Journal
NEPHRON
Volume 140, Issue 2, Pages 116-119Publisher
KARGER
DOI: 10.1159/000492064
Keywords
Acute renal injury; Alert; Clinical decision support; Real time modeling
Categories
Funding
- NIDDK [P30DK079337]
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Broad adoption of electronic health record (EHR) systems has facilitated acute kidney injury (AKI) research in 2 ways. First, the detection of AKI based on changes in serum creatinine has largely replaced the sensitive but nonspecific administrative coding of AKI that predominated in earlier studies. Second, the ability to implement real-time AKI interventions such as alerts and best-practice advisories has emerged as a promising tool to fight against the harmful sequela of AKI, which include short-term adverse outcomes as well as progression to chronic kidney disease, dialysis, and death. In this review, we discuss the current state-of-the-art in EHR-based tools to predict imminent AKI, alert to the presence of AKI, and modify provider behaviors in the presence of AKI. (C) 2018 S. Karger AG, Basel
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