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Kidney Week

Abstract: INFO08-SA

Improving Communication After AKI: AKINow Recovery Workgroup Initiative

Session Information

  • Informational Posters - III
    November 04, 2023 | Location: Exhibit Hall, Pennsylvania Convention Center
    Abstract Time: 10:00 AM - 12:00 PM

Category: Acute Kidney Injury

  • No subcategory defined

Authors

  • Kwong, Yuenting Diana, UCSF Medical Center, San Francisco, California, United States
  • Silver, Samuel A., Queen's University, Kingston, Ontario, Canada
  • Neyra, Javier A., The University of Alabama at Birmingham, Birmingham, Alabama, United States
  • Ng, Jia Hwei, Northwell Health, New Hyde Park, New York, United States
  • McCoy, Ian Ellis, UCSF Medical Center, San Francisco, California, United States
  • Cerda, Jorge, Albany Medical Center, Albany, New York, United States
  • Abdel-Rahman, Emaad M., UVA Health, Charlottesville, Virginia, United States
  • Gewin, Leslie S., Vanderbilt University Medical Center, Nashville, Tennessee, United States
  • Vijayan, Anitha, Washington University in St Louis, St Louis, Missouri, United States
  • Barreto, Erin F., Mayo Clinic Minnesota, Rochester, Minnesota, United States

Group or Team Name

  • AKINow Recovery Workgroup
Description

Background: The American Society of Nephrology AKINow Recovery Workgroup aims to promote excellence in the delivery of patient-centered care after acute kidney injury (AKI). Significant barriers to optimal post AKI care include the need to 1) integrate care delivery among inpatient and outpatient providers and 2) provide adequate education for patients and caregivers to recognize and manage the risks associated with AKI. Using cancer care as a model, we aim to create standardized AKI communication plans for providers and survivorship plans for patients.

Methods: We will apply the modified Delphi process to create consensus among a multidisciplinary group of AKI providers and patients regarding the key elements that are fundamental to quality AKI communication and survivorship. Over three consecutive structured virtual sessions, participants will develop, refine, and vote on the final AKI communication and survivorship plans.

Results: The AKI communication plan should guide inpatient providers in the completion of a comprehensive yet efficient sign-out to outpatient providers of a patient who experienced an AKI event during hospitalization. Consensus should be reached regarding recommendations for post-discharge testing and follow up, appropriate monitoring to optimize recovery of kidney function, and prevention of complications such as rehospitalization. The AKI survivorship plan will be an educational tool for patients and caregivers to manage kidney health in conjunction with a designated outpatient provider. Topics of consideration include but are not limited to the need for medication reconciliation, nutrition modifications, and blood pressure monitoring. These plans will be tailored to patients who are discharged with and without a need for dialysis.

Conclusions: Standardizing AKI communication and survivorship plans could enhance continuity among providers, raise awareness of AKI-related risks among patients and caregivers, and encourage effective self-management of these risks. These plans can then be distributed to healthcare providers and patients to ensure the delivery of effective and equitable post AKI care.