all content for 2022, please visit the archives.

Abstract: FR-PO113

Post Discharge Follow-Up Care in AKI Hospitalizations: A Health Systems Approach

Session Information

Category: Acute Kidney Injury

  • 102 AKI: Clinical‚ Outcomes‚ and Trials

Authors

  • Gudsoorkar, Prakash Shashikant, University of Cincinnati, Cincinnati, Ohio, United States
  • Modi, Jwalant R., University of Cincinnati, Cincinnati, Ohio, United States
  • Meganathan, Karthikeyan, University of Cincinnati, Cincinnati, Ohio, United States
  • Thakar, Charuhas V., University of Cincinnati, Cincinnati, Ohio, United States
Background

Acute kidney injury (AKI) survivors face increased risk of readmissions and fragmented post-discharge care. We operationalized and implemented a quality improvement program (QIP) to track metrics of readmissions and follow-up care after in AKI patients.

Methods

By automated informatics approach, from all renal consults except transplant we extracted AKI patients, reviewed by each calendar quarter (10/2015 to 09/2019). Outcome metrics were: i) 30- or 90-day readmission; ii) renal follow up in clinics or dialysis among eligible survivors.

Results

Of the 3,988 AKI patients (6,602 hospitalizations) 58.5% were male. Discharge disposition included 24% expired/hospice and 42% home (Fig 1). 2,591 (65%) were eligible for follow up care. The median time to readmission was 18 days (IQR=8-43); average 30- and 90-day readmission rate was 28% and 41% respectively (Fig 2). Of the eligible patients, renal follow up occurred in 38% (range 30-45%); of which clinic follow up was 33% (range 24-39%) and dialysis follow up was 5% (range 2-7%). The follow up trends were similar across quarters.

Conclusion

A prospective QIP of follow up care in AKI evaluates missed opportunities. This program can then help in implementation of post-discharge clinics and improve outcomes in AKI survivors.

Fig 1. Quartery trends

Fig 2. Discharge dispositions